Exec Viii
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Job Location:
Baltimore, MD - USA
Yearly Salary:
$ 133981 - 201576
Posted on:
14 hours ago
Vacancies:
1 Vacancy
Job Summary
Introduction
The Maryland Health Benefit Exchange is responsible for the administration of Maryland Health Connection the States health insurance marketplace under the Patient Protection and Affordable Care Act of 2010 (ACA).
MHBE works with the Maryland Department of Health Maryland Insurance Administration Department of Human Services and stakeholders statewide.
Our Vision: High-quality affordable health coverage for all Marylanders.
Mission Statement: We improve the health and well-being of Marylanders by connecting them with high-quality affordable health coverage through innovation technology and customer service.
Values: Diverse & Inclusive Innovative Collaborative Ethical
GRADE
EPP 0005
LOCATION OF POSITION
750 East Pratt Street Baltimore Maryland 21202
Main Purpose of Job
The Director Policy & Plan Management serves as a member of the Exchanges senior management team responsible for shaping organizational strategy and long-term planning.
The Maryland Health Benefit Exchange (Exchange) is an independent public corporation charged with implementing important elements of federal and state health reform legislation and the provision of affordable healthcare insurance.
The Director is responsible for the development of a cohesive policy and plan management department through establishment of clear expectations consistent reinforcement of goals and objectives and ongoing coaching to help achieve individual departmental and agency success.
This is an Executive Service position and serves at the pleasure of the Appointing Authority.
POSITION DUTIES
20%- Lead efforts to research analyze and implement federal and state legislation regulations practices and programs associated with the Affordable Care Act in general and operations of MHBE in particular in order to advance MHBEs mission and maintain compliance with state and federal law.
20%- Direct and conduct policy analyses related to MHBE operations and strategic planning and oversee implementation of MHBE affordability programs including the State Reinsurance Program and State Premium Subsidy Program and implementation of small business programs. Lead efforts to develop policy regulations and legislation pertaining to the Exchange and present policy recommendations to the staff and MHBE Board of Trustees. Identify emerging trends in the market both locally and nationally with regard to health reform and health insurance. Ensure effective administration of MHBE affordability and small business programs. Coordinate and oversee actuarial modeling to support recommendations to the Board on design of affordability programs
20%- Lead MHBEs Plan Management including insurer and plan certification guidance and coordination. Implement standards policies and processes in areas including including insurer and plan certification insurer onboarding and offboarding and compliance oversight lead the development of carrier-facing policy and operational guidance and facilitate effective communication between MHBE departments and insurers.
20%- Coordinate with federal and state legislators other state agencies and key stakeholders involved in the implementation of federal and state health reform. Represent the Exchange at local state and national health policy forums as appropriate. Support stakeholder groups such as the Standing Advisory Committee with policy guidance and oversight.
20%- Foster exceptional agency culture and team productivity through clearly defined goals tied to agency strategic plan support of staff professional development and consistent communication and oversight.
20%- Direct and conduct policy analyses related to MHBE operations and strategic planning and oversee implementation of MHBE affordability programs including the State Reinsurance Program and State Premium Subsidy Program and implementation of small business programs. Lead efforts to develop policy regulations and legislation pertaining to the Exchange and present policy recommendations to the staff and MHBE Board of Trustees. Identify emerging trends in the market both locally and nationally with regard to health reform and health insurance. Ensure effective administration of MHBE affordability and small business programs. Coordinate and oversee actuarial modeling to support recommendations to the Board on design of affordability programs
20%- Lead MHBEs Plan Management including insurer and plan certification guidance and coordination. Implement standards policies and processes in areas including including insurer and plan certification insurer onboarding and offboarding and compliance oversight lead the development of carrier-facing policy and operational guidance and facilitate effective communication between MHBE departments and insurers.
20%- Coordinate with federal and state legislators other state agencies and key stakeholders involved in the implementation of federal and state health reform. Represent the Exchange at local state and national health policy forums as appropriate. Support stakeholder groups such as the Standing Advisory Committee with policy guidance and oversight.
20%- Foster exceptional agency culture and team productivity through clearly defined goals tied to agency strategic plan support of staff professional development and consistent communication and oversight.
MINIMUM QUALIFICATIONS
Education: A Bachelors degree from an accredited college or university.
Experience: EIGHT years of professional experience in one or more of the following areas: the development analysis or implementation of health insurance policy; health insurance operations; government relations or legislative affairs related to health coverage; or health insurance or health coverage advocacyand FIVE years of strong leadership experience managing programs or departments with a record of setting strategic direction developing staff and fostering a collaborative high-performance culture.
Experience: EIGHT years of professional experience in one or more of the following areas: the development analysis or implementation of health insurance policy; health insurance operations; government relations or legislative affairs related to health coverage; or health insurance or health coverage advocacyand FIVE years of strong leadership experience managing programs or departments with a record of setting strategic direction developing staff and fostering a collaborative high-performance culture.
