Health Republic Insurance of New Jersey: Careers

Careers

Careers

We're looking for action-oriented, entrepreneurial people that want to be part of the latest innovation in healthcare – one that will provide more affordable insurance benefits to hundreds of thousands of people.

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    Health Republic Insurance of New Jersey (HRINJ) is a new, nonprofit member-driven health plan with just one mission: to bring quality, affordable health insurance to independent workers, small businesses, and others not offered employee-sponsored health plans in New Jersey.

    HRINJ is a CO-OP, or Consumer Operated and Oriented Plan, and we are collaborative, friendly, open-minded, adaptable, creative, and action-oriented. We work in a fast-paced and fun environment, and are constantly exploring interesting new ideas that can help our CO-OP drive some of the most important health market reforms.

    To apply: 
    Email resume and cover letter with salary requirements to resume@newjersey.healthrepublic.us, with the job title in which you are interested listed in the subject line. Resumes without cover letters will not be considered. Your cover letter should reflect your interest in the position and HRINJ as an organization.

  • Health Republic Insurance of New Jersey (HRINJ) is seeking a Billing Coordinator who will be responsible for overseeing small group and individual Health Insurance premium billing. He or she ensures accuracy in invoicing, and develops mechanisms for quality assurance. The Billing Coordinator reviews reports and eliminates discrepancies in data in order to implement ongoing improvements to health insurance billing processes.

    Responsibilities:

    • Develop and implement streamlined procedures for reviewing small group and individual premium invoices.
    • Consistently document HRINJ vendor billing processes with the goal of ensuring transparency and improving accuracy.
    • Regularly review invoicing process and system reports, and analyze reported data to ensure billing accuracy and fulfillment.
    • Identify and resolve billing discrepancies by reaching out to vendors in a timely manner to correct invoicing errors.
    • Develop and implement quality assurance processes with company billing vendors.
    • Reconcile invoices, and verify and process various types of bill payments, including checks, wires, and other payment methods.

     

    Skills and Qualifications:

    • Bachelor’s degree with 3 to 5 years relevant work experience. Healthcare experience is a plus.
    • Ability to prioritize and handle multiple tasks in a changing work environment.
    • Proficiency with Microsoft Office Suite, including Word and Excel for financial analysis.
    • Prior experience with consumer billing, preferably in the Health Insurance industry.
    • Excellent written and verbal communication skills required.
    • Ability to work independently, as well as cooperatively as part of a team.
  • Health Republic Insurance of New Jersey (HRINJ) is seeking a Business Analyst who will ensure ongoing, timely resolution of emergent problems and issues for HRINJ and its key vendors as related to the Centers for Medicare and Medicaid Services (CMS). He or she is responsible for identifying and building HRINJ organizational relationships with decision makers, information sources, and technical representatives of the Federal government (CMS). The Business Analyst remotely attends CMS discussions, seminars, etc., and documents and reports back on technical information and changes. He or she provides feedback and actionable items to stakeholders, including internal team member and key vendor partners.Technical Coordinator is responsible for identifying and building HRINJ organizational relationships with technical representatives of the Federal government (CMS), decision makers and information sources. He or she will attend and document all technical discussions, seminars/webinars, and events, and provide applicable feedback and actionable items to stakeholders, such as internal staff and key vendor partners.

    Responsibilities:

    • Identify key roles at the federal level, and establish positive and productive working relationships with key staff members at CMS.
    • Act as an internal resource for resolution of all technical considerations under federal domain.
    • Develop a schedule of calls of all types, including technical, and ensure HRINJ has appropriate and adequate representation on all calls.
    • Regularly participate in all CMS technical discussions, seminars, webinars, and events, making any necessary inquiries, recording responses, and advising internal team members of significant findings.
    • Record notes and synthesize information from CMS technical discussions, seminars, etc., for dissemination to and reference by the Chief Information Officer and others within the organization as well as vendors.
    • Record and document all CMS information updates and changes from a technical and process perspective, and promptly communicate with and advise the HRINJ team on this information.
    • Distribute documentation of CMS updates and changes to HRINJ team members and key vendor partners.
    • Develop, implement and monitor systems for ensuring all aspects of federal guidance are clearly understood by internal and external partners at HRINJ.
    • Collaborate with technical, operations, and process personnel to determine priorities and identify issues that still need to be addressed and/or require further clarification.
    • Record and report back on topics, subjects and actionable items to all applicable HRINJ staff members and related key vendor partners.
    • Participate in zONE, RegTap and CCIIO.cms.gov sites and other NJ-DOBI related data gathering.
    • Perform other related functions as needed or required.

