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So far Health Connector has created 91 blog entries.

Operations Health Plan and Small Group Coordinator

The Operations Health Plan and Small Group Coordinator provides day-to-day operational support and relationship management to medical and dental carriers, maintains and enhances Health Connector interactions with medical and dental carriers, supports small group business operations, and assists in the development of operational improvement projects.  Key Responsibilities include: Act as liaison with health and dental plans, maintaining positive and productive working relationships between the Health Connector and contracted health and dental plans. Represents carriers as stakeholders in all internal activities, meetings, and communications Oversee research and resolution of health and dental plan issues, including gathering required data, coordinating vendor and internal Connector resources, ensuring the timely and accurate analysis of issues, identifying steps for issue resolution, and complete the appropriate communications to carriers and internal partners Review escalated cases and manage communication with carriers to support operations Support the day-to-day operations of the small group vendor including coordinating annual renewal processes, monitoring monthly small business bill and enrollment transactions, engaging internal and external stakeholders regarding small group business needs, reviewing and validating monthly reports, lead rate and systems testing and communicate results with appropriate stakeholders, and support new systems implementation and transitional activities Coordinate external service meetings between Health Connector and health and dental carriers, small group business vendor, and lead internal cross departmental meetings including setting agendas, chairing those meetings and ensuring that all active issues are addressed expeditiously Monitor agreed upon health and dental metrics to ensure operational standards and turnaround times are consistently met Lead health [...]

Friday, January 13th, 2017|

Finish your enrollment by December 23rd for January 1, 2017 coverage

If you are renewing your health insurance through the Health Connector for 2017, or are applying for the first time, the deadline to complete your enrollment for coverage that starts January 1 is December 23, 2016. Take action now to be sure that you’ve completed these steps to finish your January 1st enrollment: Complete all of the required information to find out what type of coverage or savings you qualify for, like tax credits, a ConnectorCare plan, or MassHealth. Make sure your information is as up-to-date as possible if you are a renewing member. If you qualify for a Health Connector or ConnectorCare plan, you can use our Shopping Guides and new Provider Search tool to help find a quality health and dental plan to meet your needs and budget. Once you choose a plan, you must make your first premium payment, in full, by December 23, 2016 for your coverage to start January 1, 2017. You can set up monthly recurring payments online so your bill will always be paid on time each month. There are 4 ways to make a payment. Learn about them now → If you are a renewing member and have already set up automatic recurring payments, then you do not need to set up a new recurring payment. Your new premium will be deducted on December 22nd, even if you enrolled in a plan with a different insurance company.  Congratulations. Once you have finished your enrollment, [...]

Monday, December 19th, 2016|

As Health Connector Deadline for January Plans Looms, Members and New Applicants Take Steps for Enrollment

Nearly 28,000 members have switched plans for 2017, more than 24,000 new applicants have picked a plan or enrolled for the New Year BOSTON – December 14, 2016 – With the Dec. 23 deadline approaching for plans starting Jan. 1, 2017, more than 28,000 current Massachusetts Health Connector members have picked a new plan and more than 24,000 new applicants have lined up coverage for the New Year. Open Enrollment started Nov. 1 and runs through Jan. 31, but the Dec. 23 deadline is the most important of the year. For people – both current members and new applicants – who want new coverage for the New Year, the deadline to pick a plan and pay for it is nine days away. The federal deadline is Dec. 15, but Massachusetts residents have additional time under state rules to complete their enrollment. “We are pleased to see so many people, take the time to ‘stop, shop, enroll’ early in Open Enrollment and get into the best plan for their needs for 2017,” said Louis Gutierrez, the Executive Director of the Massachusetts Health Connector. “The deadline is Dec. 23 to get coverage for the New Year, which is important for both members who want a different plan next year, and for those who do not have insurance right now.” Before and throughout Open Enrollment, current members have been encouraged to shop for new 2017 plans, particularly those who would otherwise experience a large increase in premium. Members have been active during Open [...]

