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.
- Manager of Carrier Relations
- Manager of Program & Product
- Director of Vendor Operations and Procurements
- Senior Staff Accountant
- Community Specialist – North Central MA Region
- Enrollment and Billing Coordinator
- Reporting Analyst
Manager of Carrier Relations
The Health Connector’s Plan Management & Carrier Relations team is seeking a Manager of Carrier Relations to nurture and maintain carrier partnerships at the Health Connector. This role will strategically develop and grow dynamic relationships with Health Connector partners while working closely with internal resources to advise on programs and initiatives that address external and internal customer needs.
This role will provide strategic, proactive collaboration with Health Connector carrier partners and internal cross functional areas to ensure open communication, flexibility and mutual success of the day to day operations. Priorities include implementation and integration of new/expanded insurance programs, supporting and monitoring processes related to carrier operational integration, carrier performance and achievement of goals through effective partner and relationship management. The role serves as a key liaison between the carrier partners and Health Connector functional areas, including but limited to plan management, policy, finance, enrollment, billing and IT teams, as well as our technology vendors and governmental agency partners. In this capacity, the Manager of Carrier Relations will play a key role in the Health Connector’s offering of high-value health and dental products to more than 350,000 individuals and small business employees throughout Massachusetts.
The position reports to the Senior Director of Plan Management and Carrier Relations, with opportunities to engage with a variety of functional teams and leadership at both the Health Connector and various external stakeholders. (e.g., insurance carriers, technology and business vendors, various state and federal agencies)
General Responsibilities
- Own and demonstrably enhance key relationships with carrier partners
- Engage with carrier partners and work collaboratively with cross-functional teams to:
- Identify, develop, and execute operational efficiencies and process improvements to enhance the quality of business operations between the Health Connector and carrier partners.
- Shepherd the implementation of new carrier partnerships, ensuring seamless integration of systems, processes, and data sharing.
- Execute annual open enrollment and new project implementation initiatives that are compliant with state and federal rules as well as consistent with the Health Connector’s policy priorities.
- Resolve health and dental plan issues, coordinating vendor and internal Connector resources, ensure the timely and accurate analysis of issues, identify steps for issue resolution, and ensure the appropriate communications to carriers and internal partners.
- Address operational issues, carrier requests for data/reporting, financial reconciliation, member escalations, business reviews with partners
- Analyze, provide insight and make recommendations on policy and operational processes to operate efficiently and effectively.
- Lead internal cross departmental initiatives to ensure carrier partnerships are managed and monitored including the execution of internal and shared stakeholder goals, priorities
- Set example for and coach junior staff, including external carrier staff that play a pivotal role in strategic and operational business for the Health Connector.
- Monitor key performance indicators (KPIs) to assess vendor partnership performance and identify areas for improvement.
Experience & Qualifications
- 5-7 years of relevant experience in health or dental insurance, exchange plan management, and/or project management; ideally working at or with health insurance carriers, healthcare providers, healthcare delivery systems, and/or healthcare focused government entities
- Experience successfully managing relationships with vendors, accounts, and/or territories
- Knowledge and interest in healthcare, healthcare technology, public sector and health insurance markets; ideally, working knowledge of the Affordable Care Act (ACA) and health insurance marketplace technology and operations
- Flexibility to adapt to changing environments and projects, and ability to learn quickly in a complex, technical environment
- Project Management certification, credentials, education and/or experience preferred but not required
- Problem-solving mindset: solid quantitative and qualitative analytic skills, including advanced knowledge of MS Excel, tableau
- Strong oral and written communication skills, proficient in summarizing complex issues to internal and external stakeholders who have varying levels of knowledge on the topic at hand.
- Ability to work independently and as part of a team, focused on delivery of a variety of projects with tight timelines
- Strong MS Office Suite skills, including but not limited to Word, Excel and PowerPoint
Salary
$100,000-105,000/year
If interested
Send a cover letter and résumé to Connector-jobs@mass.gov.
