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

Note: The job is a remote job and is open to candidates in USA. STI is seeking an experienced Business Systems Consultant Manager IV to support the Oregon Health Authority in transitioning to a state-based health insurance marketplace. This role involves providing technical expertise, ensuring compliance with CMS security requirements, and collaborating with various stakeholders to facilitate a smooth transition process.

Responsibilities

• Platform Assessment: 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
• CMS Security Compliance: Ensure that the transition adheres to CMS security requirements, including data protection, access controls, and privacy standards
• RFP Review: Analyze RFP documents related to the transition project, identifying gaps, ambiguities, and inconsistencies. Provide recommendations to align RFP requirements with best practices
• Service Level Agreements (SLAs): Assess and suggest enhancements to SLAs, ensuring that they are clear, measurable, and align with the state's and CMS' expectations for the new SBE
• Technical Recommendations: Provide technical guidance and recommendations to enhance the state's chosen SBM platform, optimizing its efficiency, scalability, and user-friendliness
• Stakeholder Collaboration: Collaborate with state agencies, vendors, and CMS to facilitate a smooth transition process, addressing concerns and challenges effectively
• Documentation: Create comprehensive technical reports and documentation outlining the transition plan, security measures, RFP revisions, and SLA recommendations

Skills

• 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
• Substitutions: Accredited college training may substitute for the required work experience, except for the supervisory experience, with a maximum substitution of four (4) years. (Fifteen (15) semester hours in Information Technology or a related area is required.)
• Accredited graduate training in the above area may substitute for the required work experience, except for the supervisory experience, with a maximum substitution of two (2) years
• 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

Benefits

• Remote work/Telecommuting will be contingent upon the key person providing their own adequate office equipment and connectivity.
• The selected key person could potentially telecommute, as agreed to between the Agency Authorized Representative and the key person.
• Telecommuting will be contingent upon the key person providing his/her own adequate computer, monitor(s), Internet connection, and telephone, and be readily available during normal working hours via phone, email or instant message.
• Access to Agency systems will be provided via VPN or similar software.

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