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So far Health Connector has created 133 blog entries.

Join the Massachusetts Health Connector for a Day of Coverage June 27, 2019

On Thursday, June 27, 2019, the Massachusetts Health Connector embarks on a one-day, multi-city tour that includes stops at six locations across the Commonwealth to remind Massachusetts residents to enroll in health coverage. All events are free and open to the public. On Thursday, June 27, 2019, the Massachusetts Health Connector holds its “Day of Coverage” featuring activities across the Commonwealth designed to help people #GetCovered and #StayCovered with health insurance .“Day of Coverage” activities will be held in Salem, Somerville, Westfield, Boston's Chinatown, Brockton, and Jamaica Plain. Eligible Massachusetts residents can enroll in coverage anytime of the year if they are eligible for certain programs or experience a qualifying life event. Learn more about these now → Residents can sign up for coverage at, over the phone at 1-877-MA-ENROLL (1-877-623-6765), or in person through a local Navigator organization. Here's where we'll be throughout the day on June 27th. We hope you'll join us or help spread the word by following the Health Connector on social media. Day of Coverage Locations & Times Salem Salem Waffle Breakfast at the Commuter Rail stop 252 Bridge St, Salem, MA 01970 TIME: 6:30 a.m.–9:00 a.m. A Health Connector team will be at the Commuter Rail station serving waffles, coffee, and information on how to sign up for health and dental coverage. Somerville See Cate Great! in Davis Square TIME: 11:00 a.m.–1:00 p.m. The brilliant Cate Great! will perform a 30-minute show including unicycling, juggling, and sharing her experiences as a [...]

Wednesday, June 26th, 2019|

Member Outreach and Assistance Associate

Position Summary: The Member Outreach and Assistance Associate will be the primary point of contact for public health insurance needs for personal care attendant union members and be responsible for helping guide access to and enrollment in health coverage for personal care attendants (PCAs) in Massachusetts. This associate will work under the supervision of the Senior Outreach Coordinator and Policy Analyst and work closely with the rest of the Health Connector’s Communications and Outreach team. Key Responsibilities include: Assist PCA members directly with all aspects related to eligibility for and enrollment into public health insurance plans, including Health Connector and MassHealth coverage Serve as an expert in eligibility and enrollment policies related to public health insurance benefits, including Health Connector and MassHealth eligibility and enrollment policies Answer PCA member phone calls, electronic inquiries, and other referrals related to public health insurance access Triage PCA member issues and work closely with Health Connector, MassHealth, and Navigator staff to escalate and resolve issues related to PCA member coverage Assist in developing outreach material for PCA members related to public health insurance programs and how to access assistance with coverage Collaborate with PCA union representatives on the development and execution of outreach and educational events Schedule and attend PCA union events to promote and provide member assistance with health insurance coverage Work with other community organizations, state agencies and other entities to promote education and understanding of the Health Connector’s mission and participate in the planning and delivery of these presentations, as needed Requirements: [...]

Friday, June 21st, 2019|

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 [...]

Friday, June 21st, 2019|

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 [...]

Thursday, June 6th, 2019|

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 [...]

Monday, May 27th, 2019|

Celiac Disease Friendly Restaurants in Massachusetts

May is Celiac Disease Awareness Month. If you have the disease, or a gluten sensitivity, going out to eat can be a challenge. We looked at top choices from Find Me Gluten Free—a website dedicated to help people with gluten-sensitivity find safe restaurant choices—to share some top Massachusetts locations. Luckily, there are many restaurants all over Commonwealth that offer delicious, gluten-free and allergen-friendly options. Here are just a few options available: Sunset Grill and Pizza, Amherst, MA Looking for a quick bite out to eat with friends? Customers with Celiac Disease find it hard to find safe pizza option without a lot of research ahead of time, but Sunset Grill and Pizza makes it easy with its variety of gluten-free pizzas, sandwiches, and desserts. One customer even claimed that “eating here makes me feel like I don’t have Celiac!” Woodman’s of Essex, Essex, MA There are many good seafood options in New England, and Woodman’s in Essex offers a wide variety of options for all types of customers. Customers with gluten allergies can enjoy fried favorites like calamari and french-fries without worry, making the restaurant widely popular among customers with 96% of 60 voters rating it as Celiac-friendly and an average rating of 4.5 out of 5 stars among 65 reviewers. Milford Pizza Palace, Milford, MA If you think Celiac Disease means you are banned from pizza forever, think again. This Worcester County restaurant not only has an entire Gluten-Free menu, but the menu also lists every single ingredient [...]

