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LEAD, MANAGED CARE ANALYST

Recruitment #21-009642-0002

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

18

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.

 




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