Please note
- Due to the requirement of 268A, please complete the Applicant Disclosure Form and return with your application.
- All Health Connector employees are required to provide satisfactory proof of eligibility to work in the United States.
- The Health Connector is operating on a hybrid work arrangement with 2 days in the office in downtown Boston and 3 days working from home.
- Employee may be requested to work an extended day and weekends to meet deadlines.
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.
Manager of Program and Product
The Health Connector’s Policy and Plan Management team is seeking a Manager of Program and Product to provide day-to-day management of the Health Connector’s Qualified Health Plan (QHP) and Qualified Dental Plan (QDP) product offerings. This role will engage in the full lifecycle of product development and implementation, including managing the annual procurement for health and dental plans via the Health Connector’s Seal of Approval process. This position supports the integrity and success of plan management efforts required for the sale of individual and small group QHPs and QDPs through the Health Connector’s web applications, serving as a key liaison between the Health Connector plan management, policy, and IT teams, as well as our technology, carrier and governmental agency partners. In this capacity, this role will play a key role in the Health Connector’s offering of high-value health and dental products to more than 350,000 individuals and small business employees throughout Massachusetts.
The position reports to the Senior Director of Plan Management and Carrier Relations, with opportunities to engage with a variety of functional teams and leadership at both the Health Connector and various external stakeholders. (e.g., insurance carriers, technology and business vendors, various state and federal agencies).
General Responsibilities
- Successfully support execution of the annual Seal of Approval process, whereby QHP and QDP product design requirements are issued to potential insurance carriers seeking to sell products on the exchange, including the development of new strategic initiatives, updating procurement documents to reflect these initiatives, and communicating to bidders
- Manage day-to-day plan management activities in conjunction with the Health Connector’s IT team, including serving as a subject matter expert for IT system development, plan loading, as well as the requisite review, analysis and testing of data and systems, in collaboration with technology vendors and carriers
- Proactively identify, evaluate, and recommend new or enhanced product improvements and benefit coverage designs, aligned with the Health Connector’s mission and strategic priorities
- Manage implementation of innovative carriers, programs and products as well as enhancements to existing programs and products; develop and execute against short and long-term project roadmaps
- Actively monitor and stay current on key industry and market developments, trends, players
- Manage provider network adequacy and geographic coverage area processes, as well as coordination with partner agencies, vendors, carriers and stakeholders
- Own the collection and review of carriers’ Seal of Approval submission materials, including the analysis and implementation of plan designs, rates, and provider networks used to populate plan information within the Health Connector’s individual and small group shopping platforms
- Support policy development and implementation for non-group (individual market) and small group products, including program eligibility, premium rating rules, provider network standards and regulatory guidance, with a focus on affordability and equity initiatives
- Design and lead implementation of a robust provider network and access monitoring system to understand provider access dynamics based on membership geolocations, preferences, and feedback
- Advise and recommend strategic directions and policy approaches to ensuring sound provider/network access across the Health Connector’s lines of business
- Develop subject matter expertise on various programs and systems, notably the System for Electronic Rate and Form Filings (SERFF) and serve as the Health Connector’s internal expert on SERFF materials and processes used to transmit plan data into IT systems
- Maintain and enhance critical working relationships with carrier contacts to: disseminate policy and technical guidance, collaborate on review/modifications of plan data submissions, and collect/raise internal awareness of relevant carrier feedback
Experience & Qualifications
- 5-7 years of relevant experience in health or dental insurance product management, and/or project management; ideally working at or with health insurance carriers, healthcare providers, healthcare delivery systems, and/or healthcare focused government entities
- Knowledge and interest in technology, public sector and health insurance markets; ideally, working knowledge of the ACA and health insurance marketplace technology and operations
- Health and benefit plan design experience
- Experience working with healthcare provider networks, e.g., contracting, network adequacy
- Project Management certification, credentials, education and/or experience preferred but not required
- Solid quantitative analytic skills, including advanced knowledge of MS Excel
- Strong oral and written communication skills, including advanced knowledge of MS PowerPoint
- Ability to work independently and as part of a team, focused on delivery of a variety of projects with tight timelines
- Excellent attention to detail
- Flexibility to adapt to changing environments and projects, and ability to learn quickly in a complex, technical environment
- Strong MS Office Suite skills, including but not limited to Word, Excel and PowerPoint
Salary
$100,000-105,000/year
If interested
Send a cover letter and résumé to Connector-jobs@mass.gov.
