Director of Economic and Financial Analysis (Job #493241)
The Hilltop Institute at the University of Maryland, Baltimore County (UMBC) is seeking a Director of Economic and Financial Analysis. The ideal candidate will be passionate about applying sophisticated analytics and modeling to inform state health policy in order to advance the health and wellbeing of publicly and privately insured populations. The candidate will also possess a proven track record in leading client engagements and project teams and conducting data analytics, policy analysis, and research.
Formed in 1994 through a unique collaboration between UMBC and the Maryland Medicaid program, Hilltop conducts research and policy analysis to support health care financing and delivery system reform in Maryland and other states. Other state agency clients include the Maryland Health Benefit Exchange, the Maryland Health Care Commission, the Health Services Cost Review Commission, the Developmental Disabilities Administration, and the Community Health Resources Commission. Hilltop also collaborates with academic researchers and conducts research, policy analysis, and data analytics for federal agencies, nonprofit organizations, and the nation’s leading health care foundations. Hilltop’s interdisciplinary team of 50 professionals includes health services researchers, economists, attorneys, statisticians, social scientists, data scientists, SAS programmers, and data analysts.
With access to an extensive onsite data repository that includes Medicaid and Medicare administrative data, hospital discharge data, nursing home assessment data, and all-payer claims data, Hilltop conducts qualitative and quantitative analysis to inform health care payment, program design, monitoring, and evaluation. Widely recognized for its expertise in Medicaid, Hilltop is at the forefront of national efforts to find data-driven solutions to complex problems facing state policymakers as publicly funded health care systems transition to new models that reward quality and value over volume.
UMBC is a dynamic public research university integrating teaching, research, and service to benefit the citizens of Maryland. The Baltimore Sun recognizes UMBC as one of the region’s top employers, with solid leadership, vision, and direction. UMBC is an institution that values diversity, promotes civic engagement, and supports work-life balance. The Hilltop Institute, one of the largest research centers on campus, engages in collaborative, data-driven research with UMBC faculty and provides research opportunities to graduate students. Hilltop staff enjoy the benefits of a university environment and are encouraged to take advantage of tuition remission to pursue skill-building course work and graduate degrees.
The incumbent will apply knowledge of statistics and economics and principles of finance, business, and actuarial science to estimate, model, and evaluate the impact of federal and state policies on eligibility, service utilization, and costs of publicly funded health insurance programs. The incumbent will also manage rate setting for special programs, populations, and provider groups, including developing and implementing traditional and innovative payment and reimbursement methodologies. Analyses will be conducted using federal and state administrative data, provider and health plan cost reports, and national survey data as appropriate. Envisioned tasks are described below.
Trends in Enrollment and Service Utilization
- Forecast enrollment in new and existing health care programs based on demographics, economic conditions, and historical experience.
- Model and assess the impact of Medicaid program changes on eligibility, enrollment, service utilization, costs, and the quality of care.
Alternative Payment Models
- Develop, implement, and monitor new provider payment models for Medicaid that incentivize desired provider behaviors and promote equity and cost-effectiveness—e.g., payment models for providers of home and community-based services for older adults and persons with physical disabilities; residential, day, and supported employment services for individuals with developmental and intellectual disabilities.
- Develop shared savings models that encourage providers to be accountable to a patient population and invest in high quality and efficient services.
- Develop templates for cost reporting by Medicaid health plans and providers; collect, audit, and analyze cost reports to report on aggregate program costs, trends, and outliers and estimate the actual cost of providing specific services.
- Analyze the total cost of care for individuals dually eligible for Medicare and Medicaid and estimate savings to each program from financing and delivery system reforms.
- Analyze the total cost of care for individuals enrolled in Medicaid who receive services through the state behavioral health system.
- Develop, administer, and analyze provider wage surveys.
- Develop risk-adjusted reimbursement methodologies for fee-for-service and capitated benefit packages.
- Analyze provider reimbursement rates for similar services across different Medicaid programs to recommend strategies for harmonizing payment methodologies and rates.
- Conduct analyses of plans of service in order to recommend strategies for bundled provider payments and individual budgets for consumers.
- Develop strategies for risk mitigation for public and private purchasers using tools such as risk corridors, risk adjustment, and reinsurance.
Physician Fee Schedules
- Monitor and report on state and regional trends in Medicaid versus Medicare physician fee schedules by procedure and diagnosis code.
- Calculate the state budget impact from proposed increases/reductions to Medicaid physician fees based on a percentage of the corresponding Medicare fees.
- Calculate supplemental physician payments under special federal or state programs (e.g., Maryland Trauma Physician Services Fund; CARES Act Provider Relief Fund).
- Keep abreast of state and federal regulatory requirements and guidance on Medicaid payment, reimbursement, and managed care policies; communicate relevant changes and recommend substantive and procedural revisions to analytic functions.
- Prepare issue briefs and reports for sponsors and policymakers.
- Develop and deliver briefings to stakeholders and make recommendations to senior officials.
The Director of Economic and Financial Analysis is a senior position requiring outstanding quantitative skills, leadership, strategic focus, management expertise, and personal initiative. The successful candidate must possess a master’s degree in economics, business administration, health care administration, mathematics/statistics, public policy, or a related discipline and at least 10 years of relevant experience.
Hilltop is seeking these competencies in the successful candidate:
- Substantive knowledge of theoretical and applied economics, actuarial science, and financial analysis and experience in applying this knowledge to health care operations and research.
- Proven track record in applying statistics and economics and principles of finance, business, and actuarial science to estimate, model, and evaluate the impact of federal and state policies.
- Experience with rate setting and provider reimbursement regulations and methodologies for publicly funded health insurance programs.
- Experience with conducting research and managing health care operations using large administrative data sets.
- A deep and comprehensive understanding of Hilltop’s core businesses and federal and state health policy.
- Critical thinking and decision-making skills; the ability to methodically and strategically assess challenges and opportunities, make informed decisions and recommendations, and successfully implement decisions.
- The ability to nurture and enhance relationships within the UMBC community and externally with clients, sponsors, and other stakeholders.
- The ability to effectively communicate verbally and in writing.
- Demonstrable experience with management of cross-disciplinary project teams and supervision and development of staff.
- Demonstrated proficiency in Microsoft Word, PowerPoint, and Excel, including pivot tables, statistical analysis, database management, and report formatting
- Actuarial certification and knowledge of SAS is a plus.
Salary is commensurate with qualifications and experience. Full benefit package and tuition remission included.
Resumes will be accepted until the position is filled, but for best consideration, send a cover letter (indicating Job #493241), resume, and contact information for three professional references (in three separate attachments) by October 3, 2020, to the Director of Economic and Financial Analysis Search Committee at:
firstname.lastname@example.org (MS Word or PDF attachments required)
As required by the 1986 Immigration Act, be prepared to present acceptable documentation upon hire showing your identity and that you are
a U.S. citizen or an alien who is authorized to work in the U.S.
UMBC is an affirmative action/equal opportunity employer.
August 21, 2020