Careers

About the Massachusetts Health Connector

The Commonwealth Health Insurance Connector Authority (Health Connector) is an independent public authority serving as the Affordable Care Act (ACA)-compliant marketplace for the Commonwealth.  The organization is charged with providing subsidized and unsubsidized health insurance to individuals and small employers.  The Health Connector also oversees policy development related to health care reform under both state and federal laws, as well as conducting public education and outreach about health care reform and coverage opportunities.

The Health Connector is an equal opportunity employer that values diversity as a vital characteristic of its work force.  We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin, or disability.

Manager of Reporting

The Health Connector is seeking a Manager of Reporting to manage an internal reporting team, and ensure accurate reporting deliverables are provided to the business. The Manager of Reporting will work collaboratively with a variety of teams and senior leadership in support of Health Connector programs and ensuring accurate measurement and analysis of all information. The Manager of Reporting is responsible for overseeing, coordinating and conducting an array of reporting-related initiatives and will serve as a subject matter expert on Health Connector reports, information, business processes and business information needs. This is a full-time exempt position.

Key Responsibilities Include:

  • Ensure all reporting deliverables are met
  • Provide vision, strategy and leadership of the Reporting team consistent with current and longer-term business needs and goals
  • Identify opportunities to standardize, automate and provide self-service reports both in response to and in anticipation of business needs
  • Interpret data, analyze and validate results, and generate 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 and in consultation with IT, deploy best practices to ensure the accurate collection, analysis and distribution of data
  • Collaborate across departments to develop and implement improved workflows and processes
  • Prioritization of projects and improvements based on business needs
  • Supervise Reporting and Business Analyst(s)

Basic Requirements:

  • Bachelor’s degree in Business Administration, Economics, Finance, Information Management, Computer Science or related field
  • 5 years of progressive experience with reporting and analytical packages including SSRS and databases (SQL), including strong Excel skills
  • 3 years of supervisory experience
  • Strong analytical and critical thinking skills, including collecting, organizing, analyzing and disseminating information with attention to detail and accuracy
  • Adept at report development and communication of findings
  • Strong customer focus with the demonstrated ability to build strong working relationships
  • Ability to effectively handle multiple deliverables in a fast-paced environment with tight deadlines
  • Excellent written and oral communication skills
  • Ability to work independently and in collaboration with a variety of teams
  • Demonstrate a high degree of initiative, be results-oriented and eager to adapt to and drive change
  • Experience or familiarity with health insurance exchanges, health insurance and/or health reform a plus, but not required

Work Setting:

  • This position requires the employee to work on-site in an open office setting
  • Employee may be requested to work an extended day and weekends to meet deadlines

Salary: Salary range is competitive; salary will be commensurate with experience.

If interested: Send cover letter and résumé to Connector-jobs@state.ma.us.

Please note: Due to the requirement of 268A, please complete the Applicant Disclosure Form and return with your application.

About the Health Connector:

The Commonwealth Health Insurance Connector Authority (Health Connector) is an independent public authority serving as the Affordable Care Act (ACA)-compliant marketplace for the Commonwealth.  The organization is charged with providing subsidized and unsubsidized health insurance to individuals and small employers.  The Health Connector also oversees policy development related to health care reform under both state and federal laws, as well as conducting public education and outreach about health care reform and coverage opportunities.

The Health Connector is an equal opportunity employer that values diversity as a vital characteristic of its work force.  We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin or disability.

Appeals Research Associate

The Appeals Research Associate is responsible for facilitating the resolution of administrative eligibility appeals, and appeals of the Massachusetts Healthcare Tax Penalty. The role includes responsibility for carrying out the informal dispute resolution process mandated by the Affordable Care Act.   The candidate needs to possess well developed outreach and organizational skills and the ability to accurately complete special assignments in a timely manner.

The Appeals Research Associate will be responsible for:

  • Examining received appellant appeals documentation
  • Researching needed information in multiple systems to retrieve and validate data
  • Reviewing and resolving appeal issues in compliance with timeframe mandated by regulations
  • Communicating by telephone and in writing with appellants, their representatives, hearing officers, Connector Operations, Mass Health, the Department of Revenue and individuals to informally resolve appeals
  • Scheduling hearings with hearing officers and issuing hearing notices to appellants
  • Preparing documentation and supporting hearing officers on the day of hearings
  • Proofreading hearing officer decisions prior to issuing determinations to appellants
  • Providing case management to ensure appeal status is documented and case files are complete and up to date
  • Identifying recurring appeal issues to flag for review by Connector Operations
  • Assisting co-workers with administrative tasks as needed

Qualifications:

  • BA preferred.
  • Experience in healthcare, commercial insurance, administrative law, databases, conflict resolution, customer service or call center, Medicaid or advocacy work are helpful.
  • Ability to effectively manage workload and adjust to changing priorities.
  • Excellent customer service skills including the ability to ask appropriate questions and actively listen to identify underlying questions and issues (root cause analysis).
  • Solid research skills and experience maneuvering through multiple systems to access files to retrieve and validate data.
  • Proficiency in Microsoft Office.
  • A strong commitment to team work and a team environment.
  • Bilingual Spanish/English abilities are beneficial but not required.

