Administrative Program Manager I - Compliance and Privacy Manager

About the Role

The Maryland Health Benefit Exchange (MHBE) seeks an experienced Administrative Program Manager I to serve as Compliance and Privacy Manager. MHBE administers Maryland Health Connection, the state's health insurance marketplace, established under the Affordable Care Act, collaborating with various state departments and stakeholders to provide accessible health coverage for Maryland residents.

Key Responsibilities

• Support the implementation and upkeep of MHBE's Compliance and Privacy programs, including audit and monitoring activities, departmental and external assessments, and updating policies and procedures.
• Manage investigations and resolutions of Fraud, Waste, and Abuse (FWA); oversee agency-wide record retention protocols.
• Collaborate across departments to negotiate and finalize agreements such as Non-Exchange Entity Agreements (NEEAs), Data Use Agreements (DUAs), and Memorandums of Understanding (MOUs), maintaining organized repositories for these.
• Lead coordination of privacy incident reports, investigations, breach risk analyses, mitigations, and corrective actions, ensuring accurate documentation and communication with stakeholders.
• Conduct Privacy Impact Assessments and compliance self-assessments related to ACA, Medicaid, and partner entities.
• Develop and deliver compliance and privacy training updates annually.
• Maintain knowledge of relevant federal and state laws and regulations impacting compliance and privacy.
• Provide ongoing communication with the Director of Compliance and Privacy and ensure high standards of ethics and professionalism in all interactions.
• Lead special projects as assigned by the director.

Minimum Qualifications

• Bachelor's degree in any field from an accredited institution.
• Between 2 and 5 years of verifiable experience in compliance or data privacy roles, including policy creation, case investigations, audit coordination, and/or unit supervision.
• Strong verbal and written communication skills with ability to tailor messages appropriately; proficiency in Microsoft Office suite.
• Military experience in administrative or compliance-related roles may be considered as a substitute on a year-for-year basis.

Preferred Qualifications

• Master's degree in healthcare, business administration, or a Juris Doctor (JD).
• Certification in Privacy or Healthcare Compliance such as CIPP, CIPM, or related credentials.
• Proven ability to analyze issues independently, manage multiple projects under deadlines, and produce investigative reports.
• Excellent leadership and teamwork capabilities.
• Comprehensive understanding of federal, state, and local healthcare laws and ethics, including ACA, 45 CFR regulations, and Maryland Ethics Law.
• Experience developing and managing privacy programs, data use agreements, incident management, and privacy impact assessments.

Additional Information

• Successful candidate will undergo a pre-employment background check.
• Applicants must submit complete information by the closing date; incomplete or late applications will not be considered.
• Finalists may be required to submit a writing sample during the interview process.
• MHBE is an equal opportunity employer promoting diversity and inclusivity, encouraging applications from individuals with disabilities, bilingual candidates, and veterans.
• Reasonable accommodations are available upon request.
• The employer participates in E-Verify to confirm work authorization after an offer is accepted.
• Foreign education credentials must be evaluated and equivalency provided prior to hiring.