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So far Health Connector has created 134 blog entries.

Eligibility Policy Analyst

  Position Summary: Reporting directly to the Director of Policy and Applied Research, the Eligibility Policy Analyst will serve as a lead Subject Matter Expert (SME) for the agency’s policy department and leadership team on individual coverage eligibility policy. The Eligibility Policy Analyst will be responsible for recommending eligibility system implementation approaches that support a member-centered approach to meeting federal and state health coverage eligibility requirements. This position requires the ability to work collaboratively and cross-functionally internally and across multiple agencies, IT partners, and vendors to best serve members and applicants. Responsible for: Serving as resident expert on federal (Affordable Care Act) and state program eligibility rules for health coverage and providing guidance to Health Connector staff and IT partners to ensure rules are accurately reflected in eligibility IT systems and Health Connector policies Compiling documentation on eligibility system rules for the purpose of training and educating staff and stakeholders Reviewing evidence from health policy researchers as well as member and system data to identify areas for improved policy or implementation approaches Recommending Health Connector policy and functional approaches to implementing federal and state rules in a member-centered manner within the design of the eligibility system Serving as point person for policy team in logging and prioritizing requests for system enhancements Representing the Policy Team in Joint Requirement Meeting (JRM) or other system design sessions involving cross functional teams, key business stakeholders and development managers. Ensuring that eligibility system documentation and implementation accurately reflect requested functionality As needed, supporting other [...]

Thursday, September 19th, 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|

Eligibility Operations Analyst

Position Summary: Reporting directly to the Director of Eligibility Operations, the Eligibility Operations Analyst will serve as a lead Subject Matter Expert (SME) responsible for conducting and signing off on business validation of release test results;  establishing a methodology to conduct regular reviews of eligibility scenarios and data sets and, as needed, working with third party vendors and  other SMEs to determine next best steps to resolve any findings.  This position requires the ability to work collaboratively and cross-functionally internally and across multiple agencies, IT partners, and vendors to drive business objectives and fulfill responsibilities. Responsible for: Understanding CCA eligibility policy, federal and state regulations and how these should be executed in operations to achieve intended results. Creation, development, and oversight of a methodology to routinely review Eligibility results against expected outcomes. Development and oversight of a dashboard of activities and metrics which measure desired performance against actual results. Lead a cross functional team whose charge is to routinely review this dashboard; analyze any discrepancies against expected outcomes and propose business solutions needed to resolve and continually improve overall performance. Ensure end-to end business processes are documented and updated on a regular basis to reflect current state. Participate in Joint Application Design (JAD) sessions involving cross functional teams, key business stakeholders and development managers. Participate in HIX release business testing and ensure any changes to the HIX program as a result of releases produce the expected eligibility outcomes. Log and monitor changes in functionality needed based on program review and [...]

Thursday, September 19th, 2019|

IT Support Specialist

Winter and Spring 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. 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. Salary: $21.00/hour Work Setting: This position requires the employee to work on-site. If interested: Send cover letter and résumé to Connector-jobs@state.ma.us  Please note: Due to [...]

Monday, September 16th, 2019|

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 www.MAhealthconnector.org, 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|

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 www.MAhealthconnector.org, 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|