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 Coordinator – Enrollment

Position Summary: Reporting to the Enrollment Manager of the Commonwealth Health Insurance Connector Authority (Health Connector), the Operations Coordinator will support enrollment functions by participating in day-to-day team activities, meetings and relevant projects, participate in projects and collaborating with SMEs and project participants.  The Operations Coordinator will work with Health Connector staff, vendors and stakeholders to support daily operations, program maintenance activities and project implementations. It is expected that Operations Coordinator will develop subject matter expertise in Health Connector policies and procedures to support daily activities in the most efficient manner.

Length of assignment: 12 – 18 months

Key Responsibilities include:

  • Participate in day to day operational activities
  • Attend ongoing operations and status meetings, participate in working sessions
  • Participate in Open Enrollment and 1095A project activities
  • Participate in business validations testing to support Open Enrollment and 1095A project activities, including coordination with team members and stakeholders participating in testing.
  • Monitor project schedules for ongoing operational projects such as Open Enrollment and 1095A, risk registers and other project related documents
  • Create and distribute meeting materials
  • Document meeting minutes, follow-up actions and decisions from meetings
  • Work collaboratively with the Health Connector internal teams (business, policy, legal and IT) and vendors to coordinate enrollment activities and project activities
  • Interact with key stakeholders including advocates, other state agencies, health plans and vendors to exchange information and/or address specific issues related to enrollment activities and operations projects
  • Perform case research and data analyses, aggregate information from multiple sources
  • Provide program support in areas such as member/stakeholder communications, business process design, business operations, policies & procedures and documentation
  • Prepare reports, tables, and charts to present to Health Connector staff and leadership
  • Monitor relevant reports to track process performance and quality
  • Provide support to key vendors with regard to reviewing documentation, assist in workflow development and assist with escalated member issues related to enrollment activities and operations projects

Requirements:

  • A Bachelor’s degree
  • A minimum of one -year business operations or customer service experience required, preferably in a health insurance or healthcare environment
  • Project coordination or management experience preferred
  • Knowledge of MS Office Suite, including Word, Excel, PowerPoint and Visio. MS Project preferred.
  • Ability to represent the Connector in a professional manner to external parties
  • Commitment to the goals of the Connector and Health Care Reform; ability to support a wide range of constituents in a constructive and informed manner
  • Commitment to understanding the policies and procedures of related programs and state agencies.
  • Excellent organizational skills.
  • Ability to work independently and on a team.

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.

Documentation and Training Coordinator

The Health Connector is currently engaged in procurement activities which will result in process and/or vendor changes for services related to Contact Center, Walk-in Centers, Back Office, Document Processing, Mailroom, Enrollment and Premium Billing, Member Portal, CRM and Notices.

Position Summary:

The Documentation and Training Coordinator is responsible for creating an inventory of all existing process documents and training materials and working with Health Connector and Vendor staff to conduct gap analysis and create new process documentation and training materials to reflect future state of operations. This role may involve travel to vendor locations to participate in train the trainer sessions and/or conduct agent training.

Length of assignment: 12 – 18 months

Key Responsibilities include:

Work with internal staff, vendors and members of other agencies to implement an umbrella management function that brands, centralizes, and standardizes training, job support, and quality management across all outreach and service channels; provide the direction needed for long-term scalability and consistency.

  • Work with internal staff and vendors to create an inventory of all process documents and training materials
  • Conduct assessment to determine if existing process documents and training materials are accurately reflecting all existing processes
  • Work with internal staff and vendors to create or update any process documents or training materials based on findings from assessment
  • Provide expertise and support related to instructional/informational design and development, appropriate content treatment and media, and effective delivery strategies
  • Lead the streamlining of current reference material and documentation; identify the need for new job aids, etc.
  • Set and maintain standards for training templates, communications, review cycle and methodology
  • Coordinate review process and ensure approval of learning and support materials
  • Work with internal staff and vendors to develop streamlined, consistent training materials across all channels
  • Ensure consistency and ongoing maintenance for training documentation, knowledge management, user guides and policies and procedures
  • Assume hands-on role in leading initiative internally and with vendors, related to documentation and training for all of Operations which consists of Contact Center, Walk-in Centers, Back Office, Document Processing, Mailroom, Enrollment and Premium Billing, Member Portal, CRM and Notices
  • Collaborate with internal staff and vendor(s) to assure standardization, communication, calibration, and consistency
  • Collaborate with project and/or program management team related to documentation and training functions – facilitating meetings, assigning resources, setting timelines and tracking project tasks and schedules
  • Prepare and present executive level presentations as assigned

Requirements:

  • Bachelor’s degree required.  Master’s degree preferred
  • Must have at least two years of experience as a training facilitator, designer or other training support function
  • Experience managing and working with multiple vendors
  • Healthcare industry experience is preferred
  • Must demonstrate clear understanding and appreciation of operational concepts and practices including use of systems, call routing, contact channels, quality initiatives, coaching and mentoring and learning styles
  • Excellent verbal and written communication skills; must have superior writing skills for informational and instructional material
  • Proficiency in Windows Office Suite (specifically PowerPoint, Word and Excel)

Additional Requirements:

  • Familiarity within a contact center (contact center and back office) environment is preferred
  • Ability to articulate and apply an instructional/informational design methodology
  • Working knowledge of state and national healthcare reform and health insurance helpful
  • Ability to represent the Connector in a professional manner to external parties
  • Commitment to the goals of the Connector and Health Care Reform; ability to support a wide range of constituents in a constructive and informed manner
  • Ability to work independently and on a team

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

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

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.

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 exchange, 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 finance) 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.
  • Responding to public records requests, including by evaluating the legitimacy of such requests and collaborating with other Health Connector staff to compile and produce responsive records
  • 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 Health Connector executive leadership 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.

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

Work Setting: This position requires the employee to work on-site.

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.

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