Marketplace Agent Broker Analyst

RECENT MARKETPLACE EXPERIENCE IS MANDATORY

The project focuses on improving agent and broker operations within the Federally Facilitated Exchange (FFE). Key objectives include enhancing the Enhanced Direct Enrollment (EDE) process, ensuring compliance with federal regulations, and streamlining certification and performance monitoring. The initiative supports the development of data-driven strategies, policy enhancements, and technical solutions to strengthen the agent and broker experience across the Federal Exchange.

The Marketplace Agent Broker Analyst serves as the go-to expert on agent and broker operations in the FFE. You’ll be responsible for analyzing performance data, developing recommendations for operational improvement, and helping shape policies and tools that directly impact how agents and brokers support consumers.

Duties / Responsibilities :

1. Act as the primary subject matter expert on FFE agent and broker operations, including EDE processes, certification requirements, and compliance with federal laws, policies, and regulations.

1. Analyze agent and broker performance metrics, leading indicators, and KPIs, interpreting data to provide actionable insights for operational improvements.

1. Develop executive-level reports and position papers to communicate findings, recommendations, and strategic proposals to leadership and stakeholders.

1. Collaborate with technical teams to translate business requirements into actionable solutions, supporting the development and implementation of new technologies for the agent and broker pathway.

1. Conduct detailed analyses of agent and broker processes, identifying opportunities for optimization and creating operational models to enhance efficiency.

1. Monitor and interpret changes in FFE policies and regulations, providing guidance to ensure compliance and operational alignment.

1. Contribute to risk management by identifying potential challenges and proposing mitigation strategies to ensure successful project outcomes.

Education :

1. Bachelor’s degree in Business Administration, Health Policy, Data Science, or a related field.

1. Must be a US Citizen or a Green Card holder.

1. Medical Insurance Broker License is Mandatory

Minimum Qualifications :

1. Licensed agent or broker with 7+ years proven experience in healthcare or insurance, with a focus on agent and broker operations or marketplace programs.

1. 5+ yrs experience participating in the FFE.

1. Excellent written and verbal communication skills, with the ability to produce executive-level reports and position papers.

1. Demonstrated ability to educate and train others on the agent broker pathway in the FFE, including certification process, compliance requirements, operational best practices, and applicable laws and regulations.

1. Strong analytical skills with proficiency in interpreting complex data sets and performance metrics.

1. Strong problem-solving abilities and a proactive, solution-oriented mindset.

1. Ability to collaborate effectively with cross-functional teams, including technical and business stakeholders.

1. Detail-oriented with experience maintaining comprehensive documentation.

Preferred Qualifications :

1. Master’s degree in Health Policy, Business Administration, or a related field.

1. Direct experience working with the FFM or state-based marketplaces.

1. Knowledge of process improvement methodologies (e.g., Lean, Six Sigma).

1. Certification in Business Analysis (e.g., CBAP, PMI-PBA) or related fields.

1. Familiarity with technology development processes and collaborating with technical teams to implement solutions.

Clearance : Applicants selected will be subject to a security investigation and may need to meet eligibility requirements for access to classified information.

Job Location :

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