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Job Description
Announcement Number: 1046384350
UNCLASSIFIED JOB ANNOUNCEMENT
POSTED: November 25, 2024
Job Title: INFORMATION TECH ANALYST
Working Title: Plan Certification Manager
Recruitment Open To:
This position is exempt from the provisions of State of Nevada classified service. This is an open
competitive recruitment, open to all qualified applicants. This position is appointed by and serves at the
pleasure of the Executive Director of the Silver State Health Insurance Exchange under direct supervision
of the Policy & Compliance Manager.
SILVER STATE HEALTH INSURANCE EXCHANGE RESPONSIBILITES:
The Silver State Health Insurance Exchange is the state agency that oversees and operates the online health
insurance marketplace in Nevada, known as Nevada Health Link. We are often referred to as the "Exchange"
or "Marketplace." There are currently seven Board Members and 26 Full Time Employees - 23 in Carson
City, NV and three (3) in Henderson, NV.
The Silver State Health Insurance Exchange helps individuals find an affordable health insurance plan
that fits their needs and budget. Through Nevada Health Link, individuals can shop for, compare, and
purchase Affordable Care Act (ACA) qualified health plans and qualified dental plans. The Silver State
Health Insurance Exchange also provides tools and resources to consumers regarding subsidy assistance
that may help offset monthly premiums and out-of-pocket costs for health insurance.
APPROXIMATE Annual Salary:
Current salary range, depending on qualifications, is up to approximately $98,164.00 based on the
employee/employer paid NV PERS retirement plan and approximately $84,080.00 based on the employer
paid NV PERS retirement plan.
Benefits:
The State benefits package includes a retirement system, paid health, vision, dental, life and disability
insurance, 12 paid holidays, and paid sick and annual leave. Other employee-paid benefits such as
deferred compensation plans are also available.
Position Location: Carson City, NV
POSITION DETAILS AND DESCRIPTION: The Plan Certification Manager will perform a broad
variety of professional and technical work in the analysis of business processes under the guidance and
direction of the Policy & Compliance Manager.
Job Duties: The Plan Certification Manager carries out all plan management activities, including but not
limited to, the certification of Qualified Health and Dental Plans, monitoring and oversight of these plans,
issuer account management, and recertification and decertification of insurance carriers. These functions
are managed closely alongside the Division of Insurance, the regulating agency for health insurance.
Under the general direction of the Policy & Compliance Manager, responsibilities include, but are not
limited to:
• Maintaining familiarity with CMS Qualified Health Plan (QHP) and Qualified Dental Plan
(QDP) resources and tools.
• Developing and updating Nevada-specific QHP/QDP templates and instructions and assisting
with template uploads into the Plan Management module as needed.
• Managing systems that control insurance carrier plan submission.
• Review of State and Federal guidance to ensure QHPs and QDPs are in compliance.
• Analyzing proposed legislation or BDRs and reviewing legislative changes that impact NRS or
Exchange policies.
• Consulting with and providing strategic advice to the Policy and Executive Management team.
• Working with key stakeholders in the development of processes for plan certification and
reviewing and analyzing business processes to recommend programmatic enhancements for
increased efficiency.
• Aiding the technology vendor with system development and testing implementation.
• Assisting leadership, external stakeholders and Exchange staff with data inquiries regarding plan
design and utilization to inform requests for information, public use files, and FOIA requests.
• Developing and making oral presentations to internal and external groups to provide education
regarding timeframes, policy changes, data collection/analysis, and requirements.
• Serving as a Subject Matter Expert regarding plan certification standards with respect to Federal
guidance and carrier data, including monitoring CMS publication sources for relevant guidance as
it pertains to carrier plans, plan data, and plan certification standards.
• Serving as a point of contact to answer questions from carriers and outside state agencies for all
plan certification processes.
• Handling other duties as assigned by the Chief Operations Officer and/or Executive Director.
TO QUALIFY:
Bachelor's degree from an accredited college or university with major course work in computer science,
management information systems, or a closely related field AND one year of professional program management
experience relevant to the duties of the position which may include systems administration, network
administration, database administration, and/or applications analysis and development; OR an equivalent
combination of education and experience. Experience in insurance administration, leadership, project
management, quality assurance and test evaluation/reporting is desired but not required.
TRAVEL: Periodic travel in-state and out-of-state may be required.
APPLICATIONS WILL BE ACCEPTED UNTIL RECRUITMENT NEEDS ARE SATISFIED: All
applications will be accepted on a first come, first served basis. Hiring may occur at any time during the
recruitment process.
TO APPLY:
Please submit a resume, letter of interest, and three professional references to:
Silver State Health Insurance Exchange
Attn: Tiffany Davis
2310 S. Carson Street, Suite 2
Carson City, NV 89701
(775)-687-9936
or email to: tdavis@exchange.nv.gov
In the subject line please reference: Carson City Plan Certification Manager open position
The State of Nevada is an equal opportunity employer dedicated to building diverse, inclusive, and innovative
work environments with employees who reflect our communities and enthusiastically serve them. All applicants
are considered without regard to race, color, national origin, religion or belief, age, disability, sex, sexual
orientation, gender identity or expression, pregnancy, domestic partnership, genetic information (GINA), or
compensation and/or wages.
Closing Date/Time: Until recruitment needs are satisfied -
ABOUT THE COMPANY
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State of Nevada
Show moreThe presence of Nevada's earliest inhabitants, beginning about 12,400 years ago, is marked by many petroglyphs and archaeological sites. Baskets, decoys, and ingenious traps are evidence of the resourcefulness of these early people in a harsh and arid environment.
European explorers traveled through Nevada in the early 19th century, but it was not until 1851 that the first settlements were established. An Act of Congress created the Territory of Nevada on March 2, 1861. James W. Nye of New York was appointed Nevada's first Territorial Governor by President Abraham Lincoln later that year. On October 31, 1864, President Lincoln proclaimed Nevada's admission to the Union as the 36th state. The State's first elected Governor, Henry Blasdel, took office on December 5, 1864.
Today, Nevada is the nation's seventh largest state in land area. Several hundred mountain ranges cross its landscape, many with elevations over 10,000 feet. In contrast, the State's lowest point (along the Colorado River) is only 470 feet above sea level. From majestic mountains to desert valleys, nature has endowed Nevada with diverse and unique ecosystems.
The Nevada Legislature has honored the State's natural resources and cultural heritage with a variety of State designations described below.
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