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So far Health Connector has created 139 blog entries.

Massachusetts Health Connector Open Enrollment Continues through January 23, Offering High-Quality and Affordable Coverage to Residents

BOSTON – December 9, 2019 – Open Enrollment for health insurance through the Massachusetts Health Connector continues through January 23, 2020, providing residents time to find affordable coverage that delivers a wide range of benefits to make it easier and less costly to get health care. Uninsured residents have until December 23 to apply, pick a plan and make a payment in order to have coverage starting January 1, and they have until January 23 to apply for coverage starting February 1. In contrast, Open Enrollment in other states served through the federal marketplace ends as early as December 15. “As a state-based exchange, we extend our Open Enrollment deadline to provide our residents with ample time to apply and enroll in high-quality coverage,” said Louis Gutierrez, the Executive Director of the Massachusetts Health Connector. “Massachusetts leads the nation with 97 percent of residents insured, but now is the time for people without coverage to sign up as we work to get to 100 percent and ensure everyone has access to quality health care.” The Health Connector provides some of the lowest premiums of any exchange in the country for people who need coverage, with a broad range of plans to help members find the best fit for their health care needs. Low-income residents have access to affordable coverage through the ConnectorCare program, with subsidized premiums, low co-pays and no deductibles. In the first five weeks of Open Enrollment, 288,000 people were enrolled in new or continued health coverage for 2020. By [...]

Monday, December 9th, 2019|Tags: |

Shop smart to avoid health insurance scams

Not all companies selling health insurance are actually selling you good coverage. Some companies may try to sign you up for a “scam plan” that doesn’t meet legal requirements or may not even be real. These plans look affordable on the surface, but they may not offer the services or benefits you need to meet state standards. They may end up leaving you with big bills if you need care. That’s why it’s important to be a smart insurance shopper. Use these tips to watch out for plans that won’t be there for you when you need them, and learn how to find a health plan you can trust. Checklist for choosing health insurance you can trust Beware of unsolicited offers of health coverage over the phone or online. Many predatory companies will call you on your phone. They may use high-pressure sales tactics and claim that they can offer you low-cost access to name-brand health plans. If you get a call from a salesperson offering you health insurance, follow these tips to protect yourself: Research a phone number or company online to check its history. Never share personal information with an unsolicited telemarketer. Know that legitimate calls from the Health Connector about your coverage will only come from 1-877-623-6765, and state that “we’re calling from the Massachusetts Health Connector.” Check with the Division of Insurance (DOI) to make sure the health plan is legitimate. You should only buy health insurance from a company that is licensed [...]

Monday, December 9th, 2019|

How do I answer questions about income?

To determine your eligibility for health insurance and help paying costs (this includes ConnectorCare plans and Advance Premium Tax Credits from the Health Connector  or low- or no-cost coverage from MassHealth, the Children’s Medical Security Plan (CMSP), or the Health Safety Net (HSN)), the Health Connector must collect information about your household’s income. All members of the household who are applying for help paying for health or dental insurance will be asked to provide information about their projected and current income. The responses to the questions in the income section should be completed as directed in this guide. Income sources to include: For each of the following sources, make your best estimate for what your income will be in 2018. Wages Salaries Tips Net income from any self-employment or business Unemployment compensation Social Security payments, including disability payments Alimony Any other taxable income such as retirement income, investment income, pension income, rental income, prizes, awards, and gambling winnings Do NOT include the following as income: Child support Gifts Supplemental Security Income (SSI) Veterans’ disability payments Workers’ compensation Proceeds from loans (such as student loans, home equity loans, or bank loans) Do not include any money that an employer takes out of your paycheck such as: Child care Health insurance Retirement plans These “not taxable” items should be listed explicitly on your paycheck. Please be sure to double-check that the information you have entered is correct. There is a summary page at the end of the Income section of the [...]

