Health Care Assistant Administrator I

State of Vermont • Waterbury, VT

1d • Onsite

About The Position

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.

Requirements

• 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.
• 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.
• 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.
• 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.
• 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.
• 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.

Nice To Haves

• 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.

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.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 101-250 employees