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The State of Maryland's HSCRC seeks an Executive Director to lead Maryland’s unique healthcare financing landscape and administer the Maryland Model, partnering with the Commission and state agencies to advance payment reform.
The role demands strategic governance, oversight of a 47-person staff, $15.4 million budget, and engagement with the General Assembly to align with Total Cost of Care goals while ensuring affordable, high-quality care for Maryland residents.
The Health Services Cost Review Commission (HSCRC) is seeking a strong leader to serve as Executive Director and lead architect of Maryland’s unique healthcare financing landscape. The HSCRC maintains independent authority to set hospital global budgets across the State. In this position, the Executive Director will administer Maryland’s healthcare financing system (The Maryland Model) in partnership with the Chair and members of HSCRC and steer the future of statewide healthcare payment innovation.
The Health Services Cost Review Commission (HSCRC) is seeking a strong leader to serve as Executive Director and lead architect of Maryland’s unique healthcare financing landscape. The HSCRC maintains independent authority to set hospital global budgets across the State. In this position, the Executive Director will administer Maryland’s healthcare financing system (The Maryland Model) in partnership with the Chair and members of HSCRC and steer the future of statewide healthcare payment innovation.
HSCR0011
Health Services Cost Review Commission
4160 Patterson Avenue
Baltimore MD 21215
As the Commission transitions from the Total Cost of Care Model to the pioneering AHEAD Model, the Executive Director will serve as the chief strategist and leader of a nationally unique healthcare model that has transformed the state into a global laboratory for payment reform. This position requires rigorous administrative oversight as well as the skill to shepherd Maryland’s healthcare delivery systems into a new era. The successful candidate will lead a high-caliber multidisciplinary team to fulfill its critical legislative charge: achieving maximum efficiency and effectiveness to ensure all Maryland citizens receive affordable, high-quality care from a sustainable delivery system. This mission is the connective tissue between the agency’s historic rate‑setting roots and its future leading transformational financial and delivery system change.
The HSCRC maintains independent authority to set hospital global budgets across the state. The HSCRC also plays an important role in administering the state’s unique healthcare financing model (The Maryland Model).
The State of Maryland has negotiated the continuation of the Maryland Model with its federal partners through the AHEAD Model. The Executive Director will serve as the lead architect in shaping how Maryland evolves its payment structures, working closely with the HSCRC Commissioners and key state agencies—including MDH, MHCC, MIA, and MHBE—to meet rigorous federal expectations while preserving the stability of the state’s hospital infrastructure.
Operational Oversight: Directing a 47-member multidisciplinary staff of economists, accountants, statisticians, health policy analysts, and data management professionals. The Executive Director administers an annual operating budget of $15.4 million.
Intergovernmental and Legislative Relations: Acting as the primary liaison to the Maryland General Assembly, providing authoritative testimony, and coordinating with state and federal agencies to align Maryland’s activities with the Total Cost of Care goals.
Public Advocacy and Multi‑Sector Engagement: Managing relationships with a broad spectrum of stakeholders, including hospitals, physicians, nursing homes, third‑party payers, and consumers. This includes serving as the public face of the agency to the press and ensuring transparency in all policy matters.
This position is eligible for Hybrid Telework.
Successful candidates will possess five (5) years of experience developing and implementing hospital global budget policies or similarly complex value‑based payment policies.
We thank our Veterans for their service to our country.
People with disabilities and bilingual candidates are encouraged to apply.
As an equal opportunity employer, Maryland is committed to recruitment, retaining and promoting employees who are reflective of the State's diversity.