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CHIEF, HEALTH INSURANCE AND MANAGED CARE

Recruitment #19-009646-0001

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. 

 

LOCATION OF POSITION

Baltimore City

POSITION DUTIES

The Maryland Insurance Administration is recruiting for the position of Chief, Health Insurance and Managed Care in the Life and Health Division.  This position provides leadership regarding health insurance and Health Maintenance Organization (HMO) related issues for the Division.  The Chief oversees the management of the Life and Health Division’s Health Review and the Managed Care Units, which are responsible for the review and approval of all health and managed care contracts, in Maryland, including provider contracts.  This positon assigns Utilization Review Analysts new and renewal Private Review Agent (PRA) and Medical Director applications for review to determine compliance with Maryland laws and regulations, and evaluates the quality of review performed.  This position analyzes proposed legislation and regulations and integrates new legislation and regulations into the form review process and PRA and medical director certification process, and assists with drafting of new and amended regulations.

MINIMUM QUALIFICATIONS

Education: Possession of a bachelor’s degree from an accredited college or university.

 

Experience: Eight years of experience analyzing contracts, services, or programs for compliance, with a health insurer, managed care organization  or insurance regulatory agency; one year of that experience must have been in a supervisory capacity. 

 

Note: The requirements indicated below are acceptable substitutions to the above minimum requirements:

 

 

1.     Possession of a master's degree in a related field or a law degree; and six years of experience analyzing contracts, services, or programs for compliance, with a health insurer, managed care organization or insurance regulatory agency; one year of that experience must have been in a supervisory capacity.

 

2.     Possession of a bachelor's degree and a Fellow, Life Management Institute (FLMI) or equivalent designation; and five years of experience drafting or analyzing contracts, services, or programs for compliance, with a health insurance insurer, managed care organization  or insurance regulatory agency; one year of that experience must have been in a supervisory capacity.

DESIRED OR PREFERRED QUALIFICATIONS

  • Knowledge of Maryland Insurance laws and regulations.

BENEFITS

FURTHER INSTRUCTIONS

If you have any questions about this recruitment, please contact charrison@maryland.gov.

 

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.

 

The online application process is preferred.  If you are unable to apply online, you may submit the requested information via mail.  Please be sure to include all documents listed above to ensure timely processing. Complete application packets may be mailed to:

 

Maryland Insurance Administration

Human Resources - Recruitment #:  19-009646-0001

St. Paul Place, Suite 2700

Baltimore, MD 21202

 

Incomplete submission will not receive consideration.

 

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.

 



Click on a link below to apply for this position:

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