Video Video Transcript: Coming soon Download Presentation PDF Download Presentation PDF Resources Find more information, tools, and resources for individuals and families on MassHealth determinations at https://mass.gov/masshealthrenew To get help with your MassHealth renewal, visit http://masshealthrenew.org
April 12, 2024 – The Massachusetts Health Connector is celebrating today’s 18th anniversary of health care reform in Massachusetts, highlighting all-time high enrollment in health and dental plans, and providing health insurance to more than 1.1 million Massachusetts residents since 2015. Today, 350,000 Massachusetts residents get their health or dental coverage (or both) through the Health Connector, the most in the Marketplace’s history. This includes more than 250,000 in ConnectorCare coverage, the Health Connector’s landmark subsidized health insurance program. “Massachusetts’s historic health care reform law was signed into law on April 12, 2006, and not only created new opportunities for Massachusetts residents to access affordable health coverage, it also served as the model for national reform and the Affordable Care Act,” said Audrey Morse Gasteier, the Executive Director of the Massachusetts Health Connector. “Over just the last decade, more than 1 million Massachusetts residents have relied the Health Connector at some point for the coverage they needed, and today more than 21 million people are in ACA plans due to what Massachusetts proved was possible nearly two decades ago.” Massachusetts’s health care reform law, known as Chapter 58, created the Health Connector and the concept of an insurance marketplace that could connect easily residents of all incomes to comprehensive health coverage if they did not have access to coverage through a job or another program, like Medicaid or Medicare. The Health Connector also created a model for delivering subsidized coverage to state residents who qualify. Originally known as Commonwealth [...]
The Data Scientist will be responsible for mining, analyzing, interpreting, and extracting business meaning from all available Health Connector and external data sources, with the goal of providing meaningful insights to inform and drive business and policy decisions. The position requires working cross-functionally with teams across the organization to solve large, complex problems using both historical as well as forward-looking modeling, and for understanding the experience of Health Connector membership and Health Connector program functioning. The Health Connector has recently established an enhanced Data, Analytics, and Reporting group, residing in the Finance Department. The Data Scientist is a new, full-time exempt position who will report to the Director of Data & Analytics.Key responsibilities include:Mining and analysis of large amounts of data and information to discover, contextualize, and articulate trends, patterns, and insights about Health Connector members and their health coverage.Development and maintenance of predictive modeling to address business questions.Development of conclusive insights to answer questions and drive business and policy decisions.Using data analytical and visualization best practices to create and present information to internal and external stakeholders.Other duties as needed and assigned.Qualifications:Master’s degree in data analytics, science, statistics, mathematics, computer science, or related field(s).Minimum 5 years overall work experience with data analysis and analytics.Ability to visualize data in effective and meaningful ways.Significant data mining, analytical, and modeling experience.Proficiency with handling data imperfections.Advanced Excel skills and familiarity with SQL and business intelligent tools for data analysisDetail-oriented with a focus on data accuracy and integrity.Strong analytic and communication skills, both written and [...]
The Health Connector has established a Data, Analytics, and Reporting Team, residing in the Finance Department. This new team is responsible for providing data, analytics, and business intelligence capabilities to the organization, in support of the mission, vision, strategies, and goals of the Health Connector. The Director of Data, Analytics, and Reporting is a new, full-time, exempt position, reporting to the Chief Architect, who will play a key role in driving data-driven decision-making and delivery within the organization. The position will be responsible for the delivery of analytics and reporting services throughout the organization, including leading a team collecting, analyzing, and interpreting data from various sources to provide valuable insights and recommendations. This position will direct the management, development, and delivery of data analytics and business intelligence throughout the organization.Key responsibilities include:Strong leadership and management skills, with the ability to motivate and inspire a team.Leading a team of three, including a Data Scientist and operational reporting team.Proven experience in data analysis and visualization tools, such as SQL, Excel, Tableau, Power BI, or similar tools.Excellent analytical and problem-solving skills, with a strong attention to detail.In-depth knowledge of statistical analysis techniques and methodologies.Proficiency in data modeling and data manipulation.Strong business acumen and the ability to connect data insights to business objectives.Excellent communication and presentation skills, with the ability to translate complex data into clear and actionable insights.Ability to work with teams across the organization to solve large, complex problems to achieve objectives.Development and maintenance of predictive models to address business questions.Ability to [...]
