Job Title: Business Systems Consultant Manager IV
Location: Salem OR REMOTE
Duration: Long Term
Part Time
Job Description:
- Platform Assessment: Evaluate the existing SBMFP 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 states and CMS expectations for the new SBE.
- Technical Recommendations: Provide technical guidance and recommendations to enhance the states chosen SBM platform optimizing its efficiency scalability and userfriendliness.
- 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:
- Bachelors 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 golive activities.
- Indepth 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 problemsolving skills with the ability to make datadriven 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 (79 years of experience)