Title: Business Systems Consultant Manager IV
Location :Salem Oregon
Key Responsibilities:
- Platform Assessment: Evaluate the current SBM-FP policies and identify technical capabilities, limitations, and improvement areas, including understanding the CMS Federal Data Services Hub (FDSH) integration.
- CMS Security Compliance: Ensure adherence to CMS security requirements regarding data protection, access controls, and privacy standards during the transition.
- RFP Review: Analyze RFP documents related to the transition project, identifying gaps and providing recommendations to align with best practices.
- Service Level Agreements (SLAs): Assess and recommend enhancements to SLAs, ensuring clarity, measurability, and alignment with state and CMS expectations.
- Technical Recommendations: Provide technical guidance to enhance the chosen SBM platform, optimizing efficiency, scalability, and user-friendliness.
- Stakeholder Collaboration: Collaborate with state agencies, vendors, and CMS to facilitate a smooth transition, addressing concerns and challenges effectively.
- Documentation: Create comprehensive technical reports and documentation outlining the transition plan, security measures, RFP revisions, and SLA recommendations.
Required Skills and Experience:
- Education: Bachelor's degree in a relevant field (e.g., Computer Science, Healthcare IT).
- Experience: Minimum 3 years in health insurance marketplace platforms, particularly with SBM go-live activities. 7-9 years in policy and standards analysis and implementation, and 10+ years in consolidation planning and management.
- Compliance Knowledge: In-depth knowledge of CMS and IRS security requirements and compliance standards.
- RFP & SLA Expertise: Proven experience in reviewing and revising RFPs and SLAs for complex technical projects.
- Analytical Skills: Strong analytical and problem-solving skills with a data-driven approach to recommendations.
- Communication Skills: Excellent communication and interpersonal skills to work effectively with diverse stakeholders.
- Project Management: Demonstrated project management skills to ensure timely delivery of transition milestones.
