CHIEF, HEALTH INSURANCE AND MANAGED CARE
|Department||Maryland Insurance Administration|
|Date Opened||11/8/2019 4:40:00 PM|
|Filing Deadline||11/22/2019 11:59:00 PM|
|Salary||$68,218.00 - $95,902.00/year (Salary Guidelines Apply to State Employees)|
|HR Analyst||Carla Harrison|
The Maryland Insurance Administration (MIA) is an independent State agency that regulates Maryland’s insurance industry and protects consumers by monitoring and enforcing insurers’ and insurance professionals’ compliance with State law. Through the diligence of a highly professional staff of market analysts, financial analysts, accountants, lawyers, law enforcement officers, actuaries, complaint investigators, and others, the MIA works to facilitate a strong and competitive insurance marketplace where consumers are well informed and treated fairly. Staff members are subject matter experts who serve as a resource for lawmakers, consumers, and other public and private entities.
The MIA is charged with a broad range of responsibilities including the licensure of insurance carriers and insurance producers (brokers/agents) operating in Maryland, the conduct of financial examinations of companies to monitor financial solvency, and the review and approval of rates and contract forms. The MIA investigates reports of consumer fraud and consumer complaints about life, health, automobile, homeowners, and/or property insurance. Insurance carriers are subject to market conduct examinations and other actions to monitor compliance with Maryland law. The MIA also has a unit dedicated to consumer education and outreach, which participates in hundreds of events and reaches thousands of individual consumers annually.
LOCATION OF POSITION
The Maryland Insurance Administration is recruiting for the position of Chief, 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 Life and Health Division’s Health Review and the Managed Care Units, which are responsible for the review and approval of all health and managed care contracts, in Maryland, including provider contracts. This positon assigns Utilization Review Analysts new and renewal Private Review Agent (PRA) and Medical Director applications for review to determine compliance with Maryland laws and regulations, and evaluates the quality of review performed. This position analyzes proposed legislation and regulations and integrates new legislation and regulations into the form review process and PRA and medical director certification process, and assists with drafting of new and amended regulations.
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
Knowledge of Maryland Insurance laws and regulations.