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Associate Director of Financial Review

Recruitment #20-009248-0001




MDH, Maryland Health Services Cost Review Commission
4160 Patterson Avenue
Baltimore, MD  21215

Main Purpose of Job

The Health Services Cost Review Commission (HSCRC) seeks an Associate Director of Financial Review to help implement innovative health care reforms in Maryland's hospital system. The HSCRC is responsible for developing, refining, and implementing Commission policy geared toward achieving its mandate of providing maximum efficiency and effectiveness at Maryland hospitals and achieving the goals of the Maryland All-Payer model approved by the Centers for Medicare and Medicaid Services (CMS). The Commission is an independent agency of Maryland government and is unique in the U.S. because it sets hospital rates for self-pay and commercial patients as well as for Medicaid and Medicare patients as a result of its waiver from Medicare's Prospective Payment System.

The Associate Director of Financial Review will assist in implementing new payment models, and assist in the review and audit of hospitals revenue and cost structure, Full Rate Applications, Certificate of Need, and Comfort Order requests. Main duties include:

  • Assisting the Principal Deputy Director of Rate and Compliance in developing, implementing, updating, and amending existing and new payment methodologies designed to reduce per capita costs and increase quality.
  • Assisting with evaluation and audit of hospital revenue structure, audited/unaudited financial statements, rates, costs, audit, compliance, and financial performance.
  • Assisting in the review and evaluation of Commission initiated or hospital submitted rate reviews.
  • Assisting in the review of Comfort Order requests made by hospitals in regard to capital funding requests.
  • Assisting in the review of Certificate of Need (CON) requests submitted by hospitals to the Maryland Health Care Commission.
  • Supporting and reviewing the calculations of the annual updates to hospital global budgets and prescription drug funding and inflation.
  • Supporting analytics needs for evaluating hospital financial performance and progress under the All-Payer and Total Cost of Care Models.


The position requires a bachelor’s degree in accounting, finance, economics, hospital administration or health care administration/policy from an accredited college or university; four years of progressively responsible experience is preferred; experience in the health care field is preferred;  Previous CPA experience is required, experience in the review and analysis of financial and case mix data, including hospital financial statements is required; experience in Medicare cost report analysis and case mix data analysis is required; detailed experience in financial auditing and evaluating supporting documentation with detailed knowledge of Generally Accepted Accounting Principles (GAAP) is required.


The preferred candidate will possess excellent quantitative and written communication skills, as well as a collegial approach and the ability to lead projects across multiple teams and initiatives. A successful candidate must also demonstrate the ability to effectively communicate and interact with staff, hospitals officials, consultants and other health care officials. A CPA certification/license is desirable but not required.


This is a Management Service position, and serves at the pleasure of the Appointing Authority.  A resume and cover letter must accompany your application.  Please upload both documents together into one file, under the resume section of the application.

Applicants who meet the minimum (and selective) qualifications will be included in further evaluation. The evaluation may be a rating of your application based on your education, training and experience as they relate to the requirements of the position. Therefore, it is essential that you provide complete and accurate information on your application. Please report all related education, experience, dates and hours of work. Clearly indicate your college degree and major on your application, if applicable. For education obtained outside the U.S., any job offer will be contingent on the candidate providing an evaluation for equivalency by a foreign credential evaluation service prior to starting employment (and may be requested prior to interview). 

Complete applications must be submitted by the closing date. Information submitted after this date will not be added. 

Incorrect application forms will not be accepted. 

Candidates may remain on the certified eligible list for a period of at least one year. The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.




Online applications are highly recommended. However, if you are unable to apply online, the paper application (and supplemental questionnaire) may be submitted to MDH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201. Paper application materials must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.

If additional information is required, the preferred method is to upload.  If you are unable to upload, please fax the requested information to 410-333-5689. Only additional materials that are required will be accepted for this recruitment. All additional information must be received by the closing date and time.

For questions regarding this recruitment, please contact the MDH Recruitment and Selection Division at 410-767-1251.

If you are having difficulty with your user account or have general questions about the online application system, please contact the MD Department of Budget and Management, Recruitment and Examination Division at 410-767-4850 or

Appropriate accommodations for individuals with disabilities are available upon request by calling: 410-767-1251 or MD TTY Relay Service 1-800-735-2258.

We thank our Veterans for their service to our country.

People with disabilities and bilingual candidates are encouraged to apply.

As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.