CHIEF OF HEALTH INSURANCE AND MANAGED CARE

State of Maryland

$100K — $130K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree from an accredited institution
  • Eight years of experience analyzing contracts or programs for compliance in health insurance or a regulatory agency
  • One year of supervisory experience
  • Knowledge of Maryland Insurance laws and regulations (preferred)
  • Expertise in the Affordable Care Act (preferred)

Responsibilities

  • Provide leadership on health insurance and HMO issues for the Division
  • Oversee the Health Review and Managed Care Units
  • Implement the Affordable Care Act in forms review processes
  • Analyze new laws and regulations affecting forms review
  • Draft new and amended legislation and internal guidance
  • Answer technical questions from consumers and MIA staff
  • Integrate new legislation into the forms review process

Benefits

  • Generous leave package
  • Medical, dental, and vision coverage
  • Healthcare and dependent daycare flexible spending accounts
  • Defined benefit pension plan with optional retirement plans
  • Flexible work schedules
  • Eligibility for Federal Public Service Loan Forgiveness Program
Full Job Description
GRADE

MIA 0022

LOCATION OF POSITION

Baltimore City or Hybrid (between office and telework)

POSITION DUTIES

The Maryland Insurance Administration is recruiting for the position of Chief of Health Insurance and Managed Care in the Life and Health Division. This position provides leadership regarding health insurance and Health Maintenance Organization (HMO) related issues for the Division. The Chief oversees the management of the Health Review and the Managed Care Units, which are responsible for the review and approval of all health and managed care contracts in Maryland. This position is responsible for implementing the Affordable Care Act (ACA) in the forms review process and providing guidance to staff on the impact of the ACA on policy form review.

The Chief of Health Insurance and Managed Care analyzes new laws and regulations and determines how they impact the forms review process; analyzes proposed legislation and recommends the Administration's position; and integrates new legislation and regulations into the form review process. The Chief assists with drafting new and amended legislation, regulations, bulletins, and internal agency guidance memoranda for staff; and answers technical questions from consumers, insurance carriers, and MIA staff regarding filing requirements and other complex health insurance issues.

MINIMUM QUALIFICATIONS

Education: Possession of a bachelor's degree from an accredited college or university.

Experience: Eight years of experience analyzing contracts, services, or programs for compliance, with a health insurer, managed care organization or insurance regulatory agency; one year of that experience must have been in a supervisory capacity.

Note: The requirements indicated below are acceptable substitutions to the above minimum requirements:

1. Possession of a master's degree in a related field or a law degree; and six years of experience analyzing contracts, services, or programs for compliance, with a health insurer, managed care organization or insurance regulatory agency; one year of that experience must have been in a supervisory capacity.

2. Possession of a bachelor's degree and a Fellow, Life Management Institute (FLMI) or equivalent designation; and five years of experience drafting or analyzing contracts, services, or programs for compliance, with a health insurance insurer, managed care organization or insurance regulatory agency; one year of that experience must have been in a supervisory capacity.

DESIRED OR PREFERRED QUALIFICATIONS

Preference will be given to applicants who possess the following preferred qualification(s). Include clear and specific information on your resume regarding your qualifications.
• Knowledge of Maryland Insurance laws and regulations.
• Expert knowledge of the Affordable Care Act.
• Excellent written and verbal communication and organizational skills.
• Strong analytical and logical reasoning skills with experience reviewing and interpreting complex written documents

BENEFITS

Our comprehensive benefits package includes a generous leave package; medical, prescription, dental and vision coverage; healthcare and dependent daycare flexible spending accounts; a defined benefit pension plan with optional 457 and 401k supplemental retirement plans; flexible work schedules; and service that may qualify the successful candidate for the Federal Public Service Loan Forgiveness Program.

FURTHER INSTRUCTIONS

If you have any questions about this recruitment, please contact [email protected].

For immediate consideration, upload one WORD or PDF file, at the "Resume" tab, that contains:

1. a cover letter stating your interest and specific salary requirements; and

2. a current professional resume.

The online application process is preferred. If you are unable to apply online, you may submit the requested information via mail. Please be sure to include all documents listed above to ensure timely processing. Complete application packets may be mailed to:

Maryland Insurance Administration

Human Resources - Recruitment #: 26-009646-0001

St. Paul Place, Suite 2700

Baltimore, MD 21202

Incomplete submission will not receive consideration.

TTY Users: call via Maryland Relay

We thank our Veterans for their service to our country, and encourage them to apply.

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