Working collaboratively with the Director of Human Resources, the Human Resources Specialist at the Health Connector is responsible for the operations of the Human Resources functions: staffing, employee benefits, employee relations, policy and procedure interpretation, and performance management. The Human Resources Specialist will also assist with short- and long-term Human Resources and enterprise-wide projects. Primary Responsibilities/Essential Functions Responsible for all sourcing and recruiting for exempt and non-exempt positions: partner with hiring supervisor to review job posting, determine sourcing method and posting locations, work with interview coordinator to screen and schedule applicants, conduct and document reference checks, extend employment offer, and participate in the onboarding process.Team with the in-house Group Insurance Commission (GIC) administrator to oversee all employee benefits both GIC and Health Connector sponsored. Responsible for the notification to employees of the open enrollment windows, meeting specified deadlines, and ensuring that all employee changes are accurately processed within the required time frame. Assist employees with questions, changes and eligibility interpretations. Make recommendations for additional benefit opportunities.Interpret Human Resources policies and procedures and answer questions from managers and staff. Triage potential employee relations issues and work closely with the Director of HR to facilitate appropriate resolution.Maintain Human Resources policies and procedures; assist with the annual review of the Employee Handbook to determine updates and changes. Collaborate with the Director of HR and the General Counsel on handbook revisions. Ensure that changes in employment law are reflected in Health Connector policies and staff members notified as necessary.Monitor the yearly employee performance review process using [...]
Marketplace enrollment increases dramatically by 40 percent in the last yearBOSTON – More than 72,000 people enrolled in new health insurance plans with the Massachusetts Health Connector during Open Enrollment 2024, which ended on January 23. This is the largest number of new enrollments in a decade, continuing a rapid increase in overall Health Connector enrollment, which has surged by 40 percent in the last year.Since February 2023, Health Connector individual health coverage enrollment has grown from 209,000 to 294,000 – a total increase of 85,000. Contributing to the surge in enrollment was this year’s historic ConnectorCare expansion – increasing the eligibility limit from 300 percent of the federal poverty level to 500 percent. During this year’s Open Enrollment, more than 43,000 current and new members moved into these new ConnectorCare plans. The Health Connector currently delivers individual (non-group) or small-business health insurance and dental coverage to more than 335,000 Massachusetts residents.The ongoing Medicaid redetermination process with MassHealth also continued to propel enrollment, with more than 25,000 people entering Health Connector coverage in January 2024 or February 2024 from MassHealth. Since redeterminations began in April 2023, more than 90,000 people have transitioned to Health Connector coverage after being no longer eligible for MassHealth.“Massachusetts has been a national leader in health coverage for nearly 20 years, and we’re so pleased to see even more people than ever before signing up for affordable health coverage through the Health Connector this Open Enrollment,” said Audrey Morse Gasteier, the Executive Director of the Massachusetts [...]
The Manager of Shared Services, Operations will support reporting, analytics, shared documents and QA activities for the Health Connector’s Operations Department. In addition, manage the Health Connector’s Ombudsperson team that is responsible for resolving urgent member issues. The Manager will work to identify business reports, process improvements, and implementation strategies to ensure business operations are successful meeting its needs.Duties and Responsibilities:Oversee and develop internal systems, tools, and processes to observe the quality of Health Connector performance efficiently and continuously.Direct and use analytical techniques and information-gathering processes for relevant reports.Conduct research, analyze data, identify trends, and prepare reports.Create daily, monthly and ad-hoc reports to meet operations and federal reporting needs. Create and maintain Health Connector shared services reports and dashboards.Use Tableau, Excel, and Microsoft access/SQL to analyze and create reports. Serves as SME for Excel, Tableau, Database, data interdependencies and process improvement.Integrate data from multiple sources to produce requested or required data elements.Program and maintain report forms and formats, information dashboards, data generators, canned reports and other end-user information portals or resources.Serve as a liaison between the business functions and IT, requiring advanced level understanding of the business processes, data and systems.Create effective business requirements documents as well as test plans to support design and build of operational reporting.Update, maintain, and review reports; ensures that all data and records are correct and reported accurately.In conjunction with Director of Learning and Development, lead and support the development and implementation of centralized documentation of Quality Assurance standards, policies, operational procedures, practices, and services.Support [...]
