DIRECTOR, MENTAL HEALTH PARITY AND NETWORK ADEQUACY (Reposted)
MIA Administrator V
Recruitment #23-009645-0002
Department | Maryland Insurance Administration |
---|---|
Date Opened | 5/9/2023 7:01:00 PM |
Filing Deadline | 7/11/2023 4:03:00 PM |
Salary | $77,204.00 - $119,591.00/year |
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 $46 billion 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, Hybrid (between office and
telework), or 100% remote
POSITION DUTIES
The Director, Mental
Health Parity and Network Adequacy leads the unit that oversees enforcing
requirements for mental health parity and network adequacy issues of health
insurance products. Maryland law requires the submission of reports to show
that health insurance companies have adequate provider networks and reports to
show the analysis that limitations for mental health services are comparable
and no more stringent than limitations for somatic health services. The
Director manages the unit that receives and reviews these reports.
On a day to day basis,
the Director:
- Evaluates the quality of review performed by supervisees and holds supervisees responsible for accuracy and timeliness of reviews.
- Writes, reviews, and edits internal reports detailing the results of the analysis performed by unit staff on compliance reports and access plans.
- Discusses issues with insurance companies.
Additionally, the
Director sometimes:
- Provides recommendations to the Associate Commissioner for Life and Health for corrective action and other issues when an analysis shows a possible violation of the law.
- Proposes and drafts administrative orders and consent agreements for deficiencies and legal violations of the filed compliance reports and access plans.
- Completes special projects as requested by the Associate Commissioner for Life and Health.
The Director provides
leadership and policy input on issues impacting mental health parity and network
adequacy as needed. This may require the Director to monitor state and national
laws, regulations, and policy issues related to mental health parity and
network adequacy, determine whether issues are relevant, applicable, or
adaptable to Maryland’s markets, and make recommendations of policy
changes. The Director may implement policy by writing bulletins,
regulations, legislation, and internal agency guidance memoranda related to
mental health parity and network adequacy.
MINIMUM QUALIFICATIONS
Education: Bachelor’s degree from an accredited college or university.
Experience: Six years of experience evaluating or developing health insurance regulatory policies and procedures, investigating or responding to complaints, and analyzing or designing contracts, services, or programs for compliance on behalf of a health plan sponsor, health insurer, managed care organization or insurance regulatory agency; and two years of this experience must include network adequacy and/or mental health parity responsibilities related to public or private health plans. One year of the required experience must have been in a lead or supervisory capacity.
Note: A post-graduate degree in a related
field may substitute for up to three (3) years of the required experience; and two
years of this experience must include network adequacy and/or mental health
parity responsibilities related to public or private health plans. One year of
the required experience must have been in a lead or supervisory capacity.
DESIRED OR PREFERRED QUALIFICATIONS
·
Knowledge of Maryland insurance
laws and regulations and/or federal regulations concerning network adequacy
and Mental Health Parity and Addictions Equity Act (MHPAEA)
·
Prior supervisory experience
·
Strong investigative skills
·
Proficiency in qualitative and
quantitative analysis
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 #: 23-009645-0002
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.