Wednesday, May 8th, 2019|

Greater Boston Chamber of Commerce and Health Connector for Business Kickoff Small Business Week with Partnership to Better Empower Small Businesses to Access Affordable Health Insurance

BOSTON – May 6, 2019 – Working to empower small businesses to access affordable health insurance for employees, the Greater Boston Chamber of Commerce (GBCC) kicks off National Small Business Week by announcing a new partnership with the Health Connector for Business that delivers cost-saving opportunities to employers and health care insurance choice to employees. Through the partnership, GBCC small-business members (employers with less than 50 employees) will be able to create and manage accounts online and have direct access to support through customer service. In addition, health insurance brokers who are GBCC members will be connected to those small-business members to maximize the benefits of the platform. “Small businesses make up more than half of our Greater Boston Chamber membership, and we know that the rising costs of doing business can seriously impact their ability to succeed and grow,” said James E. Rooney, president and CEO of the GBCC. “We’re thrilled to partner with Health Connector for Business on an initiative that provides our small businesses and their employees with more health insurance options at more affordable rates.” “We are excited to enter into this partnership with the Greater Boston Chamber of Commerce and are committed to helping empower more small businesses access affordable health insurance,” said Louis Gutierrez, the Executive Director of the Massachusetts Health Connector. “Health Connector for Business can provide cost savings to small businesses, while delivering to employees unique choice opportunities they previously were unable to access.” Through the new partnership, Greater Boston Chamber of [...]

Monday, May 6th, 2019|Tags: |

Massachusetts Health Connector Selects Softheon to Modernize Billing and Payment Operations with Members, and Enrollment Data Transfer to Carriers

BOSTON – April 11, 2019 – Continuing to modernize and automate customer and carrier operations, the Massachusetts Health Connector Board of Directors today approved a five-year contract with Softheon, which will deliver new payment options for members while maintaining consistent enrollment information transfer to carriers. Starting in June 2020, members will be able to pay their monthly premiums by using a debit card, credit card or automated phone system fulfilling a long-time request from members for a wider variety of payment options. Softheon will also develop state-of-the-art billing and notice-delivery processes for the Health Connector. “Our goal as an agency is to deliver to our members high-quality, efficient customer service that supports a broader variety of consumer needs,” said Louis Gutierrez, the Executive Director of the Massachusetts Health Connector. “We are looking forward to the work with Softheon, so as to improve services for members and carriers.” “Softheon is truly honored to partner with the Health Connector in their mission to serve the citizens of Massachusetts,” said Eugene Sayan, Founder & CEO of Softheon. “As the health care industry embraces the digital transformation, we are committed to making health care affordable, accessible, and plentiful for all Americans.” The contract for Softheon includes configuring their systems and connecting them to existing operations by June 2020, and four years of running the Health Connector’s enrollment and billing operations. The five-year contract, which includes the creation of a new member portal, is valued at $60 million, along with potentially two, two-year extensions at [...]

Thursday, April 11th, 2019|Tags: |

ABCs of Health Insurance: Words to Know

Not really sure how a co-payment is different from co-insurance? Do you only “Kinda, sorta” understand deductibles? Health insurance has a language of its own and you want to be sure you’re choosing the right plan. Here, we’ll try to help you by explaining some of the most common terms you’ll see while you’re shopping for—and using—your insurance. Premium The amount you pay each month for your health insurance. You must pay your premium every month, whether or not you use health care services. The Health Connector will send you a bill for your premium each month. The premium will always be due by the 23rd of the month. Deductible The total amount you must pay in a plan year before your plan will pay for part or all of your services. Some services may not have a deductible. They may be free or just have a co-pay, even though you haven’t met the deductible yet. Co-pay A fixed price you pay when you get certain health care services. Not all services require a co-pay. Co-insurance If a health care service has co-insurance, you pay a percentage (part) of the cost for that service. Usually, you start to pay co-insurance after you meet your deductible. It is not a fixed cost like a co-pay. The amount you pay depends on the total cost of [...]

Wednesday, January 23rd, 2019|

Join the Massachusetts Health Connector for a “Day of Coverage” January 17, 2019

On Thursday, January 17, 2019, the Massachusetts Health Connector embarks on a one-day, multi-city tour that includes stops at six locations across the Commonwealth to remind Massachusetts residents there is still time to get 2019 health coverage before Open Enrollment ends January 23. On Thursday, January 17, 2019, the Massachusetts Health Connector holds its “Day of Coverage” featuring activities across the Commonwealth designed to help people #GetCovered and #StayCovered with health insurance for the new year.“Day of Coverage” activities will be held in Boston, Lawrence, Framingham, Worcester, Hyannis, and Vineyard Haven. Open Enrollment is happening now and runs through January 23, 2019. Massachusetts residents who want to enroll in coverage or switch plans to start February 1, must sign up through the Health Connector by January 23rd. Residents can sign up for coverage at, over the phone at 1-877-MA-ENROLL (1-877-623-6765), or in person through a local navigator organization. Here's where we'll be throughout the day on January 17th. We hope you'll join us or help spread the word by following the Health Connector on social media. Day of Coverage Locations & Times Boston Forest Hills MBTA Station, Jamaica Plain TIME: 7:00 a.m.–10:30 a.m. A Health Connector team will be at the Forest Hill MBTA station distributing information about Open Enrollment. Red Sox 2018 World Series trophy stop Join us between 8:30 and 9:30 a.m. to view the Commissioner's Trophy! Vineyard Haven Martha’s Vineyard Hospital TIME: 10:30 a.m.–12:30 p.m. A Health Connector team and Navigators will have an information table [...]

Thursday, January 17th, 2019|