The Systems Engineer is responsible for ensuring the stability, integrity, and efficient operations of internal IT systems which support core operational functions. Under the management of the Director of Infrastructure and Security, the Systems Engineer will work to continuously define and improve IT systems infrastructure strategy, direction, standards, and management of all network systems, including disaster recovery, security of systems, monitoring, performance, and storage. This role must ensure reliable operations both on-premises and in the Cloud. Responsibilities Optimize the performance of existing IT systems both on-prem and Cloud environments Install and update software applications and ensure they meet quality, security, and business requirements Manage and coordinate the implementation of new systems or processes to ensure a smooth transition Conduct research to identify new technologies that could improve existing operational and business needs Provide technical guidance and expertise to other team members and teams to ensure that requested technologies align with the long-term IT vision and are feasible to support Maintain systems policies necessary to achieve compliance goals set by the Security and Compliance personnel Configure and implement automation monitoring and management of existing systems and processes Work closely with the Security and Compliance Managers to ensure that all necessary steps are taken to achieve the security and compliance goals to ensure systems comply with Federal and State regulations. Maintain good working relationships with our third-party vendors, while also holding them accountable for quality service and results. Serve as Subject Matter Expert on the evaluation of system and technology solutions [...]
Video Video Transcript: Coming soon Download Presentation PDF Download Presentation PDF Resources To get an estimate for the plans that may be available to you: https://betterhealthconnector.com/get-an-estimateTo search by your provider and your medication preferences (before you apply): Health Connector’s Plan Comparison ToolFor help getting started with the application: https://www.mahealthconnector.org/get-startedLink to the application: https://www.mahix.org/individual/For questions on how to enter income: MAhealthconnector.org/how-do-i-answer-questions-about-incomeLink to affordability questionnaire if you are offered coverage and think it may not be affordable: Job-based Insurance Affordability Calculator – Massachusetts Health Connector (mahealthconnector.org)For Medicare questions or questions regarding things to consider if you are over 65 and in need of coverage, please reach out to our colleagues from SHINE: https://www.mass.gov/health-insurance-counselingFor questions about COBRA or alternative coverage through the Health Connector: health-coverage-after-a-job-loss-eng.pdf (mahealthconnector.org)For questions about dental plans: MAhealthconnector.org/dentalIf you have a unique situation or question that you would like to discuss further or simply need more help, the Health Connector Customer Service team is available. They can be reached by phone at: 1-877-MA-ENROLL (1-877-623-6765), or TTY 1-877-623-7773 for people who are deaf, hard of hearing, or speech disabled. Business hours are Monday through Friday, 8:00 a.m. to 6:00 p.m. https://www.mahealthconnector.org/about/contactIn addition, support is available from Certified Assisters and Navigators in your community for free. Navigators are Health Connector Grantee organizations and have been trained to help with health insurance applications and Health Connector enrollment. It’s important to call ahead and schedule an appointment if you’d like their assistance. To find help in your community or to find help [...]
The Senior Financial Analyst will be responsible for the analysis of Health Connector's financial information. Primary duties will be in the areas of Financial Analysis and Reconciliation; budgeting, Auditing, Analytics; and other support functions. The Senior Financial Analyst reports to the Manager of Finance and is a full-time exempt position. Key responsibilities include: Budget, Forecast, and Business Partnering Assist with the management and development of the Health Connector’s administrative budget model, providing in-depth and detailed analysis to drive intelligent decision-making. Collaborate with budget owners to provide robust and accurate annual plan and forecast inputs while providing monthly variance analysis. Assist in managing spend against budget and forecast and present monthly expense and key metrics reports to assigned budget owners. Ensure variances are thoroughly investigated, opportunities and risks are identified and communicated to stakeholders. Accounting, Audit and Control Provide month-end support, including high-risk account reconciliations. Ownership of control documentation, self-risk assessment, and the gaps remediation for designated processes Perform sample and test of control activities. Financial Analysis and Reconciliation Work with the Manager of Finance on financial analysis and modeling, business data analysis, and all other financial aspects to support Health Connector programs Ability to anticipate financial issues, assess business implications, act proactively, and recommend an appropriate action plan Other Assist the manager in developing a high-performance team backed by trust and accountability. Assume analytical leadership and coordinate analytical efforts across multiple teams within the Health Connector Support the financial integrity process in validating internal and external reports to identify [...]
