Senior Analyst, Health Insurance Exchange in San Antonio, Texas at University Health System- San Antonio

POSITION SUMMARY/RESPONSIBILITIES

Provides oversight of the Community First Health Plans, Inc. (Community First) Health Insurance Exchange (HIE) and other commercial lines of business activities. Provides administrative and operational direction by collaborating with all designated clinical and administrative teams throughout the health plan ensuring day-to-day operational effectiveness. Serves as the liaison with Center for Medicare Services (CMS) and Texas Department of Insurance (TDI) for HIE and Commercial products. Responsible for the development, implementation and management of all associated regulatory requirements and deliverables

EDUCATION/EXPERIENCE

Bachelor’s degree in finance, information systems, business administration or another related field preferred. Five years of recent experience in a health care setting is required. Knowledgeable of Heath Insurance Marketplace (ACA) regulations, regulatory filings, billing, enrollment, program policies, services and other regulatory requirements is required