Open Positions

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.

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.

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.