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.

Operations Health Plan and Small Group Coordinator

The Operations Health Plan and Small Group Coordinator provides day-to-day operational support and relationship management to medical and dental carriers, maintains and enhances Health Connector interactions with medical and dental carriers, supports small group business operations, and assists in the development of operational improvement projects. 

Key Responsibilities include:

  • Act as liaison with health and dental plans, maintaining positive and productive working relationships between the Health Connector and contracted health and dental plans. Represents carriers as stakeholders in all internal activities, meetings, and communications
  • Oversee research and resolution of health and dental plan issues, including gathering required data, coordinating vendor and internal Connector resources, ensuring the timely and accurate analysis of issues, identifying steps for issue resolution, and complete the appropriate communications to carriers and internal partners
  • Review escalated cases and manage communication with carriers to support operations
  • Support the day-to-day operations of the small group vendor including coordinating annual renewal processes, monitoring monthly small business bill and enrollment transactions, engaging internal and external stakeholders regarding small group business needs, reviewing and validating monthly reports, lead rate and systems testing and communicate results with appropriate stakeholders, and support new systems implementation and transitional activities
  • Coordinate external service meetings between Health Connector and health and dental carriers, small group business vendor, and lead internal cross departmental meetings including setting agendas, chairing those meetings and ensuring that all active issues are addressed expeditiously
  • Monitor agreed upon health and dental metrics to ensure operational standards and turnaround times are consistently met
  • Lead health and dental plan reconciliations for the Connector to ensure timely, accurate and complete determinations
  • Support work with IT and Finance teams related to carrier or small group vendor payments

Additional Responsibilities

  • Work with the Director of Health Plans and Operations to modify and improve health and/or dental plan facing policies and/or procedures
  • Monitor health and dental plan compliance with Health Connector policies and procedures, identify areas requiring improvement and lead efforts to ensure compliance
  • Prepare and deliver presentations and memoranda to internal and external parties
  • Research emerging trends in carrier relations at other SBMs and FFM and communicate findings with Director and others as appropriate
  • Support annual open enrollment readiness projects
  • Other projects and duties as assigned by Director of Health Plans and Operations

Experience and Qualifications

  • A Bachelor’s Degree is required
  • Health care experience and background including knowledge of both the public and private sectors essential
  • Must possess a strong operations and project management background, with the ability to work on complex projects and meet deliverables within tight timeframes.
  • Must have excellent communication skills, both written and verbal, as well as outstanding interpersonal skills and the ability to work with multiple parties and vendors to implement projects.

Preferred requirements:

  • Master’s Degree in health care, business, public health or policy strongly preferred
  • Prior experience working at a health or dental plan
  • Bilingual preferred

The ideal candidate must be able to work successfully in a fast-paced environment, have proven ability to successfully multi-task, possess outstanding verbal and written communication skills, strong organizational, project management, analytical, and leadership skills, be able to successfully work independently or on a team, consistently exercise sound judgement, and demonstrate the ability to discern when an issue or situation should be escalated to management.

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

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, national origin or disability.

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.

Entry Level – 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

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

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, national origin or disability.

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.

Payroll Processor / Junior Accountant

The Health Connector is seeking a knowledgeable, detail-oriented and motivated Payroll Processor / Junior Accountant to assist with accounts payable processing and payroll support. The ideal candidate should have strong knowledge of accounting principles, organizational and analytical skills, and the ability to work well individually or in a team.

