Company:
State of Maryland
Location: Baltimore
Closing Date: 29/10/2024
Hours: Full Time
Type: Permanent
Job Requirements / Description
Introduction
The Maryland Insurance Administration (MIA) is an independent State agency that regulates Maryland's $46 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 0023
LOCATION OF POSITION
Baltimore City, Hybrid (between office and telework), or 100% remote
POSITION DUTIES
The Maryland Insurance Administration is seeking to hire a Director of Mental Health Parity and Network Adequacy in the Life and Health Division. This position leads the unit that oversees enforcement of mental health parity and network adequacy requirements related to health insurance products. Maryland law requires the submission of comparative analysis reports demonstrating that limitations for mental health services are comparable and no more stringent than limitations for somatic health services and reports demonstrating that health insurance companies have adequate provider networks. This position manages the operation of the unit that receives these reports, and serves as the MIA's chief technical and subject matter expert for any issue related to mental health parity and network adequacy.
On a day to day basis, the Director:
The Director of Mental Health Parity and Network Adequacy recommends and implements administrative actions based on analysis of mental health parity compliance reports and network access plans; and provides recommendations to the Associate Commissioner for Life and Health for corrective action and other issues that arise as a result of these analyses. The Director proposes and drafts administrative orders and consent agreements for deficiencies and legal violations of the filed compliance reports and access plans.
The Director provides leadership and policy input on issues impacting mental health parity and network adequacy. This includes monitoring state and national laws, regulations, and policy issues related to mental health parity and network adequacy, determining whether issues are relevant, applicable, or adaptable to Maryland's markets, and making recommendations of policy changes. This may also require the Director to provide testimony to the Maryland General Assembly on technical issues related to mental health parity and network adequacy, The Director will also assist with implementation of policy by proposing, reviewing, analyzing, evaluating, and/or drafting bulletins, regulations, legislation, and internal agency guidance memoranda related to mental health parity and network adequacy.
MINIMUM QUALIFICATIONS
Education: Bachelor's degree from an accredited college or university.
Experience: Six years of experience evaluating or developing health insurance regulatory policies and procedures, investigating or responding to complaints, and analyzing or designing contracts, services, or programs for compliance on behalf of a health plan sponsor, health insurer, managed care organization or insurance regulatory agency; and two years of this experience must include network adequacy and/or mental health parity responsibilities related to public or private health plans. One year of the required experience must have been in a lead or supervisory capacity.
Note: A post-graduate degree in a related field may substitute for up to three (3) years of the required experience; and two years of this experience must include network adequacy and/or mental health parity responsibilities related to public or private health plans. One year of the required experience must have been in a lead or supervisory capacity.
BENEFITS
Our comprehensive benefits package includes a generous leave package; medical, prescription, dental and vision coverage; healthcare and dependent daycare flexible spending accounts; a defined benefit pension plan with optional 457 and 401k supplemental retirement plans; flexible work schedules; and service that may qualify the successful candidate for the Federal Public Service Loan Forgiveness Program.
STATE OF MARYLAND BENEFITS
FURTHER INSTRUCTIONS
Please contact: for additional information concerning this recruitment. Online applications are strongly preferred. For immediate consideration: upload one (1) WORD or PDF file, that includes your combined cover letter and resume, to the "Resume" tab. Please indicate your salary requirements in the cover letter.
If you are unable to apply online, you may submit an application packet by mail. Your submission must be received by close of business, on the closing date for the recruitment. Postmarks will not be accepted.
Complete application packets may be mailed to:
Maryland Insurance Administration
Human Resources - Recruitment #: #24-009660-0002
St. Paul Place, Suite 2700
Baltimore, MD 21202
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.
The Maryland Insurance Administration (MIA) is an independent State agency that regulates Maryland's $46 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 0023
LOCATION OF POSITION
Baltimore City, Hybrid (between office and telework), or 100% remote
POSITION DUTIES
The Maryland Insurance Administration is seeking to hire a Director of Mental Health Parity and Network Adequacy in the Life and Health Division. This position leads the unit that oversees enforcement of mental health parity and network adequacy requirements related to health insurance products. Maryland law requires the submission of comparative analysis reports demonstrating that limitations for mental health services are comparable and no more stringent than limitations for somatic health services and reports demonstrating that health insurance companies have adequate provider networks. This position manages the operation of the unit that receives these reports, and serves as the MIA's chief technical and subject matter expert for any issue related to mental health parity and network adequacy.
On a day to day basis, the Director:
- Provides guidance, instruction, and proper training to mental health parity and network adequacy staff.
- Evaluates the quality of review performed by supervisees to ensure understanding of Maryland requirements for mental health parity and network adequacy, and holds supervisees responsible for accuracy and timeliness of reviews.
- Writes, reviews, and edits internal reports tracking workflow and detailing the results of the analyses performed by unit staff on compliance reports and access plans.
- Discusses issues with insurance companies.
The Director of Mental Health Parity and Network Adequacy recommends and implements administrative actions based on analysis of mental health parity compliance reports and network access plans; and provides recommendations to the Associate Commissioner for Life and Health for corrective action and other issues that arise as a result of these analyses. The Director proposes and drafts administrative orders and consent agreements for deficiencies and legal violations of the filed compliance reports and access plans.
The Director provides leadership and policy input on issues impacting mental health parity and network adequacy. This includes monitoring state and national laws, regulations, and policy issues related to mental health parity and network adequacy, determining whether issues are relevant, applicable, or adaptable to Maryland's markets, and making recommendations of policy changes. This may also require the Director to provide testimony to the Maryland General Assembly on technical issues related to mental health parity and network adequacy, The Director will also assist with implementation of policy by proposing, reviewing, analyzing, evaluating, and/or drafting bulletins, regulations, legislation, and internal agency guidance memoranda related to mental health parity and network adequacy.
MINIMUM QUALIFICATIONS
Education: Bachelor's degree from an accredited college or university.
Experience: Six years of experience evaluating or developing health insurance regulatory policies and procedures, investigating or responding to complaints, and analyzing or designing contracts, services, or programs for compliance on behalf of a health plan sponsor, health insurer, managed care organization or insurance regulatory agency; and two years of this experience must include network adequacy and/or mental health parity responsibilities related to public or private health plans. One year of the required experience must have been in a lead or supervisory capacity.
Note: A post-graduate degree in a related field may substitute for up to three (3) years of the required experience; and two years of this experience must include network adequacy and/or mental health parity responsibilities related to public or private health plans. One year of the required experience must have been in a lead or supervisory capacity.
BENEFITS
Our comprehensive benefits package includes a generous leave package; medical, prescription, dental and vision coverage; healthcare and dependent daycare flexible spending accounts; a defined benefit pension plan with optional 457 and 401k supplemental retirement plans; flexible work schedules; and service that may qualify the successful candidate for the Federal Public Service Loan Forgiveness Program.
STATE OF MARYLAND BENEFITS
FURTHER INSTRUCTIONS
Please contact: for additional information concerning this recruitment. Online applications are strongly preferred. For immediate consideration: upload one (1) WORD or PDF file, that includes your combined cover letter and resume, to the "Resume" tab. Please indicate your salary requirements in the cover letter.
If you are unable to apply online, you may submit an application packet by mail. Your submission must be received by close of business, on the closing date for the recruitment. Postmarks will not be accepted.
Complete application packets may be mailed to:
Maryland Insurance Administration
Human Resources - Recruitment #: #24-009660-0002
St. Paul Place, Suite 2700
Baltimore, MD 21202
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.
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State of Maryland