Business Systems Consultant Manager IV [Must Have Health Insurance Marketplace]

Responsibilities

• Evaluate the existing SBM-FP policies and identify technical capabilities, limitations, and areas for improvement.
• Understand the nuances of the CMS Federal Data Services Hub (FDSH) integration, and transition tasks and timelines.
• Ensure that the transition adheres to CMS security requirements, including data protection, access controls, and privacy standards.
• Analyze RFP documents related to the transition project, identifying gaps, ambiguities, and inconsistencies. Provide recommendations to align RFP requirements with best practices.
• Audit and suggest enhancements to Service Level Agreements (SLAs), ensuring they are clear, measurable, and align with the state's and CMS' expectations for the new SBM platform.
• Provide technical guidance and recommendations to enhance the state's chosen SBM platform, optimizing its efficiency, scalability, and user-friendliness.
• Collaborate with state agencies, vendors, and CMS to facilitate a smooth transition process, addressing concerns and challenges effectively.
• Create comprehensive technical reports and documentation outlining the transition plan, security measures, RFP revisions, and SLA recommendations.

Requirements

• Bachelor's degree in a relevant field (e.g., Computer Science, Healthcare IT, or related)
• Extensive experience (3+ years) in health insurance marketplace platforms, preferably with exposure to SBM go-live activities.
• In-depth knowledge of CMS & IRS security requirements and compliance standards.
• Proven experience in reviewing and revising RFPs and SLAs for complex technical projects.
• Strong analytical and problem-solving skills, with the ability to make data-driven recommendations.
• Excellent communication and interpersonal skills to work with diverse stakeholders.
• Project management skills to ensure timely delivery of transition milestones.
• Policy & standards analysis and implementation (7-9 years of experience)
• Consolidation planning and management (10+ years of experience)
• Full-time professional Information Technology Project Development experience and/or Function/Business Process Analysis with at least one (1) year of experience in an Administrative; Managerial; or Supervisory capacity.

Qualifications

• Successfully completion of an Information Technology Certification program, may substitute for the required work experience with a maximum substitution of two (2) years. (Proof of certification must accompany application.)
• Two (2) years of work experience as a Project Manager-Senior; Quality Assurance Manager; Project Manager-Intermediate may substitute for all of the required experience.

Skills

• Technical expertise in health insurance marketplace platforms.
• Knowledge of CMS & IRS security requirements and compliance standards.
• Experience in reviewing and revising Request for Proposals (RFPs) and Service Level Agreements (SLAs).
• Ability to analyze and recommend improvements to RFPs and SLAs.
• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Project management skills.
• Policy & standards analysis and implementation experience.
• Consolidation planning and management experience.

Pay

Details about pay are not specified in the job posting.

Schedule

The work schedule is typically Monday - Friday with part-time hours between 8 AM - 5 PM Pacific Standard Time. Remote work/Telecommuting will be contingent upon the key person providing their own adequate office equipment and connectivity.