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DIRECTOR, MENTAL HEALTH PARITY AND NETWORK ADEQUACY (Reposted)

MIA Administrator V

Recruitment #23-009645-0002

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

MIA 0021 

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.




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