Director, NJ State Health Insurance Exchange

About the role

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 outcomes on policy, consumer assistance, and technology matters. The Exchange Director manages the Exchange to meet the Department’s mission of increasing 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.

Responsibilities

• Develop both short and long-term strategic planning to manage the Exchange budget, offerings, and services in a highly fluid national environment.
• Oversee the Exchange’s operations, including personnel management and vendor management.
• Market Get Covered NJ’s offerings through outreach initiatives and public affairs campaigns by collaborating with the Office of Public Affairs.
• Work with stakeholders and enrollees to help them navigate the Exchange.
• Build and manage external relationships essential to the success of the Exchange, including high-level officials, healthcare industry leaders, carriers, and key vendors.
• Manage and negotiate contracts with outside vendors.
• Implement management systems to ensure integrity, transparency, efficiency, and compliance.
• Ensure compliance with applicable state and federal regulatory and legal requirements.

Requirements

• A master’s or bachelor’s degree with a preferred focus in healthcare administration, business administration, public administration, public health, or a related field.
• A minimum of ten years of executive-level experience in the health insurance or healthcare areas, including in the industry, policy development, healthcare administration, or similar.
• Demonstrated understanding of the healthcare 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 the 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.