J. Maxwell Ebert Email & Phone Number

Westminster, MD, US

Bethesda, Maryland, United States

• Perform qualitative and quantitative data collection, quality control, analysis and interpretation as outlined by project protocols
• Carry out database and statistical programming, programming for standard report generation, ad-hoc queries, analyses, data manipulation, extraction and data export
• Assist in the planning, conduction, and completion of research investigations designed by the Pediatrics Research Group
• Contribute to the preparation of written summaries, papers, and presentations
• Conduct literature reviews and assist with the preparation and formatting of scientific writing for submission to scientific journals, professional conferences, and funding agencies
• Assist with grant proposal and Institutional Review Board (IRB) protocol preparation

Silver Spring, Maryland, United States

• Contract 1 - Maryland Health Care Commission
• Analyze quarter-to-quarter and year-to year trends as well as discrepancies in large claims data sets from over 30 insurance payors by reviewing current and previous data submissions which include enrollee eligibility.
• Investigate and resolve Medical Claims Database (MCDB) System Errors caused by flaws in payor data submissions by utilizing UltraEdit, SAS, SQL, and Excel
• Lead the transmission of MCDB data files to the Chesapeake Regional Information System for our Patients (CRISP) for processing into the Master Patient Index (MPI) file
• Perform quality control on the MPI transmitted back to Social & Scientific Systems, Inc., (SSS) from CRISP to ensure optimal data quality prior to ingestion into SSS’s data warehouse
• Resolve technical errors and payor submission discrepancies through data analysis in SQL and SAS

Baltimore, Maryland Area

• Review insurance carrier policy form filings to ensure compliance with Maryland laws and regulations
• Maintain current knowledge of the form review process, Maryland insurance law and regulations, special policy issues, and State and Federal Healthcare Reform Legislation processes
• Prepare timely correspondence and objection reports with insurance producers and carriers throughout the review
• Served on NAIC task force to draft legislative guidelines for Surplus Line accident & health policy coverages

Greater New York City Area

• Review and analyze insurance carrier policy forms from individual markets for MHPAEA compliance
• Populate Excel spreadsheets based on results of reviews and analysis
• Organize and prepare reports on individual plan data to assist in the authorship of NCASA’s annual report Uncovering Gaps: A Review of Addiction Benefits in ACA Plans
• Research, compile, organize, and collect data from On and Off-Exchange Individual and group health policies for the Parity@10 project
• Participate with other consultants in peer review of Excel spreadsheets generated from analysis

Laurel, MD

• Review health insurance policies, cost and coverage documents, exchange policies, health, immigration statues, and tax laws and regulations to assist enrolling clients
• Develop and review marketing documents for outreach as well as correspondence to be printed and distributed to patients, constituents and partner organizations
• Conduct interviews with clients to facilitate the health plan application and enrollment process
• Manage multiple client cases and escalations to Maryland Health Connection leadership
• Work independently and collaboratively as needed to apply creative solutions to address enrollment and system errors
• Collaborate with State agencies and health insurance carriers to support the implementation of the Affordable Care Act and related programs

Master Of Public Health - Mph, Public Health/Health Policy

Bachelor Of Arts - Ba, History

Diploma