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Job Title: MHCC Program Manager
Job Number: 24-009273-0003
Organization: MDH - Maryland Health Care Commission
Posted: 6/9/2024
Type: Full-Time
Classification: Informatics
Industry: Government
Number of Openings: 1
Location: Baltimore,  MD   
Compensation:
Position Description: 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 Maryland Health Care Commission (the Commission) is seeking a candidate to serve as a Program Manager with superior policy analytical skills and SQL/SAS programming experience. The successful candidate will assist the Chief for “APCD Reporting and Data Release” in: 1. The design and conduct research and studies on the utilization and cost of health care services; 2. Management and expansion of public healthcare price transparency initiatives undertaken by the Center (e.g., Wear The Cost Episodial Initiative; 3. All-Payer Claims Database data release tracking and management for the Commission; 4. Conduct policy studies including cross- payer (private, Medicare, Medicaid) analysis; and, 5. Testing of a model to provide analytical results from cross-payer 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 privately-insured 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; -Process All-Payer Claims Database data release tracking and data release management. Manage the Data Release Committee, assist requestors through the data release process, and work with requestors to implement meaningful and thorough data use agreements. Develop data release tracking application; -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.

Qualifications: Qualified candidate must possess a Master’s degree from an accredited college or university in Statistics or Bio Statistics, Management Information Systems, Public Health, or Health Economics. Related experience in statistical analyses, SQL/SAS programming, and Microsoft Business Intelligence Tool or Tableau Applications (Dashboards) are required.

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.

Organization Description:

Closing Date: 9/9/2024
Desired Starting Date:
Contact Name: Sandi English,  MHCC Program Manager
Contact Location:

    
Contact Location:
 
      
 
Contact Phone: 410-767-1251 
Contact Fax: 410-333-5689
Contact Email: mdh.jobs@maryland.gov
Web Address: https://www.jobapscloud.com/MD/sup/bulpreview.asp?b=&R1=24&R2=009273&R3=0003
How to Apply: https://www.jobapscloud.com/MD/sup/bulpreview .asp?b=&R1=24&R2=009273&R3=0003

All applications must be submitted online.

Apply to Recruitment#: 24-009273-0003

Additional Information:

Web Site Delete Date: 9/9/2024