SELECTIVE QUALIFICATIONS
- At least FIVEyears of experience in policymaking roles requiring knowledge of the Affordable Care Act state health reform initiatives or health insurance regulation. Experience working with state or federal elected officials on health policy and legislation may count towards this experience
- Exceptional analytical strategic thinking and communication skills with the ability to translate complex policy issues into actionable recommendations for leadership.
- Proven ability to manage stakeholder engagement activities and maintain productive relationships with stakeholders.
- Experience representing an organization in public forums and effectively communicating policy positions to diverse audiences at the local state and national levels.
- Experience working with state or federal legislators. Experience may include liaising with legislators and their staff testifying before legislative committees or collaborating on drafting legislation.
- Experience analyzing health insurance premium or enrollment data.
- Familiarity with Affordable Care Act premium rating rules risk adjustment and state reinsurance programs
- Familiarity with Medicaid policies and health coverage for MAGI Medicaid Members
Applicants must meet all minimum (and selective) qualifications to be considered and to appear on the list of candidates eligible for hire.
SELECTION PROCESS
The online application process is STRONGLY preferred. If you are unable to apply online you may mail a paper application and supplemental questionnaire to: 750 East Pratt Street 6th Floor Baltimore MD 21202.
Applicants must meet all minimum (and selective) qualifications to be considered and to appear on the list of people eligible for hire. Please read all requirements before applying.
Please make sure that you provide sufficient information on your application to show that you meet the qualifications for this recruitment. All information concerning your qualifications must be submitted by the closing date. We will not consider information submitted after this date. Successful candidates will be ranked as Best Qualified Better Qualified or Qualified and placed on the eligible (employment) list for at least one year.
The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.
For education obtained outside the U.S. a copy of the equivalent American education as determined by a foreign credential evaluation service must be provided prior to hire.
Applicants must meet all minimum (and selective) qualifications to be considered and to appear on the list of people eligible for hire. Please read all requirements before applying.
Please make sure that you provide sufficient information on your application to show that you meet the qualifications for this recruitment. All information concerning your qualifications must be submitted by the closing date. We will not consider information submitted after this date. Successful candidates will be ranked as Best Qualified Better Qualified or Qualified and placed on the eligible (employment) list for at least one year.
The resulting certified eligible list for this recruitment may be used for similar positions in this or other State agencies.
For education obtained outside the U.S. a copy of the equivalent American education as determined by a foreign credential evaluation service must be provided prior to hire.
EXAMINATION PROCESS
The online application process is strongly preferred.
If you are unable to apply online you may submit a paper application:
Email: or
Mail: MHBE Office of Human Resources 750 E. Pratt Street 6th Floor Baltimore MD 21202.
If you are unable to apply online you may submit a paper application:
Email: or
Mail: MHBE Office of Human Resources 750 E. Pratt Street 6th Floor Baltimore MD 21202.
BENEFITS
FURTHER INSTRUCTIONS
Resumes will not be accepted in lieu of completing the online or paper application.
Applications must be received no later than the close of business on the closing date.
As an equal opportunity employer Maryland is committed to recruiting retaining and promoting employees who are reflective of the States diversity.
People with disabilities and bilingual candidates are encouraged to apply.
We thank you our veterans for their service to our country and encourage them to apply.
Appropriate accommodations for individuals with disabilities are available upon request by calling MD TTY Relay Service.
This employer participates in E-Verify and will provide the Federal government with your Form 1-9 information to confirm that you are authorized to work in the U.S.
Employers can only use E-Verify once you have accepted a job offer and completed the Form 1-9.
If E-Verify cannot confirm that you are authorized to work this employer is required to give you written instructions and an opportunity to contact the Department of Homeland Security (OHS) or Social Security Administration (SSA) so you can begin to resolve the issues before the employer can take any employment action against you.
Applications must be received no later than the close of business on the closing date.
As an equal opportunity employer Maryland is committed to recruiting retaining and promoting employees who are reflective of the States diversity.
People with disabilities and bilingual candidates are encouraged to apply.
We thank you our veterans for their service to our country and encourage them to apply.
Appropriate accommodations for individuals with disabilities are available upon request by calling MD TTY Relay Service.
This employer participates in E-Verify and will provide the Federal government with your Form 1-9 information to confirm that you are authorized to work in the U.S.
Employers can only use E-Verify once you have accepted a job offer and completed the Form 1-9.
If E-Verify cannot confirm that you are authorized to work this employer is required to give you written instructions and an opportunity to contact the Department of Homeland Security (OHS) or Social Security Administration (SSA) so you can begin to resolve the issues before the employer can take any employment action against you.
