Insurance Program Manager Jobs in Enfield, CT (NOW HIRING)

Introduction

\r\n\r\nThe Connecticut Department of Correction (DOC), Health Services Unit, is seeking to hire a State Program Manager to lead and manage continuity of care activities associated with the Consolidated Appropriations Act (CAA) of 2023.\r\n\r\n\r\nWhat We Can Offer You\r\n\r\n\r\n NEW:Visit ourState Employee Benefits Overviewpage!\r\n Professional growth and development opportunities.\r\n A healthywork/life balanceto all employees.\r\n AHazardous Duty pension plan(State Employees Retirement System Tier IV).\r\n\r\nPosition Highlights\r\n\r\nThis position oversees documentation, auditing, and compliance processes that support incarcerated individuals transitioning to and from the community, ensuring accuracy, regulatory adherence, and HIPAA-compliant information exchange.\r\n\r\n\r\nIn this role you will:\r\n\r\n Manage the DOC's CAA Continuity of Care and reentry coordination program across multiple correctional facilities.\r\n Oversee documentation, reporting, and compliance activities related to CAA reentry provisions.\r\n Coordinate with community health partners to support timely linkage to medical, behavioral health, pharmacy, and insurance services upon release.\r\n Conduct and monitor Random Moment Time Studies (RMTS) in accordance with state and federal requirements; ensure accurate sampling, documentation, and follow-up.Support billingrelated activities by reviewing documentation, validating service records, and identifying discrepancies.\r\n Lead internal auditing processes to ensure program integrity, accurate reporting, and adherence to HIPAA standards.\r\n Develop and maintain standardized workflows, documentation tools, and qualityassurance checks for facility staff.\r\n Collaborate with facility leadership, community partners, and central office teams to implement program improvements and maintain compliance across all sites.Monitor regulatory updates related to CAA, Medicaid reentry provisions, and confidentiality requirements, recommending operational adjustments as needed.\r\n\r\n\r\n\r\n\r\n The Consolidated Appropriations Act of 2023 reinforced suspension (not termination) of Medicaid during incarceration and improved eligibility processing for detained individuals. CT has already implemented suspension statewide and is now expanding collaboration between DSS, DOC, CSSD, and community providers to ensure timely reinstatement at release-an approach directly supported by the CAA's transitionofcare requirements. The Act's groundwork for prerelease Medicaid coverage also connects to Connecticut's active pursuit of a Section 1115 demonstration waiver that would allow limited Medicaid services-such as SUD treatment, MAT initiation, and care coordination-up to 90 days prerelease. Overall, the CAA provides the federal framework enabling Connecticut's push toward more seamless Medicaid coverage and improved care continuity for people moving in and out of incarceration.\r\n \r\n \r\n \r\n This is a full-time, Monday-Friday position working 8AM-4PM in Wethersfield.\r\n \r\n \r\n About Us\r\n The Department of Correction shall strive to be a leader in progressivecorrectional practices and partnered re-entry initiatives to support responsive evidence-based practices geared toward supporting reintegration and reducing recidivism under theDepartment's supervision. Safety and security shall be a priority component of thisresponsibility, coinciding with an unwavering respect for the human dignity of staff,victims, citizens and offenders.\r\n\r\n\r\n\r\n

