Health Care Assistant Administrator I

The Department of Vermont Health Access (DVHA) is seeking a skilled and knowledgeable Health Care Assistant Administrator I to join the Assistant Operations (AOPS) Team as the Qualified Health Plan (QHP) support person within the Health Access Eligibility and Enrollment Unit (HAEEU). Work in a supportive work environment with a Monday-Friday schedule, eleven paid state holidays, in addition to a robust benefits package.

The Health Care Assistant Administrator I position has the following responsibilities:

• Interpreting and applying complex health care eligibility rules.
• Overseeing procedural development.
• Ensuring compliance with federal and state regulations.
• Collaborating with internal and external stakeholders.
• Conducting research and analysis on eligibility issues.
• Managing escalated cases.
• Supporting system enhancements and compliance.
• Contributing to notice development, special projects, program evaluation, system testing, and the creation of standard operating procedures and training materials.
  

Key Skills & Competencies:

• Subject Matter Expertise: Knowledge of health care program rules and business processes, with the ability to interpret and apply state and federal regulations accurately.
• Consultative & Evaluative Skills: Ability to evaluate policies, procedures, and regulations and recommend improvements based on program analysis.
• Analytical & Problem-Solving Skills: Strong analytical skills for reviewing complex legal and regulatory documents, as well as resolving escalated cases.
• Collaboration & Communication: Excellent communication skills, both verbal and written, with the ability to liaise effectively with a wide range of stakeholders, including department staff, external partners, and policy analysts.
• Project Management: Experience managing special projects, working under tight deadlines, and ensuring that program outcomes are met in a timely and efficient manner.
• Adaptability: Ability to work in a fast-paced environment, balancing multiple tasks and responsibilities while maintaining attention to detail and accuracy.
  

Mission:
The Department of Vermont Health Access (DVHA)'s mission is to improve Vermonters' health and well-being by providing access to high-quality, cost-effective health care. We have identified three priorities that support our mission: Advancing value-based payments, modernizing information technology infrastructure, and operational performance improvement. Our department commits to executing our responsibilities and priorities while adhering to three core values: Transparency, Integrity and Service.

Diversity, Equity, and Inclusion:
As part of our values of transparency, integrity, and service, we are committed to supporting diversity, equity, inclusion, and accessibility as part of our person-centered culture. We actively celebrate our colleagues' and future colleagues' different abilities, racial identity, sexual orientation, ethnicity, age, and gender. Everyone is welcome and supported here.

Our State:
Vermont is a "small but mighty" state. We are ranked as one of the top 10 states to raise a family in 2022. We are nationwide leaders for progressive social and educational policies. We are in Northern New England, 1.5 hours from Montreal and 3.5 hours from Boston. We have beautiful Lake Champlain, the Green Mountains, and year-round outdoor activities.

This position, Health Care Assistant Administrator I (Job Requisition #54012), is open to all State employees and external applicants.
If you would like more information about this position, please contact Jennifer Mace at jennifer.mace@vermont.gov.
Resumes will not be accepted via e-mail. You must apply online to be considered.
Please note that multiple positions in the same work location may be filled from this job posting.

AHS BACKGROUND CHECKS: Candidates must pass any level of background investigation applicable to the position. In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.

Duties are performed primarily in a standard office setting. A valid drivers' license is required and private means of transportation could be needed if a fleet vehicle is unavailable. Conflicting opinions on operational problems may be anticipated. Multiple competing priorities and tight deadlines are a frequent occurrence.

Master's degree AND one (1) or more years of experience in a human services program, or in a field related to health care administration, insurance, banking, accounting, para-legal services, auditing, or federal grants management. Other related work environments may be considered if they require: reading, comprehension and application of complex rules, regulations, policies, and procedures to perform the work.

OR

Bachelor's degree AND two (2) or more years of experience in a human services program, or in a field related to health care administration, insurance, banking, accounting, para-legal services, auditing, or federal grants management. Other related work environments may be considered if they require: reading, comprehension and application of complex rules, regulations, policies, and procedures to perform the work.

OR

Associate's degree (or two (2) years of full-time college coursework) AND three (3) or more years of experience in a human services program, or in a field related to health care administration, insurance, banking, accounting, para-legal services, auditing, or federal grants management. Other related work environments may be considered if they require: reading, comprehension and application of complex rules, regulations, policies, and procedures to perform the work.

OR

High School diploma or equivalent AND four (4) or more years of experience in a human services program, or in a field related to health care administration, insurance, banking, accounting, para-legal services, auditing, or federal grants management. Other related work environments may be considered if they require: reading, comprehension and application of complex rules, regulations, policies, and procedures to perform the work.

• Experience with Vermont Medicaid.
• Experienced user of Microsoft Teams, Excel, Word, and Outlook.
• Experienced user of Vermont Health Connect's Siebel system.
• Familiarity with the State's health care programs, specifically Qualified Health Plans and eligibility for their related subsidies.

Candidates must pass any level of background investigation applicable to the position. In accordance with AHS Policy 4.02, Hiring Standards, Vermont and/or national criminal record checks, as well as DMV and adult and child abuse registry checks, as appropriate to the position under recruitment, will be conducted on candidates, with the exception of those who are current classified state employees seeking transfer, promotion or demotion into an AHS classified position or are persons exercising re-employment (RIF) rights.

As a State employee you are offered a great career opportunity, but it's more than a paycheck. The State's total compensation package features an outstanding set of employee benefits that are worth about 30% of your total compensation, including:

• 80% State paid medical premium and a dental plan at no cost for employees and their families
• Work/Life balance: 11 paid holidays each year and a generous leave plan
• State Paid Family and Medical Leave Insurance (FMLI)
• Two ways to save for your retirement: A State defined benefit pension plan and a deferred compensation 457(b) plan
• Tuition Reimbursement
• Flexible spending healthcare and childcare reimbursement accounts
• Low cost group life insurance
• Incentive-based Wellness Program
• Qualified Employer for Public Service Student Loan Forgiveness Program

Want the specifics? Explore the Benefits of State Employment on our website.