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NETWORK ADEQUACY ANALYST **Reposted**

Recruitment #20-009640-0001

Introduction

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. 

 

* This is a Special Appointment position that serves at the pleasure of the appointing authority.

LOCATION OF POSITION

Baltimore City

POSITION DUTIES

The MIA is recruiting for a Network Adequacy Analyst in the Life and Health Division.  This position performs analysis of network access plans and waiver requests submitted by health insurers, HMOs, nonprofit health services plans, and dental plans, to ensure provider panel adequacy and compliance with Maryland laws and regulations.  The analysis includes evaluating the methodologies used by companies to measure network adequacy and determining whether specific quantitative metrics for network adequacy standards have been met with sufficient documentation and justification.  This position corresponds with companies to request additional information concerning network access plans and/or issues, deficiencies, or violations of Maryland statutes or regulations. The incumbent drafts, reviews, and edits plan analysis and waiver related reports and makes recommendations for corrective actions. This position may also assist with market conduct examinations and investigations.

MINIMUM QUALIFICATIONS

Education: Possession of a Bachelor’s degree from an accredited college or university.

Experience: Two years experience analyzing contracts, services, or programs for compliance, with a health insurance or insurance regulatory agency. 

Note: Additional experience analyzing contracts, services, or programs for compliance with a health insurance or insurance regulatory agency may substitute on a year-for year basis for the educational requirements.  

DESIRED OR PREFERRED QUALIFICATIONS

§ Strong investigative skills

§ Proficiency in qualitative and quantitative analysis.

BENEFITS

FURTHER INSTRUCTIONS

If you have any questions about this recruitment, please contact charrison@maryland.gov.

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.

If you are unable to apply online, you may submit 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 #:  20-009640-0001

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.

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



Click on a link below to apply for this position:

Fill out the Application NOW using the Internet. Apply Online
Apply via Paper Application. You may also download and complete the Paper Application here.