Monday, November 25th, 2019|Tags: |

Part-Time Contracted Hearing Officer

The Part Time Contracted Hearing Officer will be responsible for conducting designated appeal hearings for the Health Connector, including eligibility appeals and healthcare tax penalty appeals. The Hearing Officer must be an attorney licensed to practice law in the Commonwealth of Massachusetts.  The Hearing Officer is an independent contractor.  Hearing Officers work a variable schedule, although typically they hear appeals at the Health Connector 8-24 hours per month and are paid for decision writing time conducted off-site. The schedule is dependent on need and Hearing Officer availability. Compensation is $70.00/hour. Key Responsibilities Convene hearing and clearly explain procedures which govern the hearing Hear testimony, and identify and mark exhibits Provide an impartial hearing Assure that record is fully developed and all issues adequately addressed Assure that an accurate recording of the hearing is made and archived according to prescribed protocols Render a written decision based on relevant regulations and standards within the time frames required by law and/or Health Connector Appeals Unit policy Requirements The Contracted Hearing Officer must be able to: Gather information through questioning individuals and examining records and documents. Maintain accurate records. Prioritize workload in order to complete all work within prescribed time frames. Communicate effectively in oral expression. Exercise discretion in handling confidential information. Give written and oral instructions in a precise, understandable manner. Interested: Send cover letter and resume to Connector-appeals@state.ma.us Please note: Due to the requirement of 268A, please complete the disclosure form and return with your application. About the Health Connector: The Commonwealth Health Insurance [...]

Monday, November 4th, 2019|

Open Enrollment begins through Massachusetts Health Connector

BOSTON – Nov. 1, 2019 – The Massachusetts Health Connector started Open Enrollment this morning, making affordable coverage available to anyone in Massachusetts without health insurance, including lower-income people who can take advantage of low premiums and co-pays through the ConnectorCare program. The Health Connector is Massachusetts’ state-based health insurance exchange, and provides health insurance to residents who do not get coverage through their employer. More than 97 percent of Massachusetts residents have health insurance, a result of the state’s 13-year old law which sought to ensure everyone in the Commonwealth has coverage. Nearly 290,000 people in Massachusetts get their health insurance through the Health Connector, and about three-quarters of those members are in ConnectorCare, benefitting from both state and federal subsidies to help make premiums and cost-sharing more affordable. For those shopping without financial assistance, the Health Connector year-over-year offers the lowest rates of any exchange in the nation. “Massachusetts continues to lead the nation in health insurance coverage, but we remain focused on getting to 100 percent – getting everyone covered,” said Louis Gutierrez, the Executive Director of the Massachusetts Health Connector. “Open Enrollment is the best time for people without coverage to get it, and we are ready to offer a stable and supportive experience to people looking for insurance.” Open Enrollment starts today and runs through Jan. 23, 2020. Not only can residents sign up for new coverage, but current Health Connector members can review their options and select a new plan if they choose for [...]

Friday, November 1st, 2019|

Reporting Analyst

The Health Connector is seeking a Reporting Analyst to ensure accurate reporting deliverables are provided to the business. The Reporting Analyst is a member of the Finance department and will report to the Manager of Reporting, while working closely and collaboratively with a variety of teams in support of Health Connector programs. The Reporting Analyst is responsible for interpretation and analysis of internal data sources, verification and validation of data across all data sources and developing accurate reports and providing deliverables in a timely manner. Key Responsibilities Include: Ensure all reporting deliverables are accurate and on time Interpret data, analyze and validate results, and develop ad hoc and recurring reports to support strategic, operational and financial decision-making in a timely manner Collaborate with subject matter experts, data architects and other stakeholders to understand report requirements In consultation with IT, deploy best practices to ensure the accurate collection, analysis and distribution of reports Identify opportunities to standardize, automate and provide self-service reports in response to and in anticipation of business needs Basic Requirements: BS in Mathematics, Economics, Computer Science, Information Management or Statistics 3-5 years of progressive experience with data analysis, reporting and analytical packages (Microsoft SQL server, SSRS and Power BI) and advanced Excel skills (preferably in a healthcare setting) Adept at report development and communication of findings 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 [...]

Wednesday, October 9th, 2019|

Web Marketing Intern

The Health Connector is seeking an intern to join the team for Fall 2019 to assist its Communications activities. This individual will participate in ongoing operational activities as well as implementation for the upcoming open enrollment period with particular focus on web content development and social media marketing. Key Responsibilities include: Assist the Associate Director of Web Marketing in planning for the 2019/2020 non-group open enrollment. Assist with website and social media social content creation and campaign planning that includes developing a weekly editorial calendar for social media through developing a content strategy, story sharing, and influencer engagement that fits in to the larger marketing plan. Monitor messages and post replies on Facebook, Twitter, Google+, and our website to drive engagement with our consumers. Reviewing social media and web stats and metrics and report findings to the team. Stay on top of social and web marketing trends in the health care space. Uploading, transcribing, and annotating videos and photos. Proofreading and editing web and social media content. Other marketing activities and projects as needed. Skills: Knowledge of social media – Facebook, Twitter, LinkedIn, YouTube, Instagram, blogs, etc. Familiarity with front-end web design, SEO, and content management (WordPress) is preferred Ability to create and upload Twitter, Facebook, Google+, Instagram, and YouTube digital assets Knowledge of video editing software such as Adobe Captivate, Premier Pro, or Windows Live Movie Maker is a plus Graphic design experience and knowledge of digital media software – Photoshop or other graphic design software, etc. is preferred Experience [...]