     

    Skills and Qualifications:

    • Requires minimum Bachelor’s degree, preferably in Business Management, Information Technology, Communications, etc.
    • Minimum 5 years of related experience required.
    • Proficiency in Microsoft Office applications, including Outlook, Word, Excel, and Access.
    • Must be detail-oriented with significant documentation and outlining skills.
    • Excellent verbal and written communication skills.
    • Prefer basic understanding of how eligibility and claims data move between systems (e.g. 834, 837).
    • Prefer basic understanding of how enrollment and claims systems function, especially in a distributed environment.
    • Self-motivated and disciplined with a strong work ethic.
    • Ability to work independently under limited supervision.
    • IT experience preferred, but not required.
  • Health Republic Insurance of New Jersey (HRINJ) is seeking a talented and creative Communications Specialist to join the Marketing team. The Communication Specialist will work closely with Marketing, Outreach, Sales and Operations team members, as well as others in the creation of communication materials. The position requires the ability to use strategic and critical thinking skills, as well as demonstrate excellent writing and grammar abilities.

    Responsibilities:

    • Ensure timely execution of communication materials and deliverables by working with internal and external partners while mapping out calendar of communications with team members.
    • Draft and/or edit member and provider communications materials, such as emails, letters, sales collateral, web copy, and others, including making recommendations for improvements.
    • Compose easy-to-understand communications intended for a variety of audiences about complex subject matter.
    • Work with outreach and marketing teams to engage members via web and social media outlets.
    • Use design and creative skills to prepare attractive, eye-catching communications materials.
    • Ensure documents are trafficked appropriately for final approval, as well as monitoring marketing and communication project timelines.
    • Participate in strategic communications planning for projects and initiatives.
    • Provide peer review of team member projects.
    • Coordinate with other departments to fulfill their communication goals.

     

    Skills and Qualifications:

    • Superb writing and oral communications skills.
    • Excellent customer service and people skills.
    • Good graphic design skills, including Adobe Creative Suite.
    • Knowledge of social media strategy and tactics.
    • Knowledge of AP Style preferred.
    • Experience with editing and proofreading for various styles/formats.
    • Experience in developing presentations, with demonstrable knowledge of Microsoft PowerPoint.
    • Healthcare industry experience preferred.
    • Bachelor’s degree in communications, public relations, journalism or related field with 3 to 5 years’ experience.

     

    Portfolio and writing test may be requested upon interview.

  • Health Republic Insurance of New Jersey (HRINJ) is seeking a Health Plan Sales Representative to join the Marketing and Sales team. The Representative will develop and implement a sales strategy for enrollment growth in a planned territory, or a specified geographic area. Knowledge of New Jersey small group and individual market line of products/services is required with capability to understand new healthcare marketplace nuances. The Representative will work with local groups to educate the general public on healthcare reform and the healthcare marketplace as well as the Federal exchange and the CO-OP.

    Responsibilities:

    • Perform sales presentations or demonstrations of company products and services to General Agents, brokers, employers and members with primary focus on growing membership.
    • Penetrate targeted client base and generate sales from within that client base.
    • Develop deep knowledge of new healthcare individual and small group marketplace, and become knowledgeable of on- and off-marketplace enrollment practices.
    • Emphasize product/service features and benefits, quote prices, discuss payment terms, and prepare sales order forms and/or reports.
    • Build and foster a network of production sources to create new opportunities for continued revenue growth.
    • Generate and maintain a network of brokers/producers to increase membership growth by attending sales events, conducting broker seminars, attending client finalist presentations, etc.
    • Conduct enrollment meetings when needed, and develop membership recruitment methods that best align with the new healthcare marketplace model.
    • Always maintain professionalism, tact, diplomacy, and sensitivity to portray the Health Republic Insurance of New Jersey in a positive manner.
    • Properly manage sales call schedule to cover assigned territory in a time-efficient manner, producing required results.
    • Proficiently use marketing data and applicable sales management software tools skills to track and retain relevant sales data.

