MANAGER, PLAN MANAGEMENT

 

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This position is responsible for oversight of relationships with contracted carriers to ensure continual satisfaction, training, compliance and long term participation with the Maryland Health Benefit Exchange.  Job duties include:  Meeting regularly with carrier decisions makers to discuss partnership and performance issues;  Providing training on Exchange policies and procedures; and, updating internal Exchange stakeholders as appropriate.  Provides daily management of all Plan Management functions including:  Issuer set up and plan certification; Plan Compliance - recertification, decertification; Plan presentment to consumers; Training of participating insurers; and, Retention of participating insurers.

A bachelor’s degree from an accredited college or university. Six (6) years of health or human services administrative or professional experience, including three (3) years at a supervisory or management level.  A Master’s degree will substitute for one year of general experience.   A Doctorate will substitute for two years general experience.  Additional experience will substitute year-for year for the college degree.

Qualified candidates must have a strong understanding of the commercial health, dental and vision industry.  Experience interacting with large clients, understanding their strategic goals and influencing their decision making. 

Preferred candidates will have strong interpersonal, communication and problem solving skills and the ability to balance the need to provide customer service and regulatory oversight functions.

This is a Management Service position.

It is essential that you provide complete and accurate information on your application.  Please report all related education, experience, dates and hours of work.  For education obtained outside the U.S., a copy of the equivalent American education as determined by a foreign credential evaluation service must accompany the application.  Online applications are highly recommended, however the revised MS-100 paper application may be submitted to DHMH, Recruitment and Selection Division, 201 W. Preston St., Room 114-B, Baltimore, MD 21201.  The revised MS-100 paper application must be received by 5 pm, close of business, on the closing date for the recruitment, no postmarks will be accepted.  Incorrect MS-100 forms will not be accepted.  All information concerning your qualifications must be submitted by the closing date.  We will not consider information submitted after this date.  Applicants certified to list will receive eligibility for a period of one (1) year; Eligibility may be extended beyond one (1) year period.  For Recorded Job Information Call:  410-767-6018.

 

STATE OF MARYLAND BENEFITS  

 

As an equal opportunity employer Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity.

Fax Number - 410-333-5689