Thursday, October 3rd, 2019|

Business Validation Specialist – Enrollment and Premium Billing

Length of Assignment:  9 months (October 2019-June 2020) Position Summary: Reporting to the Manager of Operations, the Business Validation Specialist will perform premium billing and enrollment validation functions and participate in day-to-day team activities and meetings. It is expected that the Business Validation Specialist will develop subject matter expertise in Health Connector policies and procedures and a deep understanding of the scope of functions being implemented in order to perform job responsibilities and contribute to the success of the implementation in the most effective manner. Key Responsibilities include: Understand the Health Connector website functionality being tested through user guides and other written materials available, such as requirements documents Conduct business validations, policy and procedure testing, operational readiness activities, Create use cases, test cases, perform testing, log and describe defects, and report out on defects Conduct business validation testing of eligibility, enrollment, and premium billing notices Conduct business validation testing of the Member Portal Attend ongoing operations and status meetings, participate in working sessions as needed Work collaboratively with the Health Connector internal teams (business, policy, legal and IT) and vendors to coordinate business validation activities Providing feedback and recommended changes to system and business functions based on experience from business validations Experience and Qualifications: A Bachelor’s degree is required A minimum of one-year business validation, testing or operations experience required, preferably in a health insurance or healthcare environment Knowledge of MS Office Suite, including Word, Excel, PowerPoint and Visio. Knowledge of CRM application preferred Commitment to understanding the policies and [...]

Thursday, October 3rd, 2019|

Enterprise Systems Manager

  The Enterprise System Manager is a technically oriented project manager, responsible for overseeing the Health Connector’s strategic implementation project(s) and existing system. This role requires extensive experience in project delivery/management, designing business applications, monitoring, prioritizing, and guiding technical implementations. Candidates must possess hands on experience in project delivery, system design, requirement gathering, technical design, and overall project management. In addition, t0his role will be responsible for managing and implementing components of larger strategic implementation project(s), or smaller end-to-end IT projects. Key Responsibilities: Technical Leadership Responsible for defining the architectural standards to which applications supporting the Health Connector will conform and enforcing those standards with vendor partners. Lead initiatives towards the continuous improvement of culture, technology, and processes to ensure alignment between business strategies and technology roadmaps. Provide governance toward ensuring the creation of project and application architecture deliverables that are consistent with architecture principles, standards, methodologies, and best practices. Review and approve application architecture documents, which define and outline the design constraints, UML models, quality attributes and detailed design specifications, toward ensuring that architecture standards and best practices are followed and that the design aligns with business and strategic objectives. Work with business clients and product owners to review business drivers, needs and strategies to anticipate future business/technology needs. Provide expert knowledge of solution/application architecture and consult with business and other technology teams including vendor partners. Review and provide feedback on 3rd party and integration solution architecture based on established enterprise application strategy. Participate in architectural and technical design [...]

Thursday, September 19th, 2019|

Part-time IT Support Specialist

January–June 2020 The IT Support Specialist will be responsible for providing desktop, network, voice and application support to Connector staff, as well as testing any new software builds and/or new technology that the Connector is using. Areas covered include desktop, network and telephony support, back office operations, readiness for annual open enrollment and ongoing operational/IT processes. This position is a part-time temporary position for a minimum of 16 hours per week. Key Responsibilities: Provide tier 1 desktop support for Connector staff including (but not limited to) MS Office 365 (Outlook, Word, Excel, etc.) Windows OS management Archiving Email Connectivity Issues Hardware/software troubleshooting Phone/switch Issues Assist in the management of IT hardware and software assets Assist in testing software builds Assist in triaging Health Insurance Exchange application incidents, as needed Serve as primary Security Administrator for Security Systems Access requests Ensure that all Connector software is up to date (patches, anti-virus, etc.) Qualifications: College coursework and some experience in an IT support role. Advanced MS Office skills with the ability to work on complex projects and meet deliverables with tight timeframes are required. A strong work ethic and the ability to self-motivate and proactively learn about new technologies. Excellent communication skills, both written and verbal, as well as outstanding interpersonal skills are essential for communicating to vendors. The ability to work independently within a very fast-paced organization. Web development, database management, experience with OSX or Linux preferred. Networking knowledge preferred. Work Setting: This position requires the employee to work on-site. If interested: [...]

Monday, September 16th, 2019|