Wednesday, December 14th, 2016|

Entry Level – Testing Analyst

The Testing Analyst will act as a liaison between the Health Connector operations, policy and technology partners to help test and implement technology solutions that meet business needs. This entry-level position includes developing and executing test cases and participating in Joint Application Design (JAD) sessions. Areas covered include product development, back office operations, readiness for annual open enrollment and ongoing operational/IT processes. Key Responsibilities: Develop and execute test cases, document results and coordinate user acceptance test activities with subject matter experts. Actively manage application defects from inception through resolution, working with business SMEs, application designers, developers and testers to effectively prioritize and drive to resolution. Develop and maintain functional and non-functional requirements and Software Development Lifecycle (SDLC) documentation including Use Cases, project plans, test cases, and business process models. Manual execution of User Acceptance Testing (UAT) cases, capturing and reporting results to Health Connector and external vendor project managers. Participate in defect meetings by providing information required to triage and resolve issues encountered during testing. Participate in project meetings such as Joint Application Design (JAD) sessions, defect triage and test case and/or requirements documentation reviews involving cross functional teams, key business stakeholders and development managers. Collaborate with internal Health Connector and external vendor project managers and initiative leads Work with small teams of senior business analysts, implementation managers, external vendors and consultants to support HIX/IES implementation activities. Participate in larger teams as a team member, and/or work independently. Qualifications: Bachelor’s Degree in a related field 1-3 years of project [...]

Tuesday, December 13th, 2016|

Payroll Processor / Junior Accountant

The Health Connector is seeking a knowledgeable, detail-oriented and motivated Payroll Processor / Junior Accountant to assist with accounts payable processing and payroll support. The ideal candidate should have strong knowledge of accounting principles, organizational and analytical skills, and the ability to work well individually or in a team. Core Responsibilities: Assist with the preparation of the bi-weekly payroll, including setting up new hire benefits Accounts payable processing, including member refund checks, and employee expense reimbursements. Ability to resolve discrepancies related to vendor invoices Assist with preparing annual 1099’s to vendors Assist with the preparation of filing the annual abandoned property return Provides support to the monthly close process Prepare wire transfer documentation Maintains accounting controls by following policies and procedures; complying with federal and state requirements Assist with the preparation of required schedules for the year-end audits Assists the team with preparation of materials for state and federal audits Assist with other projects, as needed  Minimum Qualifications: Associates degree with 1-3 years of experience, or equivalent Ability to assess priorities and operate in a flexible manner in order to meet the dynamic needs of the Health Connector Strong analytic and communication skills Ability to work independently Attention to detail Demonstrated experience using Microsoft Word, Excel essential Familiarity with ADP payroll software Familiarity with QuickBooks or a similar accounting software package is useful Strong organizational and document management skills, ability to organize and manage electronic documents so the Health Connector can efficiently store, retrieve and share documents as needed Fundamental  [...]

Tuesday, December 13th, 2016|

Operations Training Intern

The Health Connector’s Operations Team is seeking an intern to join the team in January 2017 for the spring semester. This individual will participate in ongoing operational activities with particular focus on the design and development of the new call center and operations training program with the out-sourced vendor. Key Responsibilities include: Assist the Manager of Quality and Training in the design and development of the call center and operations training program with collaboration from the out-sourced vendor. Work across the Operations Team to analyze, identify and document training needs that will be used in the design and development of the training program. Assist in creating performance metrics, reporting needs, and evaluation methods to assess the effectiveness of the training program. Additional Responsibilities include: Assist with review of current training material and new resources created to support operations staff. Provide training program project management tracking, as needed Assist with other business and operations projects, as needed Experience and Qualifications: Strong MS Office Suite skills, including but not limited to Excel and PowerPoint Understanding of adult learning theory and instructional design methodologies preferred Strong writing skills (writing sample may be required) Interest in healthcare reform and healthcare operations Ability to work in a team setting Ability to take initiative and work independently on projects Education: Graduate student in public health preferred; bilingual skills a plus Salary: This is a paid internship. Length of Internship: January–May (minimum of 20 hours a week) About the Connector: The Health Connector is an independent state authority that [...]

Wednesday, December 7th, 2016|

Vendor Relationships and Strategy Manager

Under the direction of the Chief Operating Officer, the Vendor Relationships and Strategy Manager will be responsible for ensuring adherence of vendors to contractual terms. This includes management and ongoing monitoring of the performance of contracted partners against all terms, budget or service level metrics. The Manager will also serve as a key person in the facilitation of a cross functional group who will be charged with developing different models for eventual procurement of services to meet evolving business needs Responsibilities include: Understanding all contract terms and tracking performance against those terms Leading performance and contractual review meetings with vendor partners Developing and tracking actions and timelines for business or corrective action plans Creating, analyzing and benchmarking different service and contractual models Managing invoices and work orders against budget; working with finance to project expenses Facilitating cross functional group to design and develop business requirements in preparation for contract negotiations and procurements Basic requirements: A. or B.S. required, Master's degree preferred 5 to 7+ years of vendor management or program management experience Experience in analysis and synthesis of findings Ability to work well both cross functionality within the Agency and cross organizationally with vendor partners Proven experience in developing and managing work-plans Exceptional written and verbal communication skills; Experience working with and presenting to Senior Leadership Demonstrated organizational ability and attention to detail Ability to work in a fast-paced environment Bilingual preferred Salary: Salary range is competitive; salary will be commensurate with experience. About the Health Connector: The Commonwealth Health Insurance [...]

