State of Maryland

A Health Service Rate Analyst Supervisor is the supervisory level of work setting rates hospitals charge for health services and auditing hospital records for compliance with established rates.  Employees in this classification supervise lower-level Health Services Rate Analysts.

Employees in this classification receive general supervision from a manager in the Health Services Cost Review Commission (HSCRC).

Positions in this classification are evaluated by using the classification job evaluation methodology.  The use of this method involves comparing the assigned duties and responsibilities of a position to the job criteria found in the Nature of Work and Examples of Work sections of the class specification.

The Health Services Rate Analyst Supervisor is differentiated from Health Services Rate Analyst, Advanced in that the Health Services Rate Analyst Supervisor has supervisory responsibility for lower-level Health Services Rate Analysts while the Health Services Rate Analyst, Advanced performs advanced duties as rate setting technical advisor to the HSCRC during the periodic review of contested hospital rate cases.  

Plans, coordinates, supervises and evaluates the work of lower-level Health Services Rate Analysts and related support staff;

Develops and implements training programs for lower-level Health Services Rate Analyst staff;

Determines the need for modification of manual and automated systems to meet the specific fiscal requirements of the HSCRC and oversees the development and implementation of necessary modifications;

Maintains, updates, interprets and applies HSCRC laws and regulations to rate setting operations;

Develops and implements rate setting methodologies to meet new or proposed changes in health services practices;

Reviews and approves calculations to develop inflation factors, inpatient rate charges, price leveling factors and case mix adjustments;

Implements appropriate rate setting methodologies required for inflation adjustments, guaranteed inpatient review adjustments and whole or partial rate reviews;

Explains HSCRC policies and procedures to hospital officials and discusses options of settlement for non-compliance with these policies and procedures;

Presents recommendations of action to HSCRC on the effectiveness and efficiency of proposed rates;

Testifies at formal and informal hearings in order to explain and defend rate reviews and analyses;

Reviews and supervises audits of annual financial statements of hospitals for compliance with rate setting policies and procedures;

Recommends modification of HSCRC policies and procedures to comply with federal Medicaid waivers;

Represents the HSCRC on task forces, committees and other groups concerned with hospital rates;

May analyze hospital Certificate of Need applications before the Health Resources Planning Commission;

Performs other related duties.

Class Descriptions are broad descriptions covering groups of positions used by various State departments and agencies.  Position descriptions maintained by the using department or agency specifically address the essential job functions of each position.

Class Descriptions provide information about the Nature of Work, Examples of Work, General Requirements and Acknowledgements.  The Required Knowledge, Skills, and Abilities; Minimum Education and Experience Requirements; Special Requirements; and recruitment and testing procedures are set by the using agency.

This is a Skilled Service classification in the State Personnel Management System.  All positions in this classification are Skilled Service positions.  Some positions in Skilled Service classifications may be designated Special Appointment in accordance with the State Personnel and Pensions Article, Section 6-405, Annotated Code of Maryland.

This classification is not assigned to a bargaining unit, as indicated by the designation of S (Supervisor), M (Manager), T (Agency Head), U (Board or Commission Member), W (Student), X (Used by Agency or Excluded by Executive Order), or Z (Confidential).  As provided by State Personnel and Pensions Article, Section 3-102, special appointment, temporary, contractual, supervisory, managerial and confidential employees are excluded collective bargaining.  Additionally, certain executive branch agencies are exempt from collective bargaining and all positions in those agencies are excluded from collective bargaining.