Work Setting:

  • This position requires the employee to work on-site in a closed office setting
  • Employee may be requested to work an extended day and weekends to meet deadlines

Salary: Salary range is competitive; salary will be commensurate with experience.

If interested: Send cover letter and résumé to Connector-jobs@state.ma.us.

Please note: Due to the requirement of 268A, please complete the Applicant Disclosure Form and return with your application.

About the Health Connector:

The Commonwealth Health Insurance Connector Authority (Health Connector) is an independent public authority serving as the Affordable Care Act (ACA)-compliant marketplace for the Commonwealth.  The organization is charged with providing subsidized and unsubsidized health insurance to individuals and small employers.  The Health Connector also oversees policy development related to health care reform under both state and federal laws, as well as conducting public education and outreach about health care reform and coverage opportunities.

The Health Connector is an equal opportunity employer that values diversity as a vital characteristic of its work force.  We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin or disability.

General Counsel

The Health Connector is seeking a General Counsel to run its legal department and manage its legal affairs.  The General Counsel reports directly to the Executive Director and is responsible for overseeing a range of legal activities, including policy development, compliance, procurement and contracting matters, risk management, regulatory activity and administrative appeals.  This is a full-time exempt position.

Key Responsibilities include:

  • Manage a staff of lawyers, legal support personnel, compliance manager, human resources director, and an administrative appeals unit.
  • Advise the Executive Director and senior management on all legal issues, including statutory and regulatory interpretation, contracting, ethics, governance and compliance.
  •  Interpret and apply federal and state laws governing health insurance exchanges, including the federal Affordable Care Act and the state’s Chapter 58, which established the Health Connector.  Advise on policies and procedures designed to meet these legal requirements.
  • Advise senior management on issues related to board governance, including development of board reports and communications, compliance with board bylaws, and observance of open meeting requirements.
  • Advise on ethics issues, including development and monitoring of ethics policies, counseling on individual ethics questions, and conducting staff education and training.
  • Oversee compliance activities, encompassing a range of legal requirements that include data management, data privacy and security, fraud prevention, and ethics.  Compliance activities include interpreting governing statutes and regulations; developing and maintaining policies, procedures and internal controls; conducting training, investigating and responding to incidents of non-compliance; and advising on best practices and remediation.
  • Provide legal support for outside financial and programmatic audits of the Health Connector.
  • Ensure that Health Connector procurements are conducted in accordance with governing law and policy, and follow best practices.
  • Draft, negotiate and interpret contracts with health insurance carriers, external vendors, other branches of government, and other third parties.  Work with staff to interpret and conform to contractual requirements.
  • Provide legal advice on Health Connector grant procedures, including the awarding of grants to eligibility and enrollment navigators.
  • Oversee the Health Connector’s responsibility for enforcing minimum creditable coverage standards as established by state law.  Responsibilities including drafting and interpreting regulations; overseeing the certification of health plans as MCC-compliant; and managing regulatory staff.
  • Oversee the Health Connector’s role in adjudicating appeals of the individual mandate penalty, established by state law, which is imposed on residents who do not purchase health insurance if affordable and available.  Responsibilities include drafting and maintaining Health Connector regulations regarding the individual mandate, including the procedures for obtaining exemptions or bringing administrative appeals; managing appeals staff and hearing officers; and monitoring appeals and exemption procedures and decisions.
  • Ensure compliance with legal requirements governing the determination of eligibility, and other customer relations matters.  Responsibilities including drafting and maintaining Health Connector regulations regarding eligibility and enrollment, including the procedures for bringing administrative appeals of eligibility decisions; managing appeals staff and hearing officers; and monitoring appeals procedures and decisions.
  • Provide legal support on the design and implementation of eligibility determination and verification procedures, and noticing.  Advise on the resolution of customer service or customer relations issues.
  • Responsible for risk management, including conducting regular assessment of risk areas and developing and advising on best practices to avoid or minimize risk.  Ensure Health Connector representation in any pending or threatened litigation.  Respond to requests for information from regulatory or oversight agencies.   Maintain insurance coverage to indemnify against range of business risks.
  • Oversee the human resources function at the Health Connector.  Responsibilities include developing and maintaining personnel policies and code of conduct; participating in employee training; interpreting laws regarding employment and personnel matters; developing procedures and policies to ensure compliance with such laws; advising managers on personnel matters; and working on resolution of personnel issues.
  • Collaborate with Health Connector information technology staff on a range of issues arising from the Health Connector’s role as an internet-based e-commerce entity. Responsibilities include drafting, negotiating and advising on technology contracts with vendors or other third parties; implementing and monitoring data management, privacy protection, and security procedures; drafting and updating IT, data management, security and privacy policies; and overseeing risk assessments of privacy and security practices.
  • Handle a variety of business related functions, including trademark registration and protection, leasing of premises, and annual financial disclosures.
  • Maintain relations with legal departments of other government agencies in related fields, oversight agencies, and business partners.