Selection Plan

FOR ASSISTANCE IN APPLYING:\r\nCheck out ourApplicant Tips on How to Apply! Need more resources? Visit ourApplicant Reference Libraryfor additional support throughout the recruitment process.\r\nBEFORE YOU APPLY:\r\n\r\n Meet Minimum Qualifications:Ensure you meet the Minimum Qualifications listed on the job opening by the job closing date. You must specify your qualifications on your application. The minimum experience and training requirements listed must be met by the close date on the job opening, unless otherwise specified. \r\n Educational Credits:List your earned credits and degrees from accredited institutions accurately on your application. To receive educational credits towards qualification, the institution must be accredited. If the institution of higher learning is located outside of the U.S., you are responsible for providing documentation from a recognized USA accrediting service which specializes in determining foreign education equivalencies to the contact listed below.\r\n Resume Policy:PerPublic Act 21-69, resumes are not accepted during the initial application process. As the recruitment process progresses, candidates may be required to submit additional documentation to support their qualification(s) for this position. This documentation may include: a cover letter, resume, transcripts, diplomas, performance reviews, attendance records, supervisory references, licensure, etc., at the request and discretion of the hiring agency.\r\n Preferred Shift/Location:Select all location(s) and shift(s) you are willing to work on your application. Failure to do so may result in not being considered for vacancies in that specific location or shift.\r\n Timely Submission:All application materials must be received by the job posting deadline. You will be unable to make revisions once you officially submit your application to the State. Late submissions are rarely accepted, with exceptions only for documented events that incapacitate individuals during the entire duration of the job posting. Request exceptions by emailingDAS.SHRM@ct.gov.\r\n Salary Calculations: For current state employees, salary calculations are not necessarily comparable from one of the three branches of state government (i.e., Executive, Legislative, Judicial) to the other.\r\n\r\n\r\n Note: Theonly wayto apply to this posting is via the 'Apply' or 'Apply Online' buttons on the official State of Connecticut Online Employment Center job posting.\r\n\r\nAFTER YOU APPLY:\r\n\r\n Some email providers may experience delays or issues delivering messages. To avoid missing important updates-such as referral questionnaires or interview scheduling links-please check yourPersonal Status Boardregularly.For added convenience, you can also enable text (SMS) notifications. To do this, log in to your Personal Status Board and select "Update My Contact Information."\r\n Referral Questions:This posting may require completion of additional Referral Questions (RQs), which must be completed by the questionnaire's expiration date. If requested, RQs can be accessed via an email sent to you after the job close date or by visiting your JobAps Personal Status Board (Certification Questionnaires section).\r\n Prepare For An Interview:Interviews are limited to those whose experience and training are most aligned with the role. To prepare, review this helpfulInterview Preparation Guideto make the best impression!\r\n Stay connected! Log in daily to your JobAps Personal Status Board to track your status and check email (including spam/junk folders) for updates and tasks.\r\n The immediate vacancy is listed above, however, applications to this recruitment may be used for future vacancies in this job class.\r\n Note: This position will be filled in accordance with contractual language, reemployment, SEBAC, transfer, promotion and merit employment rules. Candidates who are offered and accept a position with the State of Connecticut are bound by the State Code of Ethics for Public Officials and State employees, available atwww.ct.gov/ethics.\r\n\r\n\r\n QUESTIONS? WE'RE HERE TO HELP:\r\n Due to high volume, we are unable to confirm receipt or provide status updates directly. For recruitment updates, please check your Personal Status Board and review our Frequently Asked Questions. If you have additional questions about the recruitment process, reach out to Mackenzie Robinson atMackenzie.Robinson@ct.gov.\r\n Join the State of Connecticut and take your next career step with confidence!\r\n

PURPOSE OF JOB CLASS (NATURE OF WORK)

In astate agency this class is accountable for planning, organizing and directing an agency program and/or project or directing the development and administration of programs within a division. \r\n

SUPERVISION RECEIVED

Receives administrative direction from an administrative official of higher grade. \r\n

SUPERVISION EXERCISED

Directsstaff as assigned. \r\n

EXAMPLES OF DUTIES

\r\n\r\n\r\n Directs staff and/or operations of an agency program and/or project or division;\r\n Coordinates, plans and manages program and/or project activities;\r\n Formulates goals and objectives;\r\n Develops or assists in development of related policy;\r\n Interprets and administers pertinent laws;\r\n Provides input or evaluates staff;\r\n Prepares or assists in preparation of budget;\r\n Maintains contact with individuals within and outside of agency who might impact on program and/or project activities;\r\n Serves on committees and/or task forces as required;\r\n Speaks before professional and lay groups on subjects related to the agency mission;\r\n Leads the recruitment and hiring of staff, including outreach, interview and selection;\r\n Performs related duties as required.\r\n\r\n\r\n

KNOWLEDGE, SKILL AND ABILITY

\r\n\r\n\r\n Considerable knowledge of\r\n \r\n and ability to apply management principles and practices;\r\n relevant state and federal laws, statutes and regulations;\r\n project management;\r\n principles and practices of business and public administration with emphasis on effective organization, administration and management\r\n \r\n \r\n Considerable\r\n \r\n interpersonal skills;\r\n oral and written communication skills;\r\n \r\n \r\n Considerable ability to analyze organizational problems and determine effective solutions.\r\n\r\n\r\n

MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE

Nine (9) years of professional experience.\r\n

MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE

One (1) year of the General Experience must have been in the specific area of assignment.\r\n

MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED

\r\n\r\n College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equalling one-half (1/2) year of experience to a maximum of four (4) years for a Bachelor's degree.\r\n A Master's degree in business administration, public administration or a closely related fieldmay be substituted for one (1) additional year of the General Experience.\r\n Department of Labor: Two (2) years of experience as an Apprenticeship and Training Program Manager may be substituted for the General and Special Experience. \r\n\r\n\r\n

PREFERRED QUALIFICATIONS

\r\n Experience with correctional health, reentry services, Medicaid operations, or community health coordination.\r\n Experience with CAA requirements, reentry-based coverage transitions, RMTS, and healthcare billing/documentation processes.\r\n Experience performing auditing, data review, and compliance-monitoring.\r\n Experience with HIPAA and best practices for handling protected health information.\r\n Experience coordinating multisite programs and maintaining effective communication with facility staff and community providers.\r\n Experience with documentation systems, data tracking tools, and workflow management.\r\n \r\n\r\n

Conclusion

AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER\r\nThe State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.\r\n

ACKNOWLEDGEMENT

As defined by Sec. 5-196 of the Connecticut General Statutes, a job class is a position or group of positions that share general characteristics and are categorized under a single title for administrative purposes. As such, a job class is not meant to be all-inclusive of every task and/or responsibility.\r\n