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Policy Analyst - State Based Exchange

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Regulatory
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Insurance and Safety Fire Commissioner, Office of - OCI

Under general supervision, the Policy Analyst is responsible reviewing and updating program policies for the implementation and ongoing operations of the state-base exchange, Georgia Access.

Provides technical policy advice to all business units across Georgia Access related to consumer eligibility and enrollment, appeals, private-sector partner and assister (Navigators and CACs) program requirements.

Reviews and updates policies while aiding in the development of policy agenda that meets the goals of Georgia Access while maintaining compliance with federal and state regulations.

Provides expert advice and guidance on Affordable Care Act (ACA) provisions to internal/external constituents.

Leads in researching and analyzing information to draft policy proposals as requested by Georgia Access leadership or required by updates to the federal guidelines such as the Notice of Benefit and Payment Parameters (NBPP).

Supports with review and drafting commentary on annual updates to federal guidelines in the NBPP to reflect Georgia Access positions on regulatory guidance, with support from other Georgia Access business units.

Assists with drafting the Georgia Access Annual Report in collaboration with the compliance and reporting analysts and the Engagement Team to highlight strategic goals, enrollment efforts and metrics.

Coordinates with the eligibility and enrollment team and the Administrative Procedure Division on consumer eligibility appeals.

Performs other duties as assigned.

High school diploma/GED and three (3) years of job-related experience; or two (2) years of experience required at the lower level Complnc Specialist 1 (RCP060) or position equivalent. Note: Some positions may require a certification or licensure. Note: Some positions may require a valid driver's license.

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