ADMINISTRATOR II

17

750 E. Pratt St., 16th Fl., Baltimore, MD 21202

The SHOP Account Manager is responsible for the day-to-day operation and implementation of the Small Business Health Options Program (SHOP). This position will be responsible for ongoing monitoring of contracted SHOP administrator(s) (SA) on the required functionalities and service level agreements established in the SHOP Administrator contract. The SHOP Account Manager will also play a critical role in growing the SHOP; this includes outreach and significant stakeholder facing work. Further, this role will require work-related in-State travel. 

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. 

Education: A Bachelor's degree from an accredited college or university.

Experience: Four years of experience in administrative staff or professional work.

Notes:

1. Additional experience in administrative staff or professional work may be substituted on a year-for-year basis for the required education.

2. Additional graduate level education at an accredited college or university may be substituted at the rate of 30 semester credit hours on a year to year basis for the required general experience.

3. Candidates may substitute U.S. Armed Forces military service experience as a commissioned or non-commissioned officer involving staff work related to the administration of rules, regulations, policy, procedures and processes, or overseeing or coordinating unit operations or functioning as a staff assistant to a higher ranking commissioned officer on a year to year basis for the required education and experience.

1. Knowledge of the Affordable Care Act/ACA.

2. Experience in representing entities agencies on the open market.

3. Expertise in the producer/broker industry.

4. A rich understanding of the operations of Third Party Administrators.

5. Background in selling insurance products in the small group marketplace.

Please make sure that you provide sufficient information on your application 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.

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.

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 question.  Therefore, it is important that you provide complete and accurate information on your application.

STATE OF MARYLAND BENEFITS

Applications will not be accepted after the close of business on the closing date of the announcement. Resumes will NOT be accepted in lieu of completing the online or paper application. The online application process is STRONGLY preferred.  If online access is not available, you may submit a paper application, supplemental questionnaire and resume to:

Maryland Health Benefit Exchange

Attn: Shadrick Phillips, 

750 E. Pratt Street, 16th Floor Baltimore, MD 21202

Email: shadrick.phillips1@maryland.gov

TTY Users: call via Maryland Relay 1-800-735-2258

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.