Careers

About the Massachusetts Health Connector

The Commonwealth Health Insurance Connector Authority (Health Connector) is an independent public authority serving as the Affordable Care Act (ACA)-compliant marketplace for the Commonwealth.  The organization is charged with providing subsidized and unsubsidized health insurance to individuals and small employers.  The Health Connector also oversees policy development related to health care reform under both state and federal laws, as well as conducting public education and outreach about health care reform and coverage opportunities.

The Health Connector is an equal opportunity employer that values diversity as a vital characteristic of its work force.  We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin, or disability.

Compliance Manager

The Health Connector is seeking a compliance manager to direct and manage its compliance activities. This individual will report to the General Counsel’s office, but will have significant independent responsibility to design and oversee compliance programs, and to respond to suspected incidents of non-compliance. This individual will help to develop effective policies and procedures to ensure compliance, raise employee awareness of compliance issues, and address and remediate any problems or incidents. Specific areas of compliance will include federal regulations of health insurance exchanges, state insurance laws, federal and state privacy and security requirements, and other legal requirements.

Key Responsibilities include:

  • Ensuring Health Connector compliance with requirements for a public health insurance exchanges, including analysis of regulatory and statutory requirements and identification of any compliance gaps.
  • Developing, initiating, maintaining, and revising policies and procedures and standards of conduct to ensure compliance and to prevent illegal, unethical, or improper conduct.
  • Collaborating with other Health Connector departments (e.g., operations, policy, or financial) to direct compliance issues to appropriate channels for investigation and resolution. Consulting with in-house legal staff as needed to resolve difficult legal compliance issues.
  • Collaborating with Health Connector information technology staff to implement and monitor proper data management, privacy protection, and security procedures are in place. Drafting and updating IT, data management, security and privacy policies, conducting risk assessments of privacy and security practices.
  • Monitoring compliance hotlines. Investigating and acting upon any complaints or reports of suspected non-compliance, improper conduct, or waste, fraud or abuse, and/or privacy or security breaches. Developing and overseeing a system for the uniform handling of such complaints or reports.
  • Ensuring that compliance issues or concerns within the organization are being appropriately evaluated, investigated and resolved.
  • Identifying potential areas of compliance vulnerability and risk, and assisting in developing appropriate responses to correct or remediate problematic issues.
  • In collaboration with legal staff, developing and delivering regular trainings and other activities to heighten employee awareness of employee standards of conduct, reporting obligations, and understanding of the Health Connector’s legal obligations and potential areas of risk.
  • Ensuring proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required.
  • Reporting regularly to the Health Connector executive director on the progress and operation of compliance activities.
  • Procuring, managing and directing external audits of Health Connector operations, working in coordination with the Health Connector financial, legal and operations teams.
  • Providing reports and updates to federal regulatory agencies on compliance activities.
  • Responding to inquiries or information requests, as they occur.

Experience and Qualifications:

  • A Bachelor’s degree is required.
  • A minimum of two years’ experience in compliance, or legal support.
  • Experience with health care, insurance, regulatory interpretation, and/or government operations strongly preferred.
  • Experience or familiarity with IT system operations or data management preferred.
  • Demonstrated ability to assume leadership and work independently.
  • Strong ability to communicate effectively both orally and in writing.

Work Setting: This position requires the employee to work on-site in an open office setting.

Salary: Salary range is competitive; salary will be commensurate with experience.

If interested: Send cover letter and résumé to Connector-jobs@state.ma.us.

Please note: Due to the requirement of 268A, please complete the Applicant Disclosure Form and return with your application.

About the Health Connector:

The Commonwealth Health Insurance Connector Authority (Health Connector) is an independent public authority serving as the Affordable Care Act (ACA)-compliant marketplace for the Commonwealth.  The organization is charged with providing subsidized and unsubsidized health insurance to individuals and small employers.  The Health Connector also oversees policy development related to health care reform under both state and federal laws, as well as conducting public education and outreach about health care reform and coverage opportunities.

The Health Connector is an equal opportunity employer that values diversity as a vital characteristic of its work force.  We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin or disability.

Testing Analyst

The Testing Analyst will act as a liaison between the Health Connector operations, policy and technology partners to help test and implement technology solutions that meet business needs. This entry-level position includes developing and executing test cases and participating in Joint Application Design (JAD) sessions. Areas covered include product development, back office operations, readiness for annual open enrollment and ongoing operational/IT processes.

