LEAD, MANAGED CARE ANALYST
Recruitment #21-009642-0002
Department | Maryland Insurance Administration |
---|---|
Date Opened | 12/2/2021 09:25:00 AM |
Filing Deadline | 12/16/2021 11:59:00 PM |
Salary | $54,279.00 - $87,106.00/year (Salary Guidelines Apply) |
Employment Type |
Full-Time
|
HR Analyst | Carla Harrison |
Work Location |
Baltimore City
|
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 Management
Service position that serves at the pleasure of the appointing authority.
GRADE
LOCATION OF POSITION
Baltimore City (potential
for hybrid between office and teleworking)
POSITION DUTIES
The Life and Health
Division is seeking an internal candidate to fill the role of Lead, Managed
Care Analyst. The Lead, Managed Care Analyst reviews HMO and health
insurance contract filings to determine compliance with Maryland laws and
regulations and MIA requirements. This position corresponds with HMO
and health insurance carriers regarding deficiencies in form filings and makes
recommendations to carriers on revisions necessary to bring the filings into
compliance with Maryland laws and regulations. Responds to inquiries from the
public, industry representatives, and MIA staff regarding HMO and health
insurance issues. The Lead position provides training and guidance to less
experienced analysts in the review of all types of contracts; and evaluates the
accuracy and qualify of form filings completed by less experienced analysts.
MINIMUM QUALIFICATIONS
Education: Possession of a
bachelor’s degree from an accredited college or university.
Experience: Four years of experience
in drafting or analyzing HMO, life or health insurance policy forms for a
regulatory agency, or licensed insurer.
Note: The requirements indicated below are acceptable substitutions to the above minimum requirements:
1- High school diploma or GED and
six years of experience drafting or analyzing health insurance or HMO contract
forms for a regulatory agency or licensed insurer; or
2- High school diploma or GED and
five years of experience drafting or analyzing health insurance or HMO contract
forms for a regulatory agency or licensed insurer and passing of six (6) LOMA
examinations or six (6) AHIP examinations or three (3) Society of Actuary’s
Actuarial examinations or a combination of above if approved by the supervisor;
or
3- Possession of a Juris Doctorate
degree and three years experience drafting or analyzing health insurance or HMO
contract forms for a regulatory agency or licensed insurer.
LIMITATIONS ON SELECTION
This recruitment is
limited to current employees of the Maryland Insurance Administration’s Life
and Health Division only.
BENEFITS
FURTHER INSTRUCTIONS
Please contact:
charrison@maryland.gov for additional information concerning this recruitment.
Online applications are strongly preferred. 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 an application by mail. The paper
application must be received by close of business, on the closing date for the
recruitment. Postmarks will not be accepted.
Complete application
packets may be mailed to:
Maryland Insurance
Administration
Human Resources -
Recruitment #: 21-009641-0002
St. Paul Place, Suite
2700
Baltimore, MD 21202
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.