Mhcc Program Manager - Baltimore, United States - State of Maryland

State of Maryland

Verified Company

Baltimore, United States

1 week ago

Posted by:

Mark Lane

beBee recruiter

Description

Introduction:

GRADE:

MHCC 0001

LOCATION OF POSITION:

MDH, Maryland Health Care Commission

Center for Analysis and Information Systems

4160 Patterson Avenue
Baltimore, MD 21215

Main Purpose of Job:

The design and conduct research and studies on the utilization and cost of health care services;
Management and expansion of public healthcare price transparency initiatives undertaken by the Center (e.g., Wear The Cost Episodial Initiative;
All-Payer Claims Database data release tracking and management for the Commission;
Conduct policy studies including crosspayer (private, Medicare, Medicaid) analysis; and,
Testing of a model to provide analytical results from crosspayer data for approved studies.

These studies and initiatives use healthcare data (health insurance claims and enrollment) from the Medical Care Data Base ― MCDB (Maryland's All

Payer Claims Database ― APCD). The healthcare data consists of data from all major privatelyinsured payers and public payers (Medicare and Medicaid) in Maryland.

Primary responsibilities of the position include Design and implement work plans, including monitoring of contractors, for:

The "Wear the Cost" consumer website price transparency project;
Manages the Commission's data requests with CMS, including keeping the Data Use Agreement (DUA) in compliance, making the requests for Medicare data, soliciting other state agencies as partners for the data, revising the DUA documents as needed, arranging for payment by other agencies and maintaining the reporting to CMS a record of how the state agencies are using the data;
Designing protocols for data analysis.
Planning and conducting analysis file creation and data analyses using SQL/SAS, and Microsoft Business Intelligence (BI) Tool or Tableau.
Preparing written and graphic interpretations of analytical findings. (h) Assisting in the development and review of analytical reports created by outside contractors.

Working with healthcare data (health insurance claims and eligibility) and excellent writing skills are required.

MINIMUM QUALIFICATIONS:

The ability to work on multiple projects simultaneously and communicate orally and in writing is essential. The applicant should demonstrate the ability to focus on details while achieving results according to external timelines. Experience conducting research using large health care databases is a must.

General knowledge of health insurance, including familiarity with the Affordable Care Act and potential uses of All-Payer Claims Databases, and a working knowledge of episode groupers (e.g., the Prometheus software) are preferred.

SELECTION PROCESS:

BENEFITS:

Contractual employees who work for an agency covered under the State Employee and Retiree Health and Welfare Benefits Program, have a current employment contract and work 30 or more hours a week (or on average 130 hours per month) may be eligible for subsidized health benefits coverage for themselves and their dependents.

As a contractual employee, you will be responsible for paying 25% of the premiums for your medical and prescription coverage, including any eligible dependents you have enrolled.

The State of Maryland will subsidize the remaining 75% of the cost for these benefits.

You can also elect to enroll in dental coverage, accidental death and dismemberment insurance, and life insurance, but will be responsible to pay the full premium for these benefits.

Leave may be granted to a contractual employee who has worked 120 days in a 12 month period.

This leave accrues at a rate of one hour for every 30 hours worked, not to exceed 40 hours per calendar year.

FURTHER INSTRUCTIONS:

If additional information is required, the preferred method is to upload.

If you are unable to upload, please fax the requested information to Only additional materials that are required will be accepted for this recruitment.

All additional information must be received by the closing date and time.

For questions regarding this recruitment, please contact the MDH Recruitment and Selection Division at

Appropriate accommodations for individuals with disabilities are available upon request by calling: or MD TTY Relay Service

We thank our Veterans for their service to our country.

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