Key Responsibilities

  • Develop and execute test cases, document results and coordinate user acceptance test activities with subject matter experts.
  • Actively manage application defects from inception through resolution, working with business SMEs, application designers, developers and testers to effectively prioritize and drive to resolution.
  • Develop and maintain functional and non-functional requirements and Software Development Lifecycle (SDLC) documentation including Use Cases, project plans, test cases, and business process models.
  • Manual execution of User Acceptance Testing (UAT) cases, capturing and reporting results to Health Connector and external vendor project managers.
  • Participate in defect meetings by providing information required to triage and resolve issues encountered during testing.
  • Participate in project meetings such as Joint Application Design (JAD) sessions, defect triage and test case and/or requirements documentation reviews involving cross-functional teams, key business stakeholders and development managers.
  • Collaborate with internal Health Connector and external vendor project managers and initiative leads
  • Work with small teams of senior business analysts, implementation managers, external vendors and consultants to support HIX/IES implementation activities.
  • Participate in larger teams as a team member, and/or work independently.

Qualifications

  • Bachelor’s Degree in a related field
  • 1-3 years of project experience, including user acceptance testing, business or technical analysis
  • Experience using HP ALM & JIRA tools (preferred)
  • Automation development and execution experience is a plus
  • Understanding of project lifecycle and SDLC
  • Knowledge and interest in technology, public sector and health insurance markets; specifically, PPACA and state-based health insurance marketplace technology and operations
  • Ability to play a support role within a team and to work independently
  • Outstanding communication, interpersonal and relationship building skills
  • Comfort and ability to thrive in an ambiguous, shifting, and fast-paced work environment
  • Exceptional analytical skills, ability to learn quickly

Work Setting: This position requires the employee to work on-site in an open office setting.

Salary: Salary range is competitive; salary will be commensurate with experience.

If interested: Send cover letter and résumé to Connector-jobs@state.ma.us.

Please note: Due to the requirement of 268A, please complete the Applicant Disclosure Form and return with your application.

About the Health Connector:

The Commonwealth Health Insurance Connector Authority (Health Connector) is an independent public authority serving as the Affordable Care Act (ACA)-compliant marketplace for the Commonwealth.  The organization is charged with providing subsidized and unsubsidized health insurance to individuals and small employers.  The Health Connector also oversees policy development related to health care reform under both state and federal laws, as well as conducting public education and outreach about health care reform and coverage opportunities.

The Health Connector is an equal opportunity employer that values diversity as a vital characteristic of its work force.  We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin or disability.

Member Eligibility Coordinator

The Member Eligibility Coordinator will support the Operations team by providing assistance on a variety of projects including assisting in system enhancement and defect tracking, daily operations, issue resolution, and contributing to program improvements.  This position reports directly to the Director of Eligibility and Implementation and assists the Director with day-to-day activities and ongoing programs.  In collaboration with the Director, the Member Eligibility Coordinator will facilitate meetings, track issues and resolutions, and provide review on system requirements.

Key Responsibilities

Contribute to system requirements gathering

  • Provide expertise on functional and non-functional requirements, including use cases, test cases, and business process models
  • Participate in Joint Application Design (JAD) sessions involving cross functional teams, key business stakeholders and development managers
  • Manage defects

 Eligibility and Enrollment verifications

  • Provide ongoing support to the Operations team and oversight of Customer Service vendor’s Document Processing and Verification unit
  • Participate in cross-agency discussions regarding current and future business processes

Notices

  • Provide ongoing support for eligibility member communications
  • Contribute to enhancements to notices, including content, translations, and document management tools
  • Work with communications vendor and communications team

Testing

  • Participate in User Acceptance Testing (UAT) in various environments
  • Effectively prioritize and drive resolution on issues

Escalations Support

  • Provide assistance on cases escalated through various stakeholder groups

Research

  • Keep current and maintain expertise on changing policies and evaluate their impact on Health Connector policies and operational procedures

Review of Stakeholder and Training Materials

Qualifications

Basic requirements:

  • Candidates must have a Bachelor’s Degree and demonstrate the ability to work on complex projects and meet deliverables within tight timeframes. The ability to prioritize and work independently and flexibly within a very fast-paced environment is a must.
  • Knowledge and understanding of eligibility for Insurance Affordability Programs in Massachusetts, including MassHealth, ConnectorCare, Premium Tax Credits.
  • Working knowledge of the Massachusetts marketplace eligibility application (MAhealthcare.org)
  • Ability to assess impact of eligibility regulations on operations and technology.
  • Strong written and verbal communication skills to interact effectively with cross-functional teams and vendor staff
  • Strong computer skills, including Word, Excel, and PowerPoint

Preferred requirements:

  • Have 2-5 years working in government, health care, or on health care policy
  • Have a Master’s degree in public health or health care administration or otherwise possess a demonstrable familiarity with the health care industry, public or private
  • Possess excellent organizational skills with the ability to pay attention to detail
  • Have the ability to balance a large volume of work that may vary periodically
  • Maintain a positive, proactive, cooperative work ethic at all times

Work Setting: This position requires the employee to work on-site in an open office setting.

