Job Description
JOB The Information Technology Analyst's working position title is the Plan Certification Manager. The Plan Certification Manager performs work under the direction of the Information Systems Manager and is responsible for coordinating and overseeing plan certification operations for the Nevada Health Insurance Exchange. The position will perform professional, analytical and programmatic work related to Qualified Health and Dental Plan (QHP/QDP) certification, regulatory compliance, operational process review, and stakeholder coordination. The Plan Certification Manager analyzes business processes, reviews Federal and State laws, regulations, CMS guidance, and agency policies to evaluate impacts to plan certification operations and Exchange programs. The position coordinates activities with internal work groups, sister state agencies, insurance carriers, and external vendors to support certification, recertification, oversight, and operational improvements related to Qualified Health and Dental Plans offered through the Nevada Health Link enrollment platform. Additional responsibilities include supporting implementation activities related to plan certification systems and processes, and developing and updating policies, issuer agreements, user manuals, operational procedures, and guidance materials related to plan certification requirements and operations.
EXAMPLE OF DUTIES
Three years of professional or paraprofessional experience in the research, development, evaluation or revision of programs, organizations, methods or procedures, or administration of policies and procedures for a program or functional area; OR an equivalent combination of education and experience on a year-for-year basis. Preferred Qualifications:
Experience in insurance administration, leadership, project management, quality assurance and test evaluation/reporting is desired but not required. Bachelor's degree from an accredited college or university in public or business administration, finance, social sciences, mathematics or related field and one year of professional or paraprofessional experience in the research, development, evaluation or revision of programs, organizations, methods or procedures, or administration of policies and procedures for a program or functional area SUPPLEMENTAL INFORMATION
Working knowledge of: techniques of statistical analysis including data collection, evaluation, analysis, financial statements and manipulation; accounting, auditing, financial reporting and/or research/statistical methods and techniques. General knowledge of:
legislative proceedings and processes; government agencies, resources and functions sufficient to locate and obtain needed information and/or resources, accepted practices and methods used in designing program reviews and audits. Ability to:
read, interpret, and apply complex rules and regulations for various funding sources; read and interpret technical reports, governmental publications and federal directives; write comprehensive reports, recommendations and legislative proposals using correct English grammar, spelling, vocabulary and punctuation. Skill in:
developing computer generated reports; and organizing, developing and making oral presentations; advanced level financial analysis, planning, preparation and administration; advanced mathematical and statistical computation; designing analytical research studies; identifying research needs and problems; coordinating and implementing diverse work plans; advanced research and analysis techniques. Recruiter Contact Information:
Victoria Sheehan - Torisheehan@admin.nv.gov