     

    Skills and Qualifications:

    • Bachelor’s degree preferred, or equivalent experience.
    • Current New Jersey Life and Health Insurance License.
    • Minimum of five years’ experience working in Health Insurance Sales with brokers and general agents in the New Jersey markets.
    • Group and Individual sales experience with a customer service background and the ability to communicate well to diverse audiences.
    • Proven track record of building a productive broker distribution network.
    • Knowledge of New Jersey small group and individual market line of products and services with the ability to understand new healthcare marketplace nuances.
    • In-depth understanding of the PPACA and new healthcare marketplace, as well as the ability to clearly communicate insurance requirements and opportunities to potential customers.
    • Ability to maintain professionalism, tact, diplomacy, and sensitivity in interactions with the public.
    • Self-motivated and disciplined with a strong work ethic.
    • Knowledge of CRM preferred.
  • Health Republic Insurance of New Jersey (HRINJ) is seeking a Human Resources Coordinator who will play a key role in maintaining organizational and functional integrity of the Human Resources Department at Health Republic Insurance of New Jersey. He or she is responsible for assisting in Payroll administration and singularly running payroll in the absence of the HR Manager. The HR Coordinator maintains primary responsibility for Benefits administration, and assists in other areas, including recruiting and onboarding, employee file maintenance, policy development, etc.

    Responsibilities:

    • Payroll:
      • Must be able to run the full cycle of payroll in the absence of HR Manager, including but not limited to the following:
        • Maintain an awareness of any changes that may be pending, including annual salary increases, promotions, job title changes, etc.
        • Enter all pending payroll changes to Excel spreadsheet, ensuring this spreadsheet is kept updated and accurately reflects any and all changes entered in to My ADP Resource.
        • Complete payroll changes forms as needed, and obtains required signatures for inputting changes to My ADP Resource.
        • Determine and enter new employee benefits deductions and changes to My ADP Resource for payroll processing.
      • Assist in administering employee PTO (Paid Time Off) using ADP ezLaborManager.
    • Benefits:
      • Responsible for processing new enrollments and changes, including HRINJ employee-eligible Health Plans, Aetna Dental, Davis Vision, and Guardian Life and Disability.
      • Provide benefits orientation to new employees.
      • Train new employees in using My ADP Spending Account, and assists current employees in submitting claims and utilizing Flexible Spending Accounts and Commuter Benefits.
      • Troubleshoot problems with any of these or other benefits by contacting the correct person(s) or customer service units to resolve employee issues and questions.
    • Recruiting:
      • Post new positions at the request of HR or other Managers, including to the organization’s Careers webpage, Linked In, ZipRecruiter, Indeed, and others as directed.
      • Schedule interviews by coordinating best date(s) and time(s) with all members of hiring team and as directed by HR Manager.
      • Coordinate interviews by greeting candidates at the door, ensuring they see members of hiring team in a timely manner, etc.
    • Onboarding:
      • Coordinate scheduling of various orientation sessions for new employees as needed or requested.
      • Ensure new employees are registered for and complete online HIPAA training.
      • Ensure all new employees review and signing all required Agreements, Employee Handbook, Conflict of Interest Questionnaire, and organizational Policies and Procedures, etc.
      • Ensure all new employees are provided with training in accessing and utilizing all online modules, including My ADP Resource, ezLaborManager, My ADP Spending Accounts, and any others that may be added.
    • Compliance:
      • Assist with filing and maintenance of various documents required for employee files.
      • Conduct periodic audits of employee files as needed or requested.
      • Assist HR Manager in revising and updating organizational policies.
      • Ensure required trainings (HIPAA, etc.) and agreements or documents (Conflict of Interest Questionnaire, etc.) are re-completed and filed for all employees on an annual basis.
    • Other as needed or required.

