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.

Member Eligibility Coordinator

The Member Eligibility Coordinator will support the Operations team by providing assistance on a variety of projects including assisting in system enhancement and defect tracking, daily operations, issue resolution, and contributing to program improvements.  This position reports directly to the Director of Eligibility and Implementation and assists the Director with day-to-day activities and ongoing programs.  In collaboration with the Director, the Member Eligibility Coordinator will facilitate meetings, track issues and resolutions, and provide review on system requirements.

Key Responsibilities

Contribute to system requirements gathering

  • Provide expertise on functional and non-functional requirements, including use cases, test cases, and business process models
  • Participate in Joint Application Design (JAD) sessions involving cross functional teams, key business stakeholders and development managers
  • Manage defects

 Eligibility and Enrollment verifications

  • Provide ongoing support to the Operations team and oversight of Customer Service vendor’s Document Processing and Verification unit
  • Participate in cross-agency discussions regarding current and future business processes

Notices

  • Provide ongoing support for eligibility member communications
  • Contribute to enhancements to notices, including content, translations, and document management tools
  • Work with communications vendor and communications team

Testing

  • Participate in User Acceptance Testing (UAT) in various environments
  • Effectively prioritize and drive resolution on issues

Escalations Support

  • Provide assistance on cases escalated through various stakeholder groups

Research

  • Keep current and maintain expertise on changing policies and evaluate their impact on Health Connector policies and operational procedures

Review of Stakeholder and Training Materials

Qualifications

Basic requirements:

  • Candidates must have a Bachelor’s Degree and demonstrate the ability to work on complex projects and meet deliverables within tight timeframes. The ability to prioritize and work independently and flexibly within a very fast-paced environment is a must.
  • Knowledge and understanding of eligibility for Insurance Affordability Programs in Massachusetts, including MassHealth, ConnectorCare, Premium Tax Credits.
  • Working knowledge of the Massachusetts marketplace eligibility application (MAhealthcare.org)
  • Ability to assess impact of eligibility regulations on operations and technology.
  • Strong written and verbal communication skills to interact effectively with cross-functional teams and vendor staff
  • Strong computer skills, including Word, Excel, and PowerPoint

Preferred requirements:

  • Have 2-5 years working in government, health care, or on health care policy
  • Have a Master’s degree in public health or health care administration or otherwise possess a demonstrable familiarity with the health care industry, public or private
  • Possess excellent organizational skills with the ability to pay attention to detail
  • Have the ability to balance a large volume of work that may vary periodically
  • Maintain a positive, proactive, cooperative work ethic at all times

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.

Quality Assurance Representative

SEASONAL ASSIGNMENT – October 2018-April 2019

The Quality Assurance Representative will be responsible for supporting services provided to members by the Health Connector. Primary duties will be in the areas of ensuring the quality of member interactions and other support functions for the 2019 open enrollment cycle. This is a 7-month temporary position.

The Quality Assurance Representative will have responsibility for:

  • Quality Assurance
    • Participate in call listening, auditing, and other contact center improvement activities
    • Research and report unique and urgent member issues in a timely and professional manner in collaboration with the Member Services Team and vendor
    • Monitor contact center inventory to ensure customer service adherence to policies and procedures, timely and appropriate communications with members, and appropriate resolution of member issues
    • Identify and report member experience trends to the Member Services Team in order to improve the overall member experience
    • Document all member and vendor interactions accurately and comprehensively
  • Other
    • Assist with other contact center and service recovery activities as needed and assigned

 Qualifications:

  • Bachelor’s degree preferred
  • Must have a valid driver’s license and be able to travel within Massachusetts
  • Minimum 2 years health care experience and minimum 2 years of customer service experience
  • Ability to work independently, exercise sound judgement and represent the Connector with members
  • Excellent verbal and written communication skills; bilingual skills preferred
  • Ability to navigate and thrive in a fast- paced environment
  • Proficiency with Microsoft Office, Salesforce, and experience navigating health coverage procedures and applications preferred
  • Attention to detail with strong organizational skills
  • Excellent customer service skills

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.

Contracted Hearing Officer (Part-Time)

The Contracted Hearing Officer will be responsible for conducting designated appeal hearings for the Massachusetts Health Connector, including eligibility appeals and healthcare tax penalty appeals.

The Hearing Officer is an independent contractor.  Hearing Officers work a variable schedule, although typically they typically hear appeals at the Health Connector 8-24 hours per month and are paid for decision writing time conducted off-site.

The Hearing Officer will have responsibility for:

  • Convening hearings and clearly explaining procedures which govern the hearing
  • Hearing testimony, and identifying and marking exhibits
  • Providing an impartial hearing
  • Assuring that the record is fully developed and all issues are adequately addressed
  • Assuring 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

Qualifications:

  • The Hearing Officer must be an attorney licensed to practice law in the Commonwealth of Massachusetts

Additional Skills:

  • Ability to gather information through questioning individuals and examining records and documents.
  • Maintenance of accurate records.
  • Ability to prioritize workload in order to complete all work within prescribed time frames.
  • Proven ability to communicate effectively in oral expression.
  • Must be able to exercise discretion in handling confidential information.
  • Deliver written and oral instructions in a precise, understandable manner.

Schedule: The schedule is dependent on need and Hearing Officer availability.

Compensation: $60.00 per hour

Work SettingThis position requires the contractor to work in an office.

If interested: Send cover letter and résumé to connector-appeals@mass.gov

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.

Member Services Coordinator

The Member Services Coordinator will be responsible for supporting services provided to members by the Health Connector. Primary duties will be in the areas of member escalations; health coverage eligibility and enrollment processes; and other support functions. This is a full-time exempt position.

The Member Services Coordinator will have responsibility for:

Member Escalations

  • Research, outreach and resolve unique and urgent member issues in a timely and professional manner in collaboration with vendor and other external stakeholders
  • Monitor caseload to ensure adherence to policies and procedures, timely communications to members and stakeholders, and appropriate resolution of member issues
  • Identify member experience trends, conduct and present root cause analyses in order to improve the overall customer experience
  • Assist members with their applications for, and enrollment in, Health Connector health coverage
  • Determine eligibility, enrollment discrepancies, premium billing, and customer service discrepancies, and work with vendor and other external stakeholders to resolve
  • Assist with preparation of documents and reports for internal and external stakeholders

Other

  • Identify and develop opportunities for proactive member engagement
  • Participate in call listening, auditing, and other contact center improvement activities
  • Assist with other service recovery and member-focused duties as needed and assigned

 Qualifications:

  • Bachelor’s degree preferred
  • Minimum 2 years health care experience and minimum 2 years of customer service experience
  • Ability to work independently, exercise sound judgement and represent the Connector with external stakeholders
  • Excellent verbal and written communication skills; bilingual skills preferred
  • Ability to navigate and thrive in a fast- paced environment
  • Proficiency with Microsoft Office, Salesforce, and experience navigating health coverage procedures and applications preferred
  • Strong analytic and communication skills, both written and verbal
  • Attention to detail with strong organizational skills
  • Excellent interpersonal skills

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.