State of Maryland

HEALTH SERVICES RATE ANALYST SUPERVISOR (#006240)

- Hourly / - BiWeekly /
- Monthly / $56,727.00-$91,075.00 Yearly


GRADE

19

NATURE OF WORK

Health Service Rate Analyst Supervisor is the supervisory level of work setting rates hospitals charge for health services and auditing hospital records for compliance with established rates. Employees in this classification supervise Health Services Rate Analysts.

Employees in this classification receive general supervision from a manager in the Health Services Cost Review Commission (HSCRC).

Health Services Rate Analyst Supervisor is differentiated from Health Services Rate Analyst, Advanced on the basis of supervisory responsibility. The Health Services Rate Analyst Supervisor has full supervisory responsibility for lower-level Health Services Rate Analysts while the Health Services Rate Analyst, Advanced performs advanced duties as rate setting technical advisor to the HSCRC during the periodic review of contested hospital rate cases and does not supervise.

EXAMPLES OF WORK

Plans, coordinates, supervises and evaluates the work of Health Services Rate Analysts and related support staff;

Develops and implements training programs for Health Services Rate Analyst staff;

Determines the need for modification of manual and automated systems to meet the specific fiscal requirements of the HSCRC and oversees the development and implementation of necessary modifications;

Maintains, updates, interprets and applies HSCRC laws and regulations to rate setting operations;

Develops and implements rate setting methodologies to meet new or proposed changes in health services practices;

Reviews and approves calculations to develop inflation factors, inpatient rate charges, price leveling factors and case mix adjustments;

Implements appropriate rate setting methodologies required for inflation adjustments, guaranteed inpatient review adjustments and whole or partial rate reviews;

Explains HSCRC policies and procedures to hospital officials and discusses options of settlement for non-compliance with these policies and procedures;

Presents recommendations of action to HSCRC on the effectiveness and efficiency of proposed rates;

Testifies at formal and informal hearings in order to explain and defend rate reviews and analyses;

Reviews and supervises audits of annual financial statements of hospitals for compliance with rate setting policies and procedures;

Recommends modification of HSCRC policies and procedures to comply with federal Medicaid waivers;

Represents the HSCRC on task forces, committees and other groups concerned with hospital rates;

May analyze hospital Certificate of Need applications before the Health Resources Planning Commission;

Performs other related duties.

GENERAL REQUIREMENTS

Specific educational and experience requirements are set by the agency based on the essential job functions assigned to the position.

ACKNOWLEDGEMENTS

A Class Description provides information about the Nature of Work, Examples of Work and General Requirements for a classification in the Management Service or a classification in the Skilled or Professional Service in which all positions have been designated Special Appointments. Required Knowledge, Skills, and Abilities; Minimum Education and Experience Requirements; Special Requirements; and recruitment and testing procedures are set by the using agency. Class descriptions broadly define groups of positions used by various State departments and agencies. Position descriptions maintained by the using department or agency specifically address the essential job functions of each position.

Date Established

Jul 1 1995 12:00AM

Approved By

Director, Division of Classification and Salary

CLASS: 006240; EST: 7/1/1995; REV: ;

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