Careers

The Director of Operations and Business Development, Health Connector for Business (HCB) is responsible for the strategic direction, leadership, and oversight of Health Connector’s Health Connector for Businesses department, prioritizing activities and initiatives that improve consumer experience and maximize enrollment. This position reports to the Deputy COO, HCB, and Shared Services. Responsibilities  Direct, administer, and manage the operations of HCB; responsible for providing leadership and direction for formulating HCB’s strategic objectives and bringing them to senior leadership for input, discussion and decision.    Collaborate in the formulation of strategic plans and policies, including those that advance equity and reduce coverage disparities.  Make critical decisions that impact HCB’s success. This includes setting business priorities, defining strategies, and allocating resources effectively to achieve objectives.  Responsible for setting the long-term direction and goals of the organization, including inspiring and guiding the entire team to work towards a common vision.  Create goals and oversee execution of daily, weekly and monthly actions of the HCB team to meet and exceed targets for sales of new enrollments and retention of renewing groups.   Develop and maintain effective relationships and communication with key stakeholders to ensure successful implementation of projects.  Provide strategic input and leadership on decision-making issues affecting HCB, specifically evaluating potential partnerships.  Act as a strategic advisor and consultant offering expert advice on contracts, negotiations, or business deals HCB may enter. Coordinate and manage relationships across small businesses, including the performance of service centers, consolidation opportunities and production goals. Create and implement client touchpoints for brokers [...]

The Health Connector is seeking a Compliance Specialist to support the Health Connector’s Senior Compliance Manager in the coordination of its compliance activities, including monitoring its various audits. This individual will report to the Senior Compliance Manager, as part of the office of the General Counsel, and will have significant independent responsibility to 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, information technology, 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.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. Overseeing a system for the uniform handling of such complaints or reports.Responding to public records requests, including by evaluating the legitimacy of such requests [...]

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 [...]

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 [...]

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 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 [...]

The Financial Analyst will be responsible for the analysis of the Health Connector's financial information. Primary duties will be in the areas of financial analysis, budgeting, accounting, and auditing, and other support functions. The 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 management and development of the Health Connector’s administrative budget model, including analyzing enrollment and financial data  Collaborate with budget owners to provide robust and accurate annual plan and forecast inputs while providing quarterly variance analysis  Assist in managing spend against budget and forecast and present monthly expense and operational metric reports to assigned budget owners   Ensure variances are thoroughly investigated, opportunities and risks are identified and communicated to finance team members  Accounting, Audit and Control  Assist with updating standard operating procedures, control documentation, self-risk assessment, and the remediation of gaps  Monitor any risk assessment or audit findings, including performing the tracking and testing 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   Utilize business intelligence tools to create interactive dashboards and reports for various stakeholders, enabling data-driven decision-making  Other  Support the financial integrity process in validating internal and external reports to identify data discrepancies  Assist with scheduling and taking notes for key finance meetings  Performs other duties as needed and assigned   Qualifications:  Bachelor’s degree in finance or accounting  Master’s [...]

The Health Connector’s Policy and Plan Management team is seeking a Program and Product Specialist to provide day-to-day management of the Health Connector’s Qualified Health Plan (QHP) and Qualified Dental Plan (QDP) product offerings. The Program and Product Specialist will engage in the full product development and implementation lifecycle, including managing the annual procurement for health and dental plans via the Health Connector’s Seal of Approval process. The Program and Product Specialist will ensure the integrity and success of plan management efforts required for the sale of individual and small group QHPs and QDPs through the Health Connector’s web applications, serving as a key liaison between the Health Connector plan management, policy, and IT teams, as well as our technology, carrier and governmental agency partners. In this capacity, the Program and Product Specialist will play a key role in the Health Connector’s offering of high-value health and dental products to more than 250,000 individuals and small business employees throughout Massachusetts. The position reports to the Senior Director of Plan Management, with opportunities to engage with a variety of functional teams and leadership at both the Health Connector and various external stakeholders. (e.g., insurance carriers, technology and business vendors, various state and federal agencies) Key responsibilities: Successfully support execution of the annual Seal of Approval process, whereby QHP and QDP product design requirements are issued to potential insurance carriers seeking to sell products on the exchange, including the development of new strategic initiatives, updating procurement documents to reflect these initiatives, [...]