Job Description

The Health and Dental Plan Carrier Coordinator serves as the main day-to-day operational liaison between health and dental carrier partners and the Health Connector. The coordinator maintains and enhances the Health Connector’s interactions with carrier and vendor partners as related to operational and policy processes. The position reports to the Manager of Carrier Relations. The Health Connector is located in downtown Boston, MA.

Key Responsibilities Include

• Act as a liaison with health and dental carriers, maintaining positive and productive working relationships between the Health Connector and contracted carriers.
• Support the day-to-day operations for health and dental carrier operations, including but not limited to:
• Review escalated member issues and manage communication with carrier(s), vendor(s), and internal Health Connector resources, to ensure cases are resolved expediently within established guidelines.
• Conduct and oversee research and resolution of carrier enrollment system IT issues, including coordinating internal and external resources, gathering and analyzing required data, identifying next steps for issue resolution, and completing the appropriate communications to internal partner(s), carrier(s), and vendor(s).
• Represent carriers’ operational interests in internal activities, cross functional meetings, and communications.
• Assess and project manage complex system changes and enhancements by providing timely, accurate, and detailed information on such projects to impacted carriers.
• Coordinate external service meetings between the Health Connector, carrier(s), and external business vendor(s).
• Lead internal cross departmental meetings including setting agendas, chairing those meetings, and distributing post meeting notes and materials.
• Facilitate and participate in meetings with cross functional team(s), vendor(s), and carrier(s) to ensure timely, accurate and complete enrollment processing in all relevant IT systems.
• Produce, review, and distribute, monthly and quarterly enrollment and compliance reports for each carrier.
• Provide subject matter expertise to internal stakeholders and vendors on carrier reports.
• Monitor internal progress reports to ensure timely and satisfactory completion of carrier issues.
• Audit health and dental carrier compliance with Health Connector policies and procedures. Identify areas requiring improvement and lead efforts to ensure compliance.
• Support internal teams (Policy/Plan Management and IT) with communicating Open Enrollment requirements and activities to carriers.
• Work with the Manager of Carrier Relations and Policy & Plan Management team to modify and improve health and/or dental plan facing policies and/or procedures.
• Participate in cross-functional internal collaborations and projects.
• Other projects and duties as assigned by Manager of Carrier Relations.

Experience and Qualifications

• Bachelor’s Degree is preferred but not required
• Operations and/or project management background, with the ability to work on complex projects and meet deliverables within tight timeframes.
• Prior experience working with and knowledge of medical and dental insurance products.
• Knowledge of medical and dental insurance offerings in both the public and private sectors.
• Comfort in a fast-paced environment with competing priorities.
• Strong organizational skills.
• Proven communication skills, both written and verbal, as well as interpersonal skills.
• Demonstrated ability to work collaboratively and effectively in a cross-functional environment.
• Analytical and problem-solving skills.
• Strong computer skills, including Word, Excel, and PowerPoint.

The ideal candidate must be able to work successfully in a fast-paced environment, have proven ability to successfully multi-task, possess outstanding verbal and written communication skills, be able to successfully work independently or on a team, consistently exercise sound judgement, and demonstrate the ability to discern when an issue or situation should be escalated to management.

If interested: Send a cover letter and résumé to Connector.Jobs@mass.gov

Salary: $ 70,000 - $ 75,000/year

Please note:

• Due to the requirement of 268A, please complete the and return it with your application.
• All Health Connector employees are required to provide satisfactory proof of eligibility to work in the United States
• The Health Connector is operating on a hybrid work arrangement with 2 days in the downtown Boston office and 3 days working from home.
• Employee may be requested to work an extended day and weekends to meet deadlines

About the Health Connector:

The Commonwealth Health Insurance Connector Authority (Massachusetts 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 workforce. We consider qualified applicants without regard to race, color, religion, gender, sexual identity, gender identity, national origin, or disability.

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