     

    Skills and Qualifications:

    • Minimum Bachelor’s degree required, preferably in Business.
    • Minimum 2-5 years Human Resources experience required.
    • Excellent skills in Microsoft Office, including Outlook, Word, Excel, PowerPoint.
    • Must have experience administering payroll using ADP, preferably My ADP Resource and including ezLaborManager.
    • Knowledge of and experience in administering payroll, benefits, and employee training programs.
    • Good understanding of basic employment law and HR business practices, as well as ethics and compliance as these apply to recruiting, benefits administration, policy requirements, etc.
    • Proven experience and ability in administering websites and online databases.
    • Must be a team player with the ability to quickly and effectively adjust to unexpected changes in the work environment.
    • Ability to maintain confidentiality and address issues in a sensitive manner. Detailed-oriented with the ability to stay organized and meet deadlines while under pressure.
    • Ability to exercise good judgment and interact professionally with others, including while under pressure.
    • Experienced in multitasking with the ability to maintain professionalism while managing multiple competing responsibilities.
    • Must be able to work collaboratively with others as well as independently in a high-stress environment.
    • Must have an overriding interest in the Human Resources field.
  • Health Republic Insurance of New Jersey (HRINJ) is seeking a Market Research Analyst who will be primarily responsible for sourcing and interpreting data, extraction of critical insights, strategy creation, and developing best practices around the significant use of market data. This will include formulating reports and making recommendations based upon research findings to help drive and achieve organizational goals. This role is within the marketing and sales department and identifies critical trends, industry intelligence, and opportunities and threats, while informing forecasting and strategic efforts..

    The successful candidate will:

    • Have previous work experience in marketing, sales or business.
    • Have a solid understanding of traditional, digital and syndicated research tools and meticulous attention to detail.
    • Demonstrate an instinctive knowledge of what an audience needs when presenting ideas and research concepts.
    • Maximize available research tools/resources to make decisions; recommend new approaches when necessary.
    • Have the ability to communicate in a timely, concise and direct manner.
    • Possess a sense of humor and the capacity to support the mission, focus and growth of the first and only healthcare CO-OP in the state of New Jersey.

    Responsibilities:

    • Collect and analyze data insights on market conditions, customer demographics, preferences, needs, and buying habits to identify potential markets and factors affecting product demand and for use in marketing and sales planning.
    • Follow health trends and become an expert in understanding significant trends/leanings in health reform.
    • Prepare reports of findings, illustrating data graphically and translating complex findings into written text.
    • Measure and assess customer feedback via discrete channels, such as website and social media.
    • Identify market intelligence gaps.
    • Gather statistical data on competitors and analyze prices, sales and marketing strategies.
    • Forecast and track marketing and sales trends.
    • Measure the effectiveness of marketing, advertising, and communications programs and strategies.
    • Work closely with sales and marketing, developing consultative relationships with this staff and strategic plans for the use of market and competitive information and the impact on the organization.

     

    Skills and Qualifications:

    • Bachelor’s Degree, preferably higher, in marketing/market research, business, economics, or related field.
    • 4+ years’ experience within the health insurance industry, or other similar environments.
    • Internet research skills, and abilities using spreadsheets, PowerPoint, and other software.
    • Knowledge of competitive and market analysis tools and statistics.
    • Excellent written and verbal communication skills.
    • Skilled at influencing and collaborating with all levels of an organization.
    • Self-motivated with the ability to support a team approach in using data to bring about positive company results.
  • Health Republic Insurance of New Jersey (HRINJ) is seeking a Member Engagement and Outreach Associate to join the Member Engagement and Marketing team, with a focus on the southern part of New Jersey. The Associate will report to the Manager of Member Engagement and focus on conducting outreach with community stakeholders and other organizations in this region.

    This staff member will work with locally based groups in South Jersey to educate them on health reform and the marketplace/exchange, as well as the CO-OP. All Member Engagement and Outreach Associates are required to obtain a License to sell Health and Accident Insurance in the state of New Jersey within 3 months of date of hire, if not in possession of this License when they join HRINJ.

    Responsibilities:

    • Conduct outreach calls and identify and visit targeted geographic areas and hubs with potential members to ensure there is an understanding of HRINJ and its benefits, and to emphasize the importance of health care for those who are uninsured.
    • Identify and follow up with a broad array of generated leads, including those received from other staff.
    • Receive research, review and streamline processes, and track all incoming lead referrals and recruitment efforts.
    • Assist with development and coordination of events and other community activities that meet established criteria for optimal outreach.
    • Provide feedback on how to best reach local community using paid/unpaid media.
    • Work with volunteers and other community partners in identifying opportunities for member engagement.
    • Assist in preparing and submitting projects, reports or assignments as needed to meet organizational objectives.
    • Perform other duties as assigned.