Please note
- Due to the requirement of 268A, please complete the Applicant Disclosure Form and return with your application.
- All Health Connector employees are required to provide satisfactory proof of eligibility to work in the United States.
- The Health Connector is operating on a hybrid work arrangement with 2 days in the office in downtown Boston and 3 days working from home.
- Employee may be requested to work an extended day and weekends to meet deadlines.
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.
Director of Vendor Operations and Procurements
The Health Connector is seeking a Director of Vendor Operations and Procurements. Our Director of Vendor Operations and Procurements is responsible for developing and managing the team that delivers procurement contracts that optimize cost savings and operational efficiency. The Director of Vendor Operations and Procurements will report to the Health Connector’s Deputy Chief Operating Officer for Customer Service and Contracts.
General Responsibilities
- Creates strategic partnerships with both external vendors and internal business partners to drive a long-term strategic improvement roadmap and achieve operational excellence in support of the goals, mission, and long-term vision of the Health Connector.
- Acting as the functional bridge between internal and external stakeholders and the senior leadership of multiple vendors, the Director will prioritize the complete and full understanding of any contractual agreement(s) and track, measure, report, and evaluate vendor performance.
- Partnering with executive leadership across the Health Connector, this role will focus on creating, communicating, and reinforcing accountability of key service level metrics and critical contractual agreements for all contractors, consultants, and individuals providing goods and/or services to the Connector.
- Requires significant collaboration with Operations, Legal, Finance, Policy, and IT leaders across the organization.
Key Functions
- Provide leadership, direction, and strategic vision during the procurement, implementation, and ongoing business processes.
- In-depth knowledge of preparing and reviewing contracts, invoicing and negotiations terms.
- Assist with the creation of master services agreements, scopes of work, contract amendments, interdepartmental service agreements, and other contractual instruments.
- Develop strategic procurement plans and vendor management plans prioritizing opportunities for improvement and handling large-scale negotiations.
- Establish and own the development of vendor scorecards with measurable KPIs that allow the team to strengthen relationships, improve costs, and mitigate errors with all vendors as well as provide an objective lens for measuring vendor performance.
- Provide executive level briefings to the Chief Operating Officer and/or their designee at regular intervals including action plans for vendor improvements, cost savings from operational efficiency gained, and recovered compliance dollars from vendors.
- Review and validate vendor invoices and payments.
- Lead meetings with vendors to review performance trends, identify collaborative opportunities to improve results, set deadlines for improvement and track progress.
- Responsible for contract SLAs and maintaining compliance and alignment with vendors.
- Apply continuous improvement methodologies to enhance, improve and systematize the vendor program and scorecard.
- Manage a team to carry out deliverables that are accurate and timely to internal stakeholders.
- Advise the Chief Operating Officer and other executive leaders on matters that impact Health Connector members and plans.
- Identify and implement process improvements to enhance quality and efficiency and achieve budgetary savings; develop metrics and reports to assess performance and inform decision-making.
- Participate in special projects.
- Other duties as assigned.
Required Experience & Qualifications
- Bachelor’s or higher degree with a major in business administration, management, public administration, or hospital administration
- 6-8 years working in health care or public health
- Demonstrated ability to work on a large volume of complex work and meet project deliverables within tight timeframes.