Salary: Salary range is competitive; salary will be commensurate with experience.

If interested: Send cover letter and résumé to Connector-jobs@state.ma.us.

Please note: Due to the requirement of 268A, please complete the Applicant Disclosure Form and return with your application.

About the Health Connector:

The Commonwealth Health Insurance Connector Authority (Health Connector) is an independent public authority serving as the Affordable Care Act (ACA)-compliant marketplace for the Commonwealth.  The organization is charged with providing subsidized and unsubsidized health insurance to individuals and small employers.  The Health Connector also oversees policy development related to health care reform under both state and federal laws, as well as conducting public education and outreach about health care reform and coverage opportunities.

The Health Connector is an equal opportunity employer that values diversity as a vital characteristic of its work force.  We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin or disability.

Quality Assurance Representative

SEASONAL ASSIGNMENT – October 2018-April 2019

The Quality Assurance Representative will be responsible for supporting services provided to members by the Health Connector. Primary duties will be in the areas of ensuring the quality of member interactions and other support functions for the 2019 open enrollment cycle. This is a 7-month temporary position.

The Quality Assurance Representative will have responsibility for:

  • Quality Assurance
    • Participate in call listening, auditing, and other contact center improvement activities
    • Research and report unique and urgent member issues in a timely and professional manner in collaboration with the Member Services Team and vendor
    • Monitor contact center inventory to ensure customer service adherence to policies and procedures, timely and appropriate communications with members, and appropriate resolution of member issues
    • Identify and report member experience trends to the Member Services Team in order to improve the overall member experience
    • Document all member and vendor interactions accurately and comprehensively
  • Other
    • Assist with other contact center and service recovery activities as needed and assigned

 Qualifications:

  • Bachelor’s degree preferred
  • Must have a valid driver’s license and be able to travel within Massachusetts
  • Minimum 2 years health care experience and minimum 2 years of customer service experience
  • Ability to work independently, exercise sound judgement and represent the Connector with members
  • Excellent verbal and written communication skills; bilingual skills preferred
  • Ability to navigate and thrive in a fast- paced environment
  • Proficiency with Microsoft Office, Salesforce, and experience navigating health coverage procedures and applications preferred
  • Attention to detail with strong organizational skills
  • Excellent customer service skills

Work Setting: This position requires the employee to work on-site in an open office setting.

Salary: Salary range is competitive; salary will be commensurate with experience.

If interested: Send cover letter and résumé to Connector-jobs@state.ma.us.

Please note: Due to the requirement of 268A, please complete the Applicant Disclosure Form and return with your application.

About the Health Connector:

The Commonwealth Health Insurance Connector Authority (Health Connector) is an independent public authority serving as the Affordable Care Act (ACA)-compliant marketplace for the Commonwealth.  The organization is charged with providing subsidized and unsubsidized health insurance to individuals and small employers.  The Health Connector also oversees policy development related to health care reform under both state and federal laws, as well as conducting public education and outreach about health care reform and coverage opportunities.

The Health Connector is an equal opportunity employer that values diversity as a vital characteristic of its work force.  We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin or disability.

Contracted Hearing Officer (Part-Time)

The Contracted Hearing Officer will be responsible for conducting designated appeal hearings for the Massachusetts Health Connector, including eligibility appeals and healthcare tax penalty appeals.

The Hearing Officer is an independent contractor.  Hearing Officers work a variable schedule, although typically they typically hear appeals at the Health Connector 8-24 hours per month and are paid for decision writing time conducted off-site.

The Hearing Officer will have responsibility for:

  • Convening hearings and clearly explaining procedures which govern the hearing
  • Hearing testimony, and identifying and marking exhibits
  • Providing an impartial hearing
  • Assuring that the record is fully developed and all issues are adequately addressed
  • Assuring that an accurate recording of the hearing is made and archived according to prescribed protocols
  • Render a written decision based on relevant regulations and standards within the time frames required by law and/or Health Connector Appeals Unit policy

Qualifications:

  • The Hearing Officer must be an attorney licensed to practice law in the Commonwealth of Massachusetts

Additional Skills:

  • Ability to gather information through questioning individuals and examining records and documents.
  • Maintenance of accurate records.
  • Ability to prioritize workload in order to complete all work within prescribed time frames.
  • Proven ability to communicate effectively in oral expression.
  • Must be able to exercise discretion in handling confidential information.
  • Deliver written and oral instructions in a precise, understandable manner.

Schedule: The schedule is dependent on need and Hearing Officer availability.

Compensation: $60.00 per hour

Work SettingThis position requires the contractor to work in an office.

If interested: Send cover letter and résumé to connector-appeals@mass.gov

Please note: Due to the requirement of 268A, please complete the Applicant Disclosure Form and return with your application.

