[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. reputed company is seeking an reputed company Business Systems Consultant Manager IV to support the reputed company in transitioning to a state-based health insurance marketplace. This role involves providing technical expertise, ensuring compliance with CMS reputed company 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 reputed company Compliance: Ensure that the transition adheres to CMS reputed company requirements, including data protection, access controls, and privacy standards
- RFP Review: Analyze RFP documents reputed company 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, reputed company measures, RFP revisions, and SLA recommendations
Skills
- Bachelor's degree in a relevant field (e.g., Computer Science, Healthcare IT, or reputed company)
- Extensive experience (3+ years) in health insurance marketplace platforms, preferably with exposure to SBM go-live activities
- In-depth knowledge of CMS & IRS reputed company requirements and compliance standards
- Proven experience in reviewing and revising RFPs and SLAs for reputed company technical projects
- Strong analytical and problem-solving skills, with the ability to reputed company 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 reputed company
- 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 reputed company 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. (reputed company 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 reputed company 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 reputed company, and telephone, and be readily available during normal working hours reputed company phone, email or reputed company message.
- Access to Agency systems will be provided reputed company VPN or similar software.
Company Overview