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Recruitment #22-009253-0006




Maryland Department of Health
Health Services Cost Review Commission (HSCRC) 
4160 Patterson Avenue 
Baltimore, Maryland 21215

Main Purpose of Job

The Health Services Cost Review Commission (HSCRC) seeks a Chief of Hospital Rate Setting to assist the Deputy Director of Hospital Rate Regulation in the supervision, coordination, and implementation of all hospital rate setting methodologies. 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 Total Cost of Care 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 Chief of Hospital Rate Setting will assist: 
  • Setting rates for Maryland hospitals using the Global Budget Revenue system and applying and implementing rate setting methodologies into the rate setting process
  • Design rate adjustment models and assist in the development of rate setting automation tools
  • Monitor the charging practices of all hospitals and ensure hospitals are in compliance with their global budgets and issued unit rates
  • Supporting and reviewing the calculations of the annual updates to hospital global budgets, as well as unit rates and rate corridors
  • Assisting in the review and evaluation of Commission initiated or hospital submitted rate reviews
  • Assist in training analysts and answer technical questions
  • Perform analysis on Total Cost of Care data and provide updates to stakeholders on Model performance

Maryland is leading the nation in implementing ground breaking health care reforms. This position is an exciting opportunity to participate in transformative work to modernize health care financing and payment models. Employees will have an integral role in changing the landscape of healthcare in Maryland and the nation.


The position requires a bachelor’s degree in accounting, finance, economics, hospital administration or health care administration/policy from an accredited college or university; knowledge in Maryland hospital rate setting and the Total Cost of Care Model is preferred.

The successful candidate must possess strong Excel skills.  Other programming skills are desirable, but not required.  A successful candidate must also demonstrate the ability to effectively communicate and interact with staff, hospitals officials, consultants and other health care officials.


This is a Management Service position, and serves at the pleasure of the Appointing Authority.  A cover letter and resume must accompany your application.  The cover letter and resume should be uploaded in the same file, under the resume section.

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. Resumes will not be accepted in lieu of a completed application.

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.

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