- The ability to prioritize and work independently and flexibly within a very fast-paced environment is a must.
- Experience leading teams in implementations, process improvements, controls improvements or similar projects
- Strong technical skills, business intelligence, and a full understanding of the needs of the organization and its long-term strategy
- Ability to effectively communicate with internal teams and external stakeholders
- Possess excellent organizational skills with the ability to pay attention to detail
- Knowledge of and experience with the systems development life cycle
- Strong written and verbal communication skills to interact effectively with cross-functional teams and vendor staff
- Competency with complex Information Technology systems and common software applications, such as Microsoft Office applications
- Ability to consistently maintain a positive, proactive, cooperative work ethic
Preferred Experience & Qualifications
- Extensive knowledge of Medicaid and/or State Based Marketplace policies, programs and procedures and the ability to integrate this knowledge with new and existing IT systems
- The ability to manage and sustain multiple and complex relationships with vendors, stakeholders and internal customers, and ensure that lines of communication are open.
- The ability to develop effective teams, which share information and work collaboratively to solve problems and make decisions.
- Demonstrated sound judgment with ability to take calculated risks.
- Strong quantitative and qualitative analytical skills and attention to detail.
- Ability to work with people from diverse backgrounds.
- Project management planning, integration, coordination and monitoring.
- Planning, convening, directing, supporting and overseeing cross-agency project management teams.
- Experience managing a budget and working in a limited-resource environment.
Salary
$140,000-145,000/year
If interested
Send a cover letter and résumé to Connector-jobs@mass.gov.
Please note
- Due to the requirement of 268A, please complete the Applicant Disclosure Form and return with your application.
- All Health Connector employees are required to provide satisfactory proof of eligibility to work in the United States.
- The Health Connector is operating on a hybrid work arrangement with 2 days in the office in downtown Boston and 3 days working from home.
- Employee may be requested to work an extended day and weekends to meet deadlines.
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.
Senior Staff Accountant
The Health Connector is seeking a motivated, knowledgeable, and detail-oriented individual to assist with general accounting and financial statement close activities. The ideal candidate should have a strong knowledge of accounting principles, excellent organizational and analytical skills, and the ability to work independently and in a team environment. The Senior Staff Accountant will report to the Health Connector’s Manager of Accounting.
Key Responsibilities Include
- Prepare monthly journal entries including, but not limited to, cash receipts/disbursements, monthly accruals, amortization of prepaid expenses, fixed assets depreciation, and recording and adjusting of reclassification journal entries, if necessary.
- Reconcile cash for Non-Group and SHOP premium billing activity.
- Prepare and maintain monthly premium billing activity schedule for the Health Connector for Business (Small Group) program, which includes, but is not limited to, processing refunds, verifying premium cash receipts, and preparing wire transfer payments to the Health Plans.
- Perform general ledger account analysis, including reconciling financial discrepancies and analyzing account activity.
- Prepare monthly bank account reconciliations and perform monthly balance sheet reconciliations.
- Prepare wire transfer documentation.
- Prepare monthly CCTF funding request.
- Provide payroll processing support as needed.
- Provide accounts payable support as needed.
- Maintain required records, reports, and files in an organized manner.
- Prepare monthly list of Beyond Plan Year refunds per refund schedule.
- Assist with the preparation of the monthly financial statements and perform other month-end close activities.
- Coordinate with the finance team regarding monthly accruals based on budget and investigate monthly income and expense fluctuations and budget versus actual variances.
- Maintain and update policies and procedures documentation for the Accounting department.
- Maintains accounting controls by following policies and procedures; complying with federal and state requirements.
- Play a major role in the annual financial audit, including the preparation of audit schedules.
- Perform ad-hoc reporting and analysis and other duties as assigned.
Experience & Qualifications
- Bachelor’s degree in Accounting and 3 – 5 years experience.
- Must be a self-starter with the ability to work with minimal supervision.
