Supervisor, Managed Care Unit

State of Maryland•Baltimore City, MD

2d•Hybrid

About The Position

The Maryland Insurance Administration (MIA) is an independent State agency that regulates Maryland’s insurance industry and protects consumers by monitoring and enforcing insurers’ and insurance professionals’ compliance with State law. Its responsibilities include licensing insurance carriers and producers, conducting financial examinations, reviewing and approving rates and contract forms, investigating fraud reports and consumer complaints, and monitoring compliance through market conduct examinations and other actions. The agency also provides consumer education and outreach. The Supervisor, Managed Care Unit oversees form reviews conducted by the Managed Care Unit of the MIA’s Life and Health Section. The position assigns insurance analysts reviews of benefit contracts, provider contracts, and other form filings from Nonprofit Health Service Plans, HMOs, and Dental Plan Organizations; evaluates analysts’ review quality; and trains staff to review new types of contracts. The Supervisor incorporates new legislation and regulations into the form review process and responds to technical questions from employees, supervisors, insurance companies, the public, Complaint and Investigation staff, and other MIA staff. This is a Management Service position that serves at the pleasure of the Appointing Authority. The recruitment is open only to current Maryland Insurance Administration employees. The position is located in Baltimore City or may be hybrid, between the office and telework.

Requirements

Bachelor’s degree from an accredited college or university.
Five years of experience drafting or analyzing benefit contracts, provider contracts, and other form filings for a regulatory agency or licensed insurer.
Recruitment is limited to current employees of the Maryland Insurance Administration.

Nice To Haves

A master’s degree in a related field or a law degree, together with four years of the specified experience, may substitute for the minimum requirements.
A bachelor’s degree and Fellow, Life Management Institute (FLMI) or equivalent designation, together with four years of the specified experience, may substitute for the minimum requirements.

Responsibilities

Oversee form reviews performed by the Managed Care Unit of the MIA’s Life and Health Section.
Assign insurance analysts reviews of benefit contracts, provider contracts, and other form filings from Nonprofit Health Service Plans, HMOs, and Dental Plan Organizations.
Evaluate the quality of form reviews performed by insurance analysts.
Train staff to review new types of contracts.
Integrate new legislation and regulations concerning HMOs, Nonprofit Health Service Plans, and Dental Plan Organizations into the form review process.
Respond to technical questions from employees, supervisors, insurance companies, the general public, Complaint and Investigation staff, and other MIA staff.