Health Care Assistant Administrator I

State of Vermont•Waterbury, VT

1d•Hybrid

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). This role involves interpreting and applying complex health care eligibility rules, overseeing procedural development, ensuring compliance with federal and state regulations, collaborating with stakeholders, conducting research and analysis, managing escalated cases, and supporting system enhancements. The position also contributes to notice development, special projects, program evaluation, system testing, and the creation of standard operating procedures and training materials. DVHA's mission is to improve Vermonters' health and well-being by providing access to high-quality, cost-effective health care, with priorities in advancing value-based payments, modernizing IT infrastructure, and operational performance improvement. The department values transparency, integrity, and service, and is committed to supporting diversity, equity, inclusion, and accessibility.

Requirements

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.
A valid drivers' license is required and private means of transportation could be needed if a fleet vehicle is unavailable.
Candidates must pass any level of background investigation applicable to the position.

Nice To Haves

Experience with Vermont Medicaid.
Experienced user of Microsoft Teams, Excel, Word, and Outlook.
Experienced user of Vermont Health Connect 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
11 paid holidays each year
A generous leave plan
State Paid Family and Medical Leave Insurance (FMLI)
A State defined benefit pension plan
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