SUPERVISOR, MANAGED CARE UNIT (MIA Administrator IV)

Maryland AG; Baltimore (MD); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Maryland Insurance Administration in Baltimore seeks a Supervisor, Managed Care Unit, to oversee form reviews for Nonprofit Health Service Plans, HMOs, and Dental Plans within the Life and Health Section.

The role leads staff, integrates new laws into the review process, and answers technical questions from regulators, insurers, and the public. Hybrid work arrangement available.

Qualifications

• Bachelor's degree from an accredited college or university.
• Five years of experience drafting or analyzing benefit contracts, provider contracts, and other form filings.
• Master's degree or law degree with four years of relevant experience; or Bachelor's with FLMI or equivalent designation and four years of experience.

Responsibilities

• Oversee form reviews performed by the Managed Care Unit of the Life and Health Section.
• Assign the review of benefit contracts, provider contracts, and other form filings to insurance analysts.
• Evaluate the quality of form review and train staff to review new types of contracts.
• Integrate new legislation and regulations into the form review process.
• Respond to technical questions from employees, insurers, the public, and other stakeholders.

Education

Bachelor's degree

Master's degree or JD

Experience in regulatory contracting

Job description

Introduction

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.

GRADE

MIA 0020

LOCATION OF POSITION

Baltimore City or Hybrid (between office and telework)

POSITION DUTIES

The Supervisor, Managed Care Unit oversees form reviews performed by the Managed Care Unit of the MIA’s Life and Health Section.� This position assigns the review of benefit contracts, provider contracts, and other form filings of Nonprofit Health Service Plans, HMOs, and Dental Plan Organizations to insurance analysts; evaluates the quality of form review performed by insurance analysts; and trains staff to review new types of contracts. The Supervisor integrates new legislation and regulations dealing with HMOs, Nonprofit Health Service Plans, and Dental Plan Organizations into the form review process; and responds to technical questions from the employees, supervisors, insurance companies, general public, Complaint and Investigation staff, and other members of the Maryland Insurance Administration.

MINIMUM QUALIFICATIONS

Education:�� A bachelor's degree from an accredited college or university.

Experience: Five years experience drafting or analyzing benefit contracts, provider contracts, and other form filings for a regulatory agency, or licensed insurer.

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

1. 1.� Possession of a master's degree in a related field or a law degree; and four years of experience drafting or analyzing benefit contracts, provider contracts, and other form filings for a regulatory agency, or licensed insurer.
2. 2.��Possession of a bachelor's degree and��Fellow, Life Management Institute (FLMI) or equivalent designation; and four years of experience drafting or analyzing benefit contracts, provider contracts, and other form filings for a regulatory agency, or licensed insurer.

LIMITATIONS ON SELECTION

This recruitment is open to current employees of the Maryland Insurance Administration only.

FURTHER INSTRUCTIONS

If you have any questions about this recruitment, please contact [e-mail]. 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. If you are unable to apply online, you may submit 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 #:� 26-009644-0002 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.