About the Health Connector:

The Commonwealth Health Insurance Connector Authority (Health Connector) is an independent public authority serving as the Affordable Care Act (ACA)-compliant marketplace for the Commonwealth.  The organization is charged with providing subsidized and unsubsidized health insurance to individuals and small employers.  The Health Connector also oversees policy development related to health care reform under both state and federal laws, as well as conducting public education and outreach about health care reform and coverage opportunities.

The Health Connector is an equal opportunity employer that values diversity as a vital characteristic of its work force.  We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin or disability.

Operations Intern – Fall 2018/Spring 2019

The Health Connector’s Operations Team is seeking an intern to join the team for fall 2018 and spring 2019.  This individual will participate in ongoing outreach activities with particular focus on the Health Connector for Business.

Key Responsibilities include:

  • Support the Health Connector for Business team with ongoing activities
  • Research outreach opportunities and partnerships across the Commonwealth
  • Outreach potential partners such as Chambers and state agencies that support small businesses to set-up events and collaborations
  • Conduct surveys of small businesses and brokers that shop through the Health Connector
  • Attend events to promote Health Connector for Business

Experience and Qualifications:

  • Strong MS Office Suite skills, including but not limited to Excel and PowerPoint
  • Interest in healthcare reform and healthcare operations
  • Exceptional presentation and communication skills
  • Strong research skills
  • Ability to work in a team setting
  • Ability to take initiative and work independently on projects

Education: Graduate student in public health preferred

Salary: This is a paid internship.

Length of Internship: September 2018 – May 2019 (minimum of 20 hours a week, 40 hours preferred)

About the Health Connector:

The Health Connector is an independent state authority that has been designated as the official Massachusetts health benefits Exchange under the federal Affordable Care Act. In addition to overseeing the implementation of both state and federal health reform, the Connector is committed to enhancing the experience, services and health insurance products for individuals and small businesses shopping through the Exchange. The Connector is also responsible for overseeing policy and regulations geared toward furthering the goals of health reform. More information about the Connector and its programs is available at www.MAhealthconnector.org.

Interested: Send cover letter and resume to Connector-jobs@state.ma.us.

Please note: Due to the requirement of General Law’s chapter 268A, please complete the Applicant Disclosure Form and return with your application.

The Health Connector is an equal opportunity employer that values diversity as a vital characteristic of its workforce.  We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin, or disability.

Project Management Intern

The Health Connector is seeking a project management intern to join the team for the Fall of 2018. This individual will assist with current project management and process management activities.

Key Responsibilities include:

  • Planning, management and completion of all tasks and projects required to support the overall business.
  • Partnering with stakeholders to define and monitor project parameters (timeline, resources and to establish a phased implementation strategy that meets Agency requirements).
  • Creating of project plans, organizing project documentation and tracking of milestones for assigned projects.
  • Preparing meeting agendas, write meeting notes, and monitor project timelines and deliverables on a proactive basis.
  • Maintaining close communications with stakeholders to ensure that projects remain on schedule and appropriately resourced.
  • Developing and publishing communications to project updates to stakeholders and senior management.
  • Preparing and presenting oral and/or written project reports and presentations.

Qualifications:

  • Familiarity with project management methodologies, including product backlogs, prioritization, task management and status reporting
  • Interest in continuous improvement initiatives, including Lean and Six Sigma
  • Ability to cross reference ideas and concepts and document information for a range of audiences (detail vs. summary)
  • Ability to communicate with all levels of the organization
  • Working knowledge of MS Office, Visio and Project

Other skills:

  • Ability to work in a team environment
  • Excellent written and verbal communication skills
  • Detail oriented and possess excellent follow up skills
  • Must be organized and work well with constant priority changes
  • Must be able to work independently with minimal supervision
  • Analytical/strategic thinker
  • Ability to quickly learn new applications

Education:

  • Upcoming junior or senior in undergraduate program of study
  • Master’s degree candidates will also be considered

Salary: This is a paid internship.

Length of Internship: June-August/September 2018  (minimum of 20 hours a week)

About the Health Connector:

The Health Connector is an independent state authority that has been designated as the official Massachusetts health benefits Exchange under the federal Affordable Care Act. In addition to overseeing the implementation of both state and federal health reform, the Connector is committed to enhancing the experience, services and health insurance products for individuals and small businesses shopping through the Exchange. The Connector is also responsible for overseeing policy and regulations geared toward furthering the goals of health reform. More information about the Connector and its programs is available at www.MAhealthconnector.org.

Interested: Send cover letter and resume to Connector-jobs@state.ma.us.

Please note: Due to the requirement of General Law’s chapter 268A, please complete the Applicant Disclosure Form and return with your application.

 

The Health Connector is an equal opportunity employer that values diversity as a vital characteristic of its workforce.  We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin, or disability.