Thursday, December 1st, 2016|

Service Center Performance Manager

The Service Center Performance Manager will be responsible for oversight of the Health Connector day-to-day service center activities with special emphasis upon designing and implementing operational improvements which decrease calls, improve call quality and first call resolution. This position is also the owner of forecast development and projections, which then inform the budget. This position requires close and collaborative work with the vendor responsible for call center delivery. This is a key role in the delivery of exceptional service to Health Connector members. Responsibilities will include, but will not be limited to: Oversee day-to-day operations for the Health Connector contact center(s) including monitoring and evaluation of performance metrics, evaluating staffing levels and overseeing development and usage of contact center forecast models Own development and maintenance of contact center forecast(s) and associated staffing plans in order to meet contractual requirements and best practice performance standards; Lead or participate in cross functional and cross organizational group which are designing and implementing optimization and efficiency programs including but not limited to new technologies, quality improvement or workflow changes Benchmarking best practices for forecasting models Benchmarking best practices for programs and alternative channels which contribute to improved efficiency and decreased costs/volume in the call center Own contact center plan and preparedness for open enrollment Identify changes to UI/UX and other systems which will improve the member interactions with the call center and drive down calls; drive changes into release schedules Participate in overall planned publicity, marketing and customer communications strategy development with goal of [...]

Thursday, December 1st, 2016|

Moving Your Health Care When You Choose a New Plan

Are you shopping for a new health plan this Open Enrollment? Use our Health Connector Shopping Guides to help you think about your health plan options this Open Enrollment. If you choose a new health plan, take these steps to transition (move) your health care from the health insurance plan you have now to your new health plan. In this post: What are the first steps I should take to transition (move) my health care to a new health insurance plan? What if I already scheduled surgery, tests, or doctor visits for after my new plan starts? What if my doctor or hospital is not covered through my new plan’s network? What if my medication is not covered through my new plan? What should I do when my new plan starts? What if I followed these steps, but am having trouble accessing health care in my new plan? How can I contact my new health plan with questions? What are the first steps I should take to transition (move) my health care to a new health insurance plan? If you need to change health care providers (such as doctors and hospitals you use) under your new plan, you may want to: Make sure you have enough refills on your prescriptions to last until your new plan starts and your new doctor can write you a prescription. Ask your current doctor or health plan for copies of your medical records, including any prior authorizations or referrals [...]

Tuesday, November 29th, 2016|

Financial Analyst

The Financial Analyst is responsible for review and analysis of Health Connector financial information and reporting. The Financial Analyst reports to the Chief Financial Officer, but will work very closely with other members of the Finance team. The Financial Analyst will have responsibility for: Financial Analysis and Reconciliation Financial analysis, reconciliation and modeling to support analysis of Health Connector programs Reconciliation of monthly financial transactions and resolution of any discrepancies Ability to anticipate financial reporting, forecasting and budgeting issues, assess their implications, determine implications and recommend an appropriate action plan Budget, Accounting and Audit Analysis and development of recommendations on Health Connector budgets Analysis of enrollment and financial data to track spending and improve forecasting Assist with annual federal and state audits and other reviews Assist with preparation of documents and reports for internal and external stakeholders Update the department’s operating procedures to ensure compliance with all federal and state laws and regulations Federal Grant Administration and Reporting Assist with federal grant administration activities, including program and financial reports and post-award actions Oversight, monitoring and documentation of sub-recipients’ financial and non-financial reporting activities to ensure compliance with policies and procedures Other Peer review of financial and analytical models Assistance with procurements Coordination and documentation of Finance team meetings and activities Performs other duties as needed and assigned  Qualifications: Bachelor’s degree in Finance, Accounting or related field (healthcare knowledge a plus) Proficiency with Microsoft Excel, Word and PowerPoint (SQL and Microsoft Access knowledge a plus) Strong analytic and communication skills, both [...]

Tuesday, November 29th, 2016|