Director, NJ State Health Insurance Exchange

NJ Department of Banking and Insurance; Trenton (NJ); On-site; USD 120,000 - 180,000; Full time

Job summary

The New Jersey Department of Banking and Insurance is seeking an entrepreneurial Exchange Director to lead Get Covered New Jersey, the state’s health insurance marketplace.

Reporting to the Commissioner, the Director will oversee daily operations, technology infrastructure, consumer assistance and plan management, and will manage key vendor relationships and cross-functional teams to expand coverage and ensure compliance across state and federal requirements.

Qualifications

• Master’s or bachelor’s degree with a preferred focus in health care administration, business administration, public administration, public health, or related field
• A minimum of 10 years executive-level experience in health insurance or health care areas, including industry, policy development, health care administration or similar.
• Demonstrated understanding of the health care environment, including the individual health insurance market, as well as health plan regulatory and market challenges as they impact a range of stakeholders
• Excellent management and interpersonal skills, including ability to align multiple stakeholders, work with different functions and skill levels, and develop personnel
• Creativity in policy-making and problem-solving
• Strong project management oversight, including the ability to manage competing interests and deadlines in a fast-paced and fluid environment
• Excellent written communication skills and public speaking skills
• Facility with technology platforms, including consumer facing IT systems, and consumer assistance/call centers is preferred
• Experience managing programs of similar size and scope, including vendor management is preferred

Responsibilities

• Developing both short and long-term strategic planning to manage the Exchange budget, offerings and services in a highly fluid national environment
• Overseeing the Exchange’s operations, including personnel management and vendor management
• Marketing Get Covered NJ’s offerings through outreach initiatives and public affairs campaigns by collaborating with the Office of Public Affairs
• Working with stakeholders and enrollees to help them navigate the Exchange
• Building and managing external relationships essential to the success of the Exchange to include high-level officials, health care industry leaders, carriers and key vendors
• Managing and negotiating contracts with outside vendors
• Implementing management systems to ensure integrity and transparency, efficiency, and compliance
• Ensuring compliance with applicable state and federal regulatory and legal requirements

Skills

Executive leadership

Public speaking

Stakeholder management

Policy development

Project management

Education

Master’s degree in Health Care Administration

Bachelor’s degree in Business Administration

Job description

The New Jersey Department of Banking and Insurance seeks an entrepreneurial leader with healthcare or health insurance expertise to serve as the Director of the New Jersey State Health Insurance Exchange, Get Covered New Jersey. The Exchange Director will oversee all elements of New Jersey’s health insurance marketplace, including: day-to-day operations; technology infrastructure; consumer assistance center and engagement including marketing, enrollment support and complaint resolution; plan management; QHP certification; major vendor contracts; and managing relationships with peers and counterparts in other states and at the federal level.

Reporting directly to the Commissioner, the Exchange Director leads a cross-functional team that assists in overseeing key external vendors and components of the Exchange. Given the rapidly evolving health insurance marketplace, this position requires a nimble operator with the ability to engage and drive to outcomes on policy, consumer assistance and technology matters. Under the direction of the Commissioner, the Exchange Director manages the Exchange in order to meet the Department’s mission to increase the number of insured New Jerseyans by connecting them to quality, affordable health insurance through the innovative, professional, and effective operation of Get Covered New Jersey

RESPONSIBLITIES

The Exchange Director will manage a team responsible for:

• Developing both short and long-term strategic planning to manage the Exchange budget, offerings and services in a highly fluid national environment
• Overseeing the Exchange’s operations, including personnel management and vendor management
• Marketing Get Covered, NJ’s offerings, through outreach initiatives and public affairs campaigns by collaborating with the Office of Public Affairs
• Working with stakeholders and enrollees to help them navigate the Exchange
• Building and managing external relationships essential to the success of the Exchange to include high-level officials, health care industry leaders, carriers and key vendors
• Managing and negotiating contracts with outside vendors
• Implementing management systems to ensure integrity and transparency, efficiency, and compliance
• Ensuring compliance with applicable state and federal regulatory and legal requirements

REQUIREMENTS

A master’s or bachelor’s degree with a preferred focus in health care administration, business administration, public administration, public health, or related field

A minimum of (10) ten years executive-level experience in the health insurance or health care areas, including in the industry, policy development, health care administration or similar.

• Demonstrated understanding of the health care environment, including the individual health insurance market, as well as health plan regulatory and market challenges as they impact a range of stakeholders
• Excellent management and interpersonal skills, including ability to align multiple stakeholders, work with different functions and skill levels, and develop personnel
• Creativity in policy-making and problem-solving
• Strong project management oversight, including the ability to manage competing interests and deadlines in a fast-paced and fluid environment
• Excellent written communication skills and public speaking skills
• Facility with technology platforms, including consumer facing IT systems, and consumer assistance/call centers is preferred
• Experience managing programs of similar size and scope, including vendor management, is preferred