Job Title : Business Systems Consultant Manager IV
Location : Salem, OR REMOTE
Duration : Long Term
Part Time
Job Description :
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.
Required skills and experience :
- 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)
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