Core Responsibilities:

  • Assist with the preparation of the bi-weekly payroll, including setting up new hire benefits
  • Accounts payable processing, including member refund checks, and employee expense reimbursements.
  • Ability to resolve discrepancies related to vendor invoices
  • Assist with preparing annual 1099’s to vendors
  • Assist with the preparation of filing the annual abandoned property return
  • Provides support to the monthly close process
  • Prepare wire transfer documentation
  • Maintains accounting controls by following policies and procedures; complying with federal and state requirements
  • Assist with the preparation of required schedules for the year-end audits
  • Assists the team with preparation of materials for state and federal audits
  • Assist with other projects, as needed

 Minimum Qualifications:

  • Associates degree with 1-3 years of experience, or equivalent
  • Ability to assess priorities and operate in a flexible manner in order to meet the dynamic needs of the Health Connector
  • Strong analytic and communication skills
  • Ability to work independently
  • Attention to detail
  • Demonstrated experience using Microsoft Word, Excel essential
  • Familiarity with ADP payroll software
  • Familiarity with QuickBooks or a similar accounting software package is useful
  • Strong organizational and document management skills, ability to organize and manage electronic documents so the Health Connector can efficiently store, retrieve and share documents as needed
  • Fundamental  knowledge of US GAAP and standard business practices helpful

Supervision: The Payroll Processor / Junior Accountant will be reporting to the Health Connector’s Manager of Accounting.

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

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, national origin or disability.

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.

Vendor Relationships and Strategy Manager

Under the direction of the Chief Operating Officer, the Vendor Relationships and Strategy Manager will be responsible for ensuring adherence of vendors to contractual terms. This includes management and ongoing monitoring of the performance of contracted partners against all terms, budget or service level metrics. The Manager will also serve as a key person in the facilitation of a cross functional group who will be charged with developing different models for eventual procurement of services to meet evolving business needs

Responsibilities include:

  • Understanding all contract terms and tracking performance against those terms
  • Leading performance and contractual review meetings with vendor partners
  • Developing and tracking actions and timelines for business or corrective action plans
  • Creating, analyzing and benchmarking different service and contractual models
  • Managing invoices and work orders against budget; working with finance to project expenses
  • Facilitating cross functional group to design and develop business requirements in preparation for contract negotiations and procurements

Basic requirements:

  • A. or B.S. required, Master’s degree preferred
  • 5 to 7+ years of vendor management or program management experience
  • Experience in analysis and synthesis of findings
  • Ability to work well both cross functionality within the Agency and cross organizationally with vendor partners
  • Proven experience in developing and managing work-plans
  • Exceptional written and verbal communication skills; Experience working with and presenting to Senior Leadership
  • Demonstrated organizational ability and attention to detail
  • Ability to work in a fast-paced environment
  • Bilingual preferred

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

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, national origin or disability.

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.

Service Center Performance Manager

The Service Center Performance Manager will be responsible for oversight of the Health Connector day-to-day service center activities with special emphasis upon designing and implementing operational improvements which decrease calls, improve call quality and first call resolution. This position is also the owner of forecast development and projections, which then inform the budget. This position requires close and collaborative work with the vendor responsible for call center delivery. This is a key role in the delivery of exceptional service to Health Connector members. Responsibilities will include, but will not be limited to:

  • Oversee day-to-day operations for the Health Connector contact center(s) including monitoring and evaluation of performance metrics, evaluating staffing levels and overseeing development and usage of contact center forecast models
  • Own development and maintenance of contact center forecast(s) and associated staffing plans in order to meet contractual requirements and best practice performance standards;
  • Lead or participate in cross functional and cross organizational group which are designing and implementing optimization and efficiency programs including but not limited to new technologies, quality improvement or workflow changes
  • Benchmarking best practices for forecasting models
  • Benchmarking best practices for programs and alternative channels which contribute to improved efficiency and decreased costs/volume in the call center
  • Own contact center plan and preparedness for open enrollment
  • Identify changes to UI/UX and other systems which will improve the member interactions with the call center and drive down calls; drive changes into release schedules
  • Participate in overall planned publicity, marketing and customer communications strategy development with goal of improving member education and experience; review materials
  • Responsible for monitoring on a daily, weekly, monthly basis vendor performance and adherence to plans; create and oversee modification of plans as needed
  • Owner of contact center service level agreements in  contract

Qualifications:

  • Candidates must have a Bachelor’s Degree; a Master’s Degree in health care or business strongly preferred.
  • 3-5 years of successful contact center management experience; out-sourced vendor management preferred
  • Must have strong multi-channel contact center management experience including but not limited to experience developing call forecasts, managing multiple customer channels (web chat, email, walk-in etc.), analyzing performance trends and demonstrated ability to implement customer service improvement plans
  • Excellent analytical skills with ability to translate data into information for Senior Leadership
  • Health care background and knowledge of both the public and private sectors required
  • In addition, candidates must have excellent communication skills, both written and verbal, as well as outstanding interpersonal skills and the ability to work with multiple parties and vendors to implement projects
  • Six Sigma/Lean certification preferred
  • Bilingual preferred

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

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, national origin or disability.

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.

Financial Analyst

The Financial Analyst is responsible for review and analysis of Health Connector financial information and reporting. The Financial Analyst reports to the Chief Financial Officer, but will work very closely with other members of the Finance team.

The Financial Analyst will have responsibility for:

Financial Analysis and Reconciliation

  • Financial analysis, reconciliation and modeling to support analysis of Health Connector programs
  • Reconciliation of monthly financial transactions and resolution of any discrepancies
  • Ability to anticipate financial reporting, forecasting and budgeting issues, assess their implications, determine implications and recommend an appropriate action plan

Budget, Accounting and Audit

  • Analysis and development of recommendations on Health Connector budgets
  • Analysis of enrollment and financial data to track spending and improve forecasting
  • Assist with annual federal and state audits and other reviews
  • Assist with preparation of documents and reports for internal and external stakeholders
  • Update the department’s operating procedures to ensure compliance with all federal and state laws and regulations

Federal Grant Administration and Reporting

  • Assist with federal grant administration activities, including program and financial reports and post-award actions
  • Oversight, monitoring and documentation of sub-recipients’ financial and non-financial reporting activities to ensure compliance with policies and procedures

Other

  • Peer review of financial and analytical models
  • Assistance with procurements
  • Coordination and documentation of Finance team meetings and activities
  • Performs other duties as needed and assigned

 Qualifications:

  • Bachelor’s degree in Finance, Accounting or related field (healthcare knowledge a plus)
  • Proficiency with Microsoft Excel, Word and PowerPoint (SQL and Microsoft Access knowledge a plus)
  • Strong analytic and communication skills, both written and verbal
  • Ability to analyze quantitative, as well as qualitative information
  • Attention to detail with strong organizational and document management skills
  • Ability to assess priorities and operate in a flexible manner in order to meet the dynamic needs of the Health Connector
  • Excellent interpersonal skills

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, national origin or disability.

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.

Operations Training Intern

The Health Connector’s Operations Team is seeking an intern to join the team in January 2017 for the spring semester. This individual will participate in ongoing operational activities with particular focus on the design and development of the new call center and operations training program with the out-sourced vendor.

Key Responsibilities include:

  • Assist the Manager of Quality and Training in the design and development of the call center and operations training program with collaboration from the out-sourced vendor.
  • Work across the Operations Team to analyze, identify and document training needs that will be used in the design and development of the training program.
  • Assist in creating performance metrics, reporting needs, and evaluation methods to assess the effectiveness of the training program.

Additional Responsibilities include:

  • Assist with review of current training material and new resources created to support operations staff.
  • Provide training program project management tracking, as needed
  • Assist with other business and operations projects, as needed

Experience and Qualifications:

  • Strong MS Office Suite skills, including but not limited to Excel and PowerPoint
  • Understanding of adult learning theory and instructional design methodologies preferred
  • Strong writing skills (writing sample may be required)
  • Interest in healthcare reform and healthcare operations
  • Ability to work in a team setting
  • Ability to take initiative and work independently on projects

Education: Graduate student in public health preferred; bilingual skills a plus

Salary: This is a paid internship.

Length of Internship: January–May (minimum of 20 hours a week)

About the 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 MAhealthconnector.org.

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