- Ability to multi-task and manage priorities in a fast-paced and deadline-oriented environment.
- Excellent analytic and communication skills.
- Exhibits integrity through fair and ethical behavior toward others and a demonstrated sense of responsibility and commitment.
- Strong computer skills utilizing Microsoft Office applications, including possessing advanced Excel skills.
- Familiarity with ADP or similar payroll software.
- Familiarity with QuickBooks Online or similar accounting software.
- 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.
Salary
$85,000-90,000/year
If interested
Send a cover letter and résumé to Connector-jobs@mass.gov.
Please note
- Due to the requirement of 268A, please complete the Applicant Disclosure Form and return with your application.
- All Health Connector employees are required to provide satisfactory proof of eligibility to work in the United States.
- The Health Connector is operating on a hybrid work arrangement with 2 days in the office in downtown Boston and 3 days working from home.
- Employee may be requested to work an extended day and weekends to meet deadlines.
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.
Community Specialist – North Central MA Region
Job Title and Organizational Structure
The Health Connector Community Specialist team is located within the Communication and Outreach department. This is a mobile team that travels to assigned community locations and events to increase the Health Connector’s community presence and availability of support for application and enrollment assistance in underserved areas.
Community Specialists will divide their time between their assigned community sites and outreach events. They may also spend time at a Health Connector designated office site or may work in a remote location. This position will have a geographic focus in the North Central region of Massachusetts.
However, there may be periodic assignments outside of this region based on community needs as identified by the Health Connector. The Community Specialist will travel to designated locations as directed by the supervisor up to five days per week.
The Community Specialist will help community members and applicants on a 1:1 basis to assist with all aspects of the application for health insurance and enrollment process. The Community Specialist will also help applicants and members interpret and understand eligibility and enrollment rules and processes and answer applicant questions related to their coverage.
Key Responsibilities Include
While on-site at assigned locations, the Community Specialist will:
- collaborate with community agencies to increase community knowledge and enrollment in health insurance
- provide eligibility and enrollment assistance for a diverse population of applicants and members in person (appointment or walk-in)
- assist applicants and members with completing eligibility forms and required verifications for Health Connector or MassHealth programs to obtain and validate demographic and financial information
- analyze documentation to ensure accuracy and completeness to support the determination of eligibility for programs administered by the Health Connector and MassHealth
- communicate with members, applicants and/or their authorized representatives to explain requirements of Health Connector and MassHealth programs
- reply to member inquires and provide information regarding eligibility requirements
When at assigned Health Connector office location or remote location, the Community Specialist will:
- follow up on any outstanding work related to interactions with applicants, members, and other external stakeholders
- process eligibility applications and provide case maintenance for Health Connector or MassHealth applicants and members
- conduct outreach to eligible community members and assist to schedule appointment times or provide telephonic support to Health Connector applicants or members
The Community Specialist position will report directly to the Community Specialist Supervisor. The Community Specialist team is within the Communications and Outreach department.
Basic Requirements
Working conditions and additional requirements (including special requirements, e.g., lifting, travel):
- Participates in ongoing education and training to improve skills and role-specific certifications or specializations.
- Attends and participates in meetings to ensure policies, procedures, and workflows are up to date.
- Understands and displays empathy for those with diverse cultural or ethnic backgrounds.
- Collaborates and communicates effectively with colleagues and diverse populations in a professional manner.
- Must be able to work under typical office conditions and remote work as required. Work may require simultaneous use of a telephone/cellphone and laptop/keyboard and sitting for extended durations.
- Personal vehicle with current insurance. Valid driver’s license in good standing with a safe driving record.
- Up to 5 days/week travel required to assigned locations.
The statements above aim to explain the overall nature and scope of work being carried out by the employees of this classification. They are not intended to be perceived as an all-inclusive list of every responsibility, task, and skill needed for the position. Management has the right to add or alter the position’s duties at any given time.