     

    Skills and Qualifications:

    • B. A. or B.S. degree required.
    • Must be in possession of or able to attain a New Jersey State Health & Accident Insurance License within the first 3 months of employment.
    • Strong experience managing organizational outreach and member marketing efforts for a member-driven constituency, health plan or other relevant company.
    • Ability to travel frequently and regularly to and throughout the southern part of New Jersey.
    • 3-5 years of marketing, outreach and/or community organizing experience.
    • Proficiency in Microsoft Office Suite, including PowerPoint, Word, Excel, etc.
    • Excellent written and verbal communication skills.
    • Expert familiarity and agility using new and emerging communication/social media technologies.
    • Ability to manage and contribute to multiple projects, both individual and team-based.
    • Must have a collaborative work style and entrepreneurial spirit.
    • Must be available to participate in offsite meetings and events during weekday evenings and on weekends as needed or required.
    • Knowledge of Salesforce software preferred.
  • Health Republic Insurance of New Jersey (HRINJ) is seeking a talented Quality Improvement (QI) Coordinator to work cooperatively with the Medical Director and Quality Improvement (QI) Committees. He or she provides support to the various QI Committees by facilitating communications; arranging and attending committee meetings per year, both on- and off-site; and performing other administrative functions as needed. This position supports implementation of the Quality Improvement Plan for QualCare, which provides HRINJ’s network of hospital and physician providers.

    Responsibilities:

    • Coordinate Quality Improvement Committees by scheduling meetings, reserving meeting space at appropriate venues, and ordering catering as needed or requested.
    • Maintain committee member contact lists and ensure all members of each committee are informed in advance of upcoming meetings.
    • Prepare meeting information packets and provide these ahead to committee members.
    • Develop meeting agendas in cooperation with committee leaders and/or members, and circulate agendas ahead to the appropriate committee members.
    • Attend both on- and off-site committee meetings to facilitate meeting organization and record minutes.
    • Produce final versions of Minutes for all committee meetings and provide these to committee members for their review and discussion.
    • Prepare documents for review by the Medical Director and engage in cross-functional department projects as assigned.
    • Provide support for development of targeted member/provider communications by working with internal HRINJ QI staff and Marketing Department.
    • Engage in data collection for input into databases and issue data reports as needed or requested.
    • Maintain organizational integrity of the Medical Management Department by answering phones, responding to correspondence, maintaining files, submitting supply orders as needed, etc.

     

    Skills and Qualifications:

    • Bachelor’s degree; 1-2 years in a health care environment preferred.
    • Above-average knowledge of Microsoft Windows and Office Suite, including Word, Excel, PowerPoint, Outlook.
    • Excellent verbal and written communication skills with the ability to interact effectively with multiple committee members and support maintenance of the organizational integrity of multiple committees.
    • Must have a customer service orientation and the ability to work independently with little or no supervision as required.
    • Must be able to regularly and frequently participate in committee meetings, both on- and off-site.
    • Excellent project and time management skills with the ability to multitask while maintaining attention to detail.
    • Must have a collaborative work style with an entrepreneurial spirit.
    • Prefer some experience with data collection and reporting.
    • Ability to remain flexible in the face of changing work demands.

     

    Physical Demands and Work Environment:

    • Ability to sit for extended periods of time, stand and walk about the office or external environments.
    • Ability to listen and speak in person and over the telephone.
    • Ability to listen, perceive and communicate for extended hours in office and meeting environments.
    • Ability to travel to and attend meetings that take place off-site.
    • Ability to perceive and visualize documents at close range (20 inches of less), and objects at both close- and far-range (20 inches or more).
  • Health Republic Insurance of New Jersey (HRINJ) is seeking a Salesforce Administrator to manage Salesforce features and functionality in support of organizational requirements. He or she is responsible for assisting and training end-users, documenting problems and processes, and managing workflow. The Salesforce Administrator works with outside programmers to ensure ongoing enhancement of system features.

