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NETWORK ADEQUACY ANALYST I-III

MIA Officer II - MIA Analyst II

Recruitment #25-009638-0001

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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.  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 Special Appointment position that serves at the pleasure of the appointing authority.

GRADE

Salary Guidelines Apply:

 

§ Network Adequacy Analyst I/grade 14: Hiring salary range: $53,808/year - $58,923/year, with potential progression to $86,322/year

§  Network Adequacy Analyst II/grade 15: Salary range: $57,275/year - $92,108/year

§  Network Adequacy Analyst III/grade 16: Salary range: $60,987/year -  $98,313/year

LOCATION OF POSITION

Baltimore City, Hybrid (between office and telework), or 100% remote

POSITION DUTIES

The MIA is recruiting for a Network Adequacy Analyst I, II, or III in the Life and Health Division.  This position performs analysis of network access plans and waiver requests submitted by health insurers, HMOs, nonprofit health services plans, and dental plans, to ensure provider panel adequacy and compliance with Maryland laws and regulations.  The analysis includes evaluating the methodologies used by companies to measure network adequacy and determining whether specific quantitative metrics for network adequacy standards have been met with sufficient documentation and justification.  This position corresponds with companies to request additional information concerning network access plans and/or issues, deficiencies, or violations of Maryland statutes or regulations. The incumbent drafts, reviews, and edits plan analysis and waiver related reports and makes recommendations for corrective actions. This position may also assist with market conduct examinations and investigations. 

MINIMUM QUALIFICATIONS

Network Adequacy Analyst I

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

Experience: None

 

Note: Four years experience analyzing contracts, services, or programs for compliance with a health insurance or insurance regulatory agency may substitute on a year-for year basis for the educational requirements.  

 

 

Network Adequacy Analyst II

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

Experience: One year experience analyzing contracts, services, or programs for compliance, with a health insurance or insurance regulatory agency. 

 

Note: Additional experience analyzing contracts, services, or programs for compliance with a health insurance or insurance regulatory agency may substitute on a year-for year basis for the educational requirements.  

 


Network Adequacy Analyst III

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

Experience: Two years experience analyzing contracts, services, or programs for compliance, with a health insurance or insurance regulatory agency. 

 

Note: Additional experience analyzing contracts, services, or programs for compliance with a health insurance or insurance regulatory agency may substitute on a year-for year basis for the educational requirements.  

DESIRED OR PREFERRED QUALIFICATIONS

• Strong investigative skills
• Proficiency in qualitative and quantitative analysis

BENEFITS

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

FURTHER INSTRUCTIONS

Please contact: charrison@maryland.gov for additional information concerning this recruitment. Online applications are strongly preferred. For immediate consideration: upload one (1) WORD or PDF file, that includes your combined cover letter and resume, to the "Resume" tab.

 

If you are unable to apply online, you may submit an application packet by mail.  Your submission 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 #: 25-009638-0001

St. Paul Place, Suite 2700

Baltimore, MD 21202

 

TTY  Users: call via Maryland Relay

 

As an equal opportunity employer, Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity. People with disabilities and bilingual candidates are encouraged to apply. We thank our Veterans for their service to our country.




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