SUPERVISOR, MANAGED CARE UNIT (MIA Administrator IV)

Introduction

The Maryland Insurance Administration (MIA) is an independent\r\nState agency that regulates Maryland’s $49 billion insurance industry and\r\nprotects consumers by monitoring and enforcing insurers’ and insurance\r\nprofessionals’ compliance with State law.� Staff members are subject\r\nmatter experts who serve as a resource for lawmakers, consumers, and other\r\npublic and private entities.�\r\n\r\nThe MIA is charged with a broad range of responsibilities including the\r\nlicensure of insurance carriers and insurance producers (brokers/agents)\r\noperating in Maryland, the conduct of financial examinations of companies to\r\nmonitor financial solvency, and the review and approval of rates and contract\r\nforms.� The MIA investigates reports of consumer fraud and consumer\r\ncomplaints about life, health, automobile, homeowners, and/or property\r\ninsurance.� Insurance carriers are subject to market conduct examinations\r\nand other actions to monitor compliance with Maryland law.� The MIA also\r\nhas a unit dedicated to consumer education and outreach, which participates in\r\nhundreds of events and reaches thousands of individual consumers annually.\r\n�\r\n* This is a Management\r\nService position that serves at the pleasure of the Appointing Authority.\r\n

GRADE

MIA 0020\r\n

LOCATION OF POSITION

Baltimore\r\nCity or Hybrid\r\n(between office and telework)\r\n

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.\r\n

MINIMUM QUALIFICATIONS

Education:�� A\r\nbachelor's degree from an accredited college or university. \r\nExperience: Five years\r\nexperience drafting or analyzing benefit contracts, provider contracts, and\r\nother form filings for a regulatory agency, or licensed insurer. � \r\n\r\n\r\nNotes: The requirements\r\nindicated below are acceptable substitutions to the above minimum requirements:\r\n\r\n1.� Possession of a\r\nmaster's degree in a related field or a law degree; and four years of\r\nexperience drafting or analyzing benefit contracts, provider contracts, and\r\nother form filings for a regulatory agency, or licensed insurer.\r\n2.��Possession\r\nof a bachelor's degree and��Fellow, Life Management Institute (FLMI)\r\nor equivalent designation; and four years of experience drafting or analyzing\r\nbenefit contracts, provider contracts, and other form filings for a regulatory\r\nagency, or licensed insurer.\r\n

LIMITATIONS ON SELECTION

This recruitment is\r\nopen to current employees of the Maryland Insurance Administration only.�\r\n

BENEFITS

STATE OF MARYLAND BENEFITS\r\n

FURTHER INSTRUCTIONS

If you have any questions\r\nabout this recruitment, please contact�charrison@maryland.gov.� For immediate\r\nconsideration, upload one WORD or PDF file, at the 'Resume' tab, that\r\ncontains: \r\n1. a cover letter stating\r\nyour interest and specific salary requirements; and \r\n2. a current professional\r\nresume. \r\nIf you are unable to\r\napply online, you may submit via mail.� Please be sure to include all\r\ndocuments listed above to ensure timely processing. Complete application\r\npackets may be mailed to: \r\nMaryland Insurance\r\nAdministration\r\nHuman Resources -\r\nRecruitment #:� 26-009644-0002\r\nSt. Paul Place, Suite\r\n2700\r\nBaltimore, MD 21202\r\nIncomplete submission\r\nwill not receive consideration. \r\nTTY� Users: call via\r\nMaryland Relay \r\nWe thank our Veterans for\r\ntheir service to our country, and encourage them to apply. \r\nAs an equal opportunity\r\nemployer Maryland is committed to recruiting, retaining and promoting employees\r\nwho are reflective of the State’s diversity. \r\n