ADMINISTRATIVE PROGRAM MANAGER I

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

The Small Business Health Options Program (SHOP) Manager, under general direction of the Plan & Partner Management Director, is responsible for the day-to-day operational strategy, policies, standards, and procedures of the Small Business Health Options Program. The manager position will be responsible for management of implementation efforts and oversight of contracted third party administrators (TPA).

Program Policy

• Given stakeholder input, create strategy, design, development, and implementation approaches for the SHOP. Implement policies, processes, standards and procedures to address significant issues, including small-employer tax credits, collection of premiums, enrollment, plan payment, participation targets and administration needed to maximize the use of the SHOP.

Program Implementation

• Manage relationships and provide support for TPAs who are contracted to run an online marketplace and/or back office administration on behalf of the Exchange.
• Oversee the design, development, implementation, testing, and ongoing improvements of the SHOP program.
• Develop programs key to the success of SHOP including but not limited to data tracking and customer feedback processes.

Administrator Oversight

• Responsible for oversight of relationships with certified third party benefit administrators (TPAs) to ensure continual satisfaction, training, compliance and long term participation with the Exchange.
• Act as liaison between TPA and the Exchange IT department.
• Reviews/approves payments to TPAs.
• Acts as the TPA contract coordinator for the procurement department.
• Meets regularly with certified TPA decision makers to discuss partnership and performance issues.
• Provides training on Exchange policies and procedures.

Communications

• Updates internal Exchange stakeholders as appropriate.
• Represent Maryland SHOP at meetings involving key stakeholders including high-level health insurance representatives, the Office of the Insurance Commissioner, small business groups, issuers, and other external stakeholders.

• Bachelor’s Degree in Public Health, Public Administration, Business Administration, or related field
• Six (6) years’ experience in the insurance sector, including working with small employers, health insurers, or health coverage stakeholder groups
• 3 years or more of supervisory / management experience
• Understanding of the policy issues associated with the health care insurance market and the need for coverage for small employers
• Demonstrated experience with program, project or process management
• Strong management and analytical skills
• Demonstrated ability to work effectively and provide leadership in a team-based, collaborative environment.
• Excellent communication skills, both oral and written.
   
  Note: Qualifying experience may substitute year for year of education.
  

• A Master’s Degree in Public Health, Public Administration, Business Administration, or related field
• Experience in the commercial health insurance market
• A full understanding of producer (broker) and TPA operations
• The ability to make presentations to large audiences

**  This Classification is Management Services and serves at the pleasure of the Appointing Authority**
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.  

STATE OF MARYLAND BENEFITS  

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
 
We thank our Veterans for their service to our country, and encourage them to apply.

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