Experience & Qualifications
- Two years of full-time, or equivalent part-time, professional or paraprofessional experience in social work or social casework or customer service.
- Experience in navigating health insurance applications for state programs or familiarity with state health programs, including the Health Connector and MassHealth
- Prior customer service dealing directly with applicants/members either by telephone, electronically, or face-to-face
- Skilled in active listening, demonstrating the capacity to listen to what people say and ask questions when appropriate.
- Display sound judgment coupled with the ability to maintain composure in difficult situations.
- Exceptional verbal and written communication skills, communicating information and ideas so others will understand.
- Strong attention to detail with the ability to evaluate and verify information against a set of standards.
- Ability to work independently and without direct supervision
- Demonstrated ability to perform detailed data entry accurately
- Demonstrated ability to navigate web-based software technology
- Ability to analyze eligibility documents
- Ability to use provided training materials and job aids to quickly and accurately resolve customer issues
- Bilingual or Multi-lingual
If interested
Send a cover letter and résumé to Connector-jobs@mass.gov.
Salary
$65,000/year
Please note
- Possession of a current and valid Massachusetts Class D Motor Vehicle Operator’s license or the equivalent from another state.
- A criminal background check will be completed on the recommended candidate.
- Due to the requirement of 268A, please complete the Applicant Disclosure Form and return it with your application.
- All Health Connector employees are required to provide satisfactory proof of eligibility to work in the United States
- The Health Connector is operating on a hybrid work arrangement with 2 days in the downtown Boston office and 3 days working from home.
- Employee may be requested to work an extended day and weekends to meet deadlines
About the Health Connector
The Commonwealth Health Insurance Connector Authority (Massachusetts 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 workforce. We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin, or disability.
Enrollment and Billing Coordinator
The Enrollment and Billing Coordinator will support the Premium Billing and Notices area by becoming a subject matter expert in operational policies and processes and participating in day-to-day team activities, and leading relevant projects. The Enrollment and Billing Coordinator reports to the Manager of Enrollment and Billing and will collaborate with internal staff, key vendors, and stakeholders in order to assist in daily operations and contribute to program improvement initiatives and project implementations.
Key Responsibilities Include
- Support Manager of Enrollment and Billing in day-to-day activities related to Premium Billing and Notices.
- Lead projects targeted at improving Premium Billing and Notices functions performed by the Health Connector and appropriate vendors and partners.
- Work collaboratively with the Health Connector internal teams (business, policy, legal, and IT) and vendors to coordinate project activities and interdependencies.
- Perform and coordinate testing and business validations and create necessary artifacts, including use cases, test cases, and business process models.
- Provide program support in areas such as member/stakeholder communications, business process design, business operations, reporting, policies and procedures development, and documentation.
- Represent operations team in cross-functional meetings and work sessions and provide subject matter expertise in Premium Billing and Notices.
- Create and distribute meeting materials and project artifacts such as project plans, power point presentations, operating procedure documentation, risk and decision registers etc.
- Assist with program integrity and audit activities as needed.
- Participate in cross-functional workgroups focused on operational improvements.
- Lead and participate in projects related to day-to-day operational activities as well as planning for future implementations and enhancements.
- Monitor relevant reports to track performance and quality.
- Monitor ongoing member communications output for quality, consistency and meeting business requirements.
- Assist with the development and review of Premium Billing training materials.
- Analyze operational reports to identify potential changes needed to existing policies and procedures in Premium Billing, customer service and communications.
- Provide support to key vendors with regard to reviewing training and documentation, assisting in workflow development and assisting with escalated member issues related to projects and initiatives.
- Support Open Enrollment project activities through testing, documentation, reporting and other activities as necessary.
- Other duties as assigned.