 

Experience and Qualifications:

Requirements:

  • Candidates must have a J.D. from an accredited law school and be licensed to practice law in Massachusetts.
  • A minimum of 10 years of experience in active legal practice.
  • Knowledge of health insurance and health care issues.
  • Experience in government and public sector law.
  • Familiarity and high level of comfort with technology, sufficient to advise on legal matters arising from Health Connector’s role as an internet-based e-commerce entity.
  • Excellent communication skills, including written communications, public speaking, and presentations.
  • Strong organizational and managerial abilities. Must be able to manage multiple responsibilities simultaneously.
  • Ability to thrive in a complex, fast-paced environment.

Preferred:

  • Familiarity with health insurance exchanges, administrative law.
  • Experience with legal issues related to data privacy and security, particularly in the health care field.
  • Experience in personnel management and/or employment law.
  • Experience in risk management.

Work Setting: This position requires the employee to work on-site.

Salary: Salary range is competitive; salary will be commensurate with experience.

If interested: Send cover letter and résumé to Connector-jobs@state.ma.us.

Please note: Due to the requirement of 268A, please complete the Applicant Disclosure Form and return with your application.

About the Health Connector:

The Commonwealth Health Insurance Connector Authority (Health Connector) is an independent public authority serving as the Affordable Care Act (ACA)-compliant marketplace for the Commonwealth.  The organization is charged with providing subsidized and unsubsidized health insurance to individuals and small employers.  The Health Connector also oversees policy development related to health care reform under both state and federal laws, as well as conducting public education and outreach about health care reform and coverage opportunities.

The Health Connector is an equal opportunity employer that values diversity as a vital characteristic of its work force.  We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin or disability.

Compliance Manager

The Health Connector is seeking a compliance manager to direct and manage its compliance activities. This individual will report to the General Counsel’s office, but will have significant independent responsibility to design and 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 exchanges, 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, or financial) 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.
  • Collaborating with Health Connector information technology staff to implement and monitor proper data management, privacy protection, and security procedures are in place. Drafting and updating IT, data management, security and privacy policies, conducting risk assessments of privacy and security practices.
  • 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. Developing and overseeing a system for the uniform handling of such complaints or reports.
  • Ensuring that compliance issues or concerns within the organization are being appropriately evaluated, investigated and resolved.
  • Identifying potential areas of compliance vulnerability and risk, and assisting in developing appropriate responses to correct or remediate problematic issues.
  • In collaboration with legal staff, developing and delivering regular trainings and other activities to heighten employee awareness of employee standards of conduct, reporting obligations, and understanding of the Health Connector’s legal obligations and potential areas of risk.
  • Ensuring proper reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required.
  • Reporting regularly to the Health Connector executive director on the progress and operation of compliance activities.
  • Procuring, managing and directing external audits of Health Connector operations, working in coordination with the Health Connector financial, legal and operations teams.
  • Providing reports and updates to federal regulatory agencies on compliance activities.
  • Responding to inquiries or information requests, as they occur.

Experience and Qualifications:

  • A Bachelor’s degree is required.
  • A minimum of two years’ experience in compliance, or legal support.
  • Experience with health care, insurance, regulatory interpretation, and/or government operations strongly preferred.
  • Experience or familiarity with IT system operations or data management preferred.
  • Demonstrated ability to assume leadership and work independently.
  • Strong ability to communicate effectively both orally and in writing.

Work Setting: This position requires the employee to work on-site in an open office setting.

Salary: Salary range is competitive; salary will be commensurate with experience.

If interested: Send cover letter and résumé to Connector-jobs@state.ma.us.

Please note: Due to the requirement of 268A, please complete the Applicant Disclosure Form and return with your application.

