Insurance Manager Plan Management & ACA Forms

28881

Richmond, Virginia, United States, 23219

State Corporation Commission

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Insurance Manager Plan Management & ACA Forms

Starting Salary Range: $101,504 - $110,000

The State Corporation Commissions (SCC) Bureau of Insurance (BOI) seeks an experienced insurance professional to manage the Plan Management and ACA Forms Section in the Life & Health Insurance Division. This Manager position oversees the work of seven (7) insurance professionals. The selected candidate for this position will be responsible for reviewing individual and small group Affordable Care Act (ACA) form filings, as well as large group health and other group accident and sickness form and rate filings, to ensure that they are compliant with Virginia's laws and regulations. This section is also responsible for handling all ACA Plan Management responsibilities to ensure that plans meet all federal and state requirements before recommending certification to the SCCs Health Benefit Exchange (HBE). This Manager will lead, coach, mentor, develop, and evaluate staff and ensure that the work is performed in a timely, thorough, and consistent manner. The Insurance Manager for Plan Management and ACA Forms position offers a hybrid work schedule (typically 2 days in office and 3 telework days each week) as well as a variety of professional development and training opportunities.

Essential functions and responsibilities of the Insurance Manager for Plan Management and ACA Forms include:

Manage the work of the Plan Management and ACA Forms Section, which is responsible for the review of filings as well as binder reviews to fulfill Plan Management responsibilities
Prepare annual communications to industry about ACA form and rate filing deadlines and other pertinent filing information and circulate each document for internal feedback and approvals
Collaborate with the team, BOI leadership, and internal counsel to resolve complex analytical or technical issues
Serve as a liaison and conduct discussions with the senior leadership of regulated entities regarding assigned filings
Serve as a subject matter expert for the Plan Management and ACA Forms section
Serve as a working manager by handling filings as primary reviewer
Communicate orally and in writing with regulators, industry and the general public in response to oral and written requests for information regarding teams assigned filings, ACA form and Plan Management related issues
Coordinate reviews of form filings and plan management binders with the HBE, the Virginia Department of Health, and the Center for Medicaid Services as needed
Lead, manage, coach, develop, train, mentor, and evaluate assigned staff
Coordinate and monitor the team's workload, including assigning form and rate filings and related projects to ensure fair and equitable distribution among staff based on training and experience
Manage and oversee training and development of staff within the Plan Management and ACA Forms section, including auditing form and group rate filings handled by staff to address training needs identified through these audits
Oversee updates to knowledge transfer guides and internal and external checklists at least annually to support staff training
Participate in the development, drafting, and review of legislation, administrative letters/orders, and other regulatory guidance
Lead and participate in internal meetings and participate in National Association of Insurance Commissioners (NAIC) work as needed
Perform related work as requested

Please Note: SCC only accepts applications received through its career center site. Applications submitted through Virginia Jobs site directly will not be considered.
For more information and to apply for this position directly on the SCC Career Center website, click the Additional Detail button on this page.
To view all current SCC job openings, visit the SCC Career Center website and click the Search button under Job Search.

Each agency within the Commonwealth of Virginia is dedicated to recruiting, supporting, and maintaining a competent and diverse work force. Equal Opportunity Employer

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Insurance Manager Plan Management & ACA Forms