CHIEF OF HEALTH INSURANCE AND MANAGED CARE

The Maryland Insurance Administration (MIA) is an independent State agency that regulates Maryland’s $49 billion insurance industry and protects consumers by monitoring and enforcing insurers’ and insurance professionals’ compliance with State law.  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.*

Baltimore City or Hybrid (between office and telework)

The Maryland Insurance Administration is recruiting for the position of Chief of 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 Health Review and the Managed Care Units, which are responsible for the review and approval of all health and managed care contracts in Maryland. This position is responsible for implementing the Affordable Care Act (ACA) in the forms review process and providing guidance to staff on the impact of the ACA on policy form review. 

The Chief of Health Insurance and Managed Care analyzes new laws and regulations and determines how they impact the forms review process; analyzes proposed legislation and recommends the Administration’s position; and integrates new legislation and regulations into the form review process. The Chief assists with drafting new and amended legislation, regulations, bulletins, and internal agency guidance memoranda for staff; and answers technical questions from consumers, insurance carriers, and MIA staff regarding filing requirements and other complex health insurance issues.  

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.

Preference will be given to applicants who possess the following preferred qualification(s). Include clear and specific information on your resume regarding your qualifications.

·Knowledge of Maryland Insurance laws and regulations.

·Expert knowledge of the Affordable Care Act.

·Excellent written and verbal communication and organizational skills.

·Strong analytical and logical reasoning skills with experience reviewing and interpreting complex   written documents

Our comprehensive benefits package includes a generous leave package; medical, prescription, dental and vision coverage; healthcare and dependent daycare flexible spending accounts; a defined benefit pension plan with optional 457 and 401k supplemental retirement plans; flexible work schedules; and service that may qualify the successful candidate for the Federal Public Service Loan Forgiveness Program.

STATE OF MARYLAND BENEFITS 

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 #:  26-009646-0001

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.