Health Care Assistant Administrator

Overview

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.

• 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.

• 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.

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.

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.

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 e.

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.

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…