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ADMINISTRATIVE OFFICER III

Business Operations Specialist

Recruitment #14-002247-013

GRADE

15

LOCATION OF POSITION

Maryland Health Benefit Exchange
750 E. Pratt Street
16th Floor
Baltimore, MD 21202

Main Purpose of Job

The Business Operations Specialist is responsible for performing the operational review of qualified plans being submitted for certification on Maryland Health Connection (the Exchange) and serving as a liaison for the insurance companies that offer plans on Maryland Health Connection. This person will make an initial assessment of a plan's certification status, including verifying that all requirements identified in the Affordable Care Act have been met. The Business Operations Specialist will then present the plan to the Manager of Plan Services for final certification, communicate the status of the plan to the carriers and ensure that the plan is placed on Maryland Health Connection for purchase by the consumer. In addition, the Business Operations Specialist will work with carriers on an ongoing basis to ensure that their needs are met from an operational standpoint. The Business Operations Specialist will also help to evaluate and provide input into Plan Management policies and ongoing operations.

MINIMUM EDUCATION OR GENERAL REQUIREMENTS

Education: Possession of a bachelor's degree from an accredited four-year college or university.

Experience: Three years experience in administrative or professional work.

Notes:

1. Candidates may substitute additional experience in administrative staff or professional work on a year-for-year basis for the required education.

2. Candidates may substitute additional graduate level education at an accredited college or university at the rate of 30 semester credit hours for each year of the required experience.

DESIRED OR PREFERRED QUALIFICATIONS

The ideal candidate should possess a Bechelor's degree from an accredited college or university, 3-5 years of experience in commercial health or dental insurance carrier operations; demonstrated experience implementing provisions and policies of the Affordable Care Act; fluency in using Excel for the purposes of data analyisis; excellent quantitative, analytical and problem solving skills; ability to work cross-functionally; strong written and verbal communication skills ability to analyze and conclude; computer proficiency and ability to learn new technology quickly; time management and organizational skills.

LICENSES, REGISTRATIONS AND CERTIFICATIONS

Employees in this classification may be assigned duties which require the operation of a motor vehicle. Employees assigned such duties will be required to possess a motor vehicle operator’s license valid in the State of Maryland.

SELECTION PROCESS

Please make sure that you provide sufficient information on your application (and on separate pages, if necessary) to show that you meet the qualifications for this recruitment.  All information concerning your qualifications must be submitted by the closing date.  We will not consider information submitted after this date.  Successful candidates will be ranked as Best Qualified, Better Qualified, or Qualified and placed on the employment (eligible) list for at least one year.

EXAMINATION PROCESS

The examination will consist of a rating of your education, training, and experience as presented on your application and as they relate to the requirements of the position. You may be required to complete a supplemental questionnaire. Therefore, it is important that you provide complete and accurate information on your application.

BENEFITS

STATE OF MARYLAND BENEFITS

FURTHER INSTRUCTIONS

Resumes will NOT be accepted in lieu of completing the online or paper application.

Online application process is STRONGLY preferred. If online access is not available, you may submit a paper application and resume to:

Maryland Health Benefit Exchange
Attn: Human Resources Department
750 E. Pratt Street
16th Floor
Baltimore, MD 21202

APPLCATIONS MUST BE RECEIVED NO LATER THAN THE CLOSE OF BUSINESS ON THE CLOSING DATE.

TTY Users: call via Maryland Relay

As an equal opportunity employer Maryland is committed to recruiting, retaining and promoting employees who are reflective of the State’s diversity.




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