    Responsibilities:

    • Daily administration and support of Salesforce database, including but not limited to managing multiple user setup, profiles and roles, customization of objects, fields, record types, page layouts sharing / security settings and validations.
    • Works with management, strategic planning and analysis staff, and end-users to create and manage complex workflow rules, data validation, and triggers.
    • Creates and documents application requirements by collaborating with those involved in the development of program enhancements and changes, including program staff, programmers, strategic planning and analysis staff, and/or outside consultants as needed.
    • Manages the software testing process, which includes devising test plans, creating test cases, establishing protocols and appropriate testing environments, and coordinating actual software testing.
    • Stays informed of new Salesforce features and functionality, and provides recommendations for process improvements; develops and creates customized reports and dashboards.
    • Trains new and existing users on how to use database applications, keeps application users informed about system functionality and enhancements, and provides application users with technical support.
    • Creates and maintains documentation on processes, policies, application configuration and help-related materials for users as database applications are developed; logs and tracks identified system problems through resolution.

     

    Skills and Qualifications:

    • Bachelor’s degree in Information Technology or related field preferred.
    • Minimum two-years experience administering Salesforce.com; Salesforce certification preferred.
    • Hands-on experience administering partner cloud preferred, but not required.
    • Knowledge of sales cloud and marketing cloud; integration preferred but not required.
    • Experience with third-party applications, including Conga Composer and DocuSign.
    • Proficiency in using and troubleshooting Microsoft Windows 7 and 8, Excel, Word, and Access.
    • Knowledge of relational databases and data integration tools with the ability to create process maps.
    • Must be detail-oriented with excellent communication and analytical skills.
    • Ability to work collaboratively with multiple internal and external customers and business partners.
    • Experience managing multiple competing priorities in a high-stress environment.
    • Self-motivated with the ability to work independently as well as part of a team on multiple projects.
  • Health Republic Insurance of New Jersey (HRINJ) is seeking a Web Coordinator to focus on its member web portal with the overall goal of enhancing member experience. In addition to working with vendors to guide development of the member portal, the Web Coordinator will help create a unified technical vision for the HRINJ website. The Web Coordinator will develop goals with the Information Technology and Marketing departments internally, and work closely with vendors to coordinate implementation.

    Responsibilities:

    • Develop a new, unified vision for HRINJ’s member web portal in collaboration with HRINJ Information Technology and Marketing Departments.
    • Establish and pursue specified goals for redesigning member portal in keeping with new vision, maintaining a focus throughout on improving overall member experience.
    • Assess technical capacity of vendors, and work with each to redevelop member-facing webpages in keeping with unified vision.
    • Serve as primary contact for vendors, addressing any barriers to achieving vision for redesigned member portal, including technical and organizational issues, etc.
    • Work with Marketing Department to redesign and develop content for member portal.
    • Develop and implement plan for transitioning from current domain to new domain.
    • Work with vendors to manage and troubleshoot any issues that arise in maintaining changes to member portal.
    • Perform all activities in the member portal, including plan development, task definition, monitoring progress, status reporting, and project documentation.
    • Perform other related duties as assigned or directed.

     

    Skills and Qualifications:

    • Bachelor’s degree in an information technology-related or marketing field and/or equivalent combination of relevant education and experience.
    • Minimum 5 years' experience designing and/or developing websites.
    • Experience with secure portals, ideally with member-based organizations.
    • Skilled in multitasking and able to engage in team work, with a proven record of taking projects to completion.
    • Excellent written and verbal communication skills.
    • Experience working in the Marketing field preferred.
  • Equal Employment Opportunity and Accommodation Statement:
    Qualified applicants are considered for all positions without regard to race, creed, color, religion, sex (including pregnancy and gender identity), sexual orientation, familial status, national origin, ancestry, age, marital status, domestic partnership or civil union status, affectional or sexual orientation, gender identity or expression, atypical hereditary cellular or blood trait, family medical history or genetic information, liability for military service, mental or physical disability, perceived disability, AIDS and HIV status, and any other legally protected status. Women and minorities are especially encouraged to apply.  If you require disability accommodation to apply for this position, please contact the Human Resources Manager at 201.244.4755.