Experience & Qualifications
- Bachelor’s Degree preferred but not required
- Demonstrated ability to solve problems and meet deliverables dates
- Preferred experience in health care, insurance, operations, billing, or customer service
- Preferred experience with SDLC, ticket management systems, CRMs
- Comfort in a fast-paced work environment with competing priorities
- Ability to balance varying workload and prioritize effectively
- Ability to work independently and collaboratively within a team
- Strong written and verbal communication skills to interact effectively with cross-functional teams and vendor staff
- Analytical and problem-solving skills
- Strong computer skills, including Word, Excel, and PowerPoint
- Vendor Management experience is strongly preferred
- Knowledge and understanding of the Healthcare industry and ACA strongly preferred
If interested
Send a cover letter and résumé to Connector-jobs@mass.gov.
Salary
$70,000-73,000/year
Please note
- Due to the requirement of 268A, please complete the Applicant Disclosure Form and return it with your application.
- All Health Connector employees are required to provide satisfactory proof of eligibility to work in the United States
- The Health Connector is operating on a hybrid work arrangement with 2 days in the downtown Boston office and 3 days working from home.
- Employee may be requested to work an extended day and weekends to meet deadlines
About the Health Connector
The Commonwealth Health Insurance Connector Authority (Massachusetts 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 workforce. We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin, or disability.
Reporting Analyst
The Health Connector is seeking a Reporting Analyst to work with Health Connector staff and stakeholders to produce accurate, validated, sustainable, and timely reports. The Reporting Analyst is a member of the Data, Analytics & Reporting team within the Operations department and is the interface with stakeholders to ensure reports and data requests are managed and delivered timely and accurately. The Reporting Analyst reports to the Director of Data & Analytics, while working closely and collaboratively with a variety of teams in support of Health Connector programs.
Key Responsibilities Include
- Ensure reporting deliverables are met, and any issues escalated appropriately.
- Work with Health Connector staff and stakeholders to define, document, and communicate business and report requirements, expected outcomes, results, and other preferences.
- Develop and maintain user guides for all reports.
- Demonstrate reporting best practices to ensure the accurate collection, analysis, and distribution of reports such that the enterprise report catalog is manageable and sustainable.
- Ensure that data is validated, reconciled, and contextually consistent across all internal and external reports.
- Ensure all reporting deliverables are tracked, managed, accurate, and on time.
- Interpret data, analyze, and validate results, and help develop ad hoc and recurring reports to support strategic, operational, and financial decision-making in a timely manner.
- Identify opportunities to standardize, automate, and provide self-service reports in response to and in anticipation of business needs.
- Understand Health Connector program requirements, business processes, and systems management.
Basic Requirements
- Bachelor’s degree in business administration, economics, finance, information technology, computer science or related field.
- 3+ years of progressive experience and skill with business requirement gathering, report development, communication of findings, and data analysis.
- Ability to collaborate with subject matter experts, data analysts, and technical resources.
- Advanced Excel skills (preferably in a healthcare setting), and reporting and analytical packages (Tableau preferred).
- Strong customer focus with the demonstrated ability to build strong working relationships.
- Experience working with large amounts of complex relational data from different databases and data sources.
- Excellent technical writing skills to prepare outward-facing, publicly available analytical documents and reports and the ability to explain results accurately and concisely to both technical/non-technical colleagues and stakeholders.
- Excellent presentation and data visualization skills.
- Excellent time management skills and ability to manage competing priorities.
If interested
Send a cover letter and résumé to Connector-jobs@mass.gov.
Salary
$80,000-85,000/year
Please note
- Due to the requirement of 268A, please complete the Applicant Disclosure Form and return it with your application.
- All Health Connector employees are required to provide satisfactory proof of eligibility to work in the United States
- The Health Connector is operating on a hybrid work arrangement with 2 days in the downtown Boston office and 3 days working from home.
- Employee may be requested to work an extended day and weekends to meet deadlines
About the Health Connector
The Commonwealth Health Insurance Connector Authority (Massachusetts 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 workforce. We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin, or disability.
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