SUPERVISOR, MANAGED CARE UNIT MIA Administrator IV

State of Maryland; Maryland; Hybrid; USD 85.000 - 110.000; Vollzeit

Zusammenfassung

Maryland Insurance Administration (MIA) seeks a Supervisor, Managed Care Unit to oversee form reviews for Nonprofit Health Service Plans, HMOs, and Dental Plan Organizations. The role directs analysts, ensures review quality, and trains staff on new contract types in a rapidly changing regulatory environment.

The position is in Baltimore City or Hybrid (office and telework), open to current MIA employees, with responsibilities spanning compliance, education, and coordination with stakeholders.

Qualifikationen

• Bachelor's degree from an accredited college or university.
• Five years experience drafting or analyzing benefit contracts, provider contracts, and other form filings for a regulatory agency, or licensed insurer.
• Master's degree in a related field or a law degree, and/or FLMI designation can supplement qualifications.

Aufgaben

• Oversees form reviews performed by the Managed Care Unit.
• Assigns review of benefit contracts, provider contracts, and other form filings to insurance analysts.
• Evaluates the quality of form review and trains staff to review new contract types.
• Integrates new legislation/regulations into the form review process for HMOs, nonprofit plans, and dental plans.
• Responds to technical questions from employees, insurers, the public, and other staff.

Ausbildung

Bachelor's degree

Master's degree in a related field

Law degree

Fellow, Life Management Institute (FLMI) or equivalent designation

Jobbeschreibung

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.

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:

• 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.
• 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.

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.