About the Health Connector:

The Commonwealth Health Insurance Connector Authority (Health Connector) is an independent public authority serving as the Affordable Care Act (ACA)-compliant marketplace for the Commonwealth.  The organization is charged with providing subsidized and unsubsidized health insurance to individuals and small employers.  The Health Connector also oversees policy development related to health care reform under both state and federal laws, as well as conducting public education and outreach about health care reform and coverage opportunities.

The Health Connector is an equal opportunity employer that values diversity as a vital characteristic of its work force.  We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin or disability.

Operations Intern – Fall 2018/Spring 2019

The Health Connector’s Operations Team is seeking an intern to join the team for fall 2018 and spring 2019.  This individual will participate in ongoing outreach activities with particular focus on the Health Connector for Business.

Key Responsibilities include:

  • Support the Health Connector for Business team with ongoing activities
  • Research outreach opportunities and partnerships across the Commonwealth
  • Outreach potential partners such as Chambers and state agencies that support small businesses to set-up events and collaborations
  • Conduct surveys of small businesses and brokers that shop through the Health Connector
  • Attend events to promote Health Connector for Business

Experience and Qualifications:

  • Strong MS Office Suite skills, including but not limited to Excel and PowerPoint
  • Interest in healthcare reform and healthcare operations
  • Exceptional presentation and communication skills
  • Strong research skills
  • Ability to work in a team setting
  • Ability to take initiative and work independently on projects

Education: Graduate student in public health preferred

Salary: This is a paid internship.

Length of Internship: September 2018 – May 2019 (minimum of 20 hours a week, 40 hours preferred)

About the Health Connector:

The Health Connector is an independent state authority that has been designated as the official Massachusetts health benefits Exchange under the federal Affordable Care Act. In addition to overseeing the implementation of both state and federal health reform, the Connector is committed to enhancing the experience, services and health insurance products for individuals and small businesses shopping through the Exchange. The Connector is also responsible for overseeing policy and regulations geared toward furthering the goals of health reform. More information about the Connector and its programs is available at www.MAhealthconnector.org.

Interested: Send cover letter and resume to Connector-jobs@state.ma.us.

Please note: Due to the requirement of General Law’s chapter 268A, please complete the Applicant Disclosure Form and return with your application.

The Health Connector is an equal opportunity employer that values diversity as a vital characteristic of its workforce.  We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin, or disability.

Project Management Intern

The Health Connector is seeking a project management intern to join the team for the Fall of 2018. This individual will assist with current project management and process management activities.

Key Responsibilities include:

  • Planning, management and completion of all tasks and projects required to support the overall business.
  • Partnering with stakeholders to define and monitor project parameters (timeline, resources and to establish a phased implementation strategy that meets Agency requirements).
  • Creating of project plans, organizing project documentation and tracking of milestones for assigned projects.
  • Preparing meeting agendas, write meeting notes, and monitor project timelines and deliverables on a proactive basis.
  • Maintaining close communications with stakeholders to ensure that projects remain on schedule and appropriately resourced.
  • Developing and publishing communications to project updates to stakeholders and senior management.
  • Preparing and presenting oral and/or written project reports and presentations.

Qualifications:

  • Familiarity with project management methodologies, including product backlogs, prioritization, task management and status reporting
  • Interest in continuous improvement initiatives, including Lean and Six Sigma
  • Ability to cross reference ideas and concepts and document information for a range of audiences (detail vs. summary)
  • Ability to communicate with all levels of the organization
  • Working knowledge of MS Office, Visio and Project

Other skills:

  • Ability to work in a team environment
  • Excellent written and verbal communication skills
  • Detail oriented and possess excellent follow up skills
  • Must be organized and work well with constant priority changes
  • Must be able to work independently with minimal supervision
  • Analytical/strategic thinker
  • Ability to quickly learn new applications

Education:

  • Upcoming junior or senior in undergraduate program of study
  • Master’s degree candidates will also be considered

Salary: This is a paid internship.

Length of Internship: June-August/September 2018  (minimum of 20 hours a week)

About the Health Connector:

The Health Connector is an independent state authority that has been designated as the official Massachusetts health benefits Exchange under the federal Affordable Care Act. In addition to overseeing the implementation of both state and federal health reform, the Connector is committed to enhancing the experience, services and health insurance products for individuals and small businesses shopping through the Exchange. The Connector is also responsible for overseeing policy and regulations geared toward furthering the goals of health reform. More information about the Connector and its programs is available at www.MAhealthconnector.org.

Interested: Send cover letter and resume to Connector-jobs@state.ma.us.

Please note: Due to the requirement of General Law’s chapter 268A, please complete the Applicant Disclosure Form and return with your application.

 

The Health Connector is an equal opportunity employer that values diversity as a vital characteristic of its workforce.  We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin, or disability.