Business Systems Consultant Manager

3 weeks ago


Salem, Oregon, United States Apex Informatics Full time
Job Title: Business Systems Consultant Manager

Apex Informatics is seeking a highly skilled Business Systems Consultant Manager to join our team. As a key member of our IT department, you will be responsible for providing technical expertise and guidance to our clients during the transition of the Oregon Health Insurance Marketplace to a state-based platform.

Key Responsibilities:

  • Evaluate the existing SBM-FP policies and identify technical capabilities, limitations, and areas for improvement.
  • Ensure that the transition adheres to CMS security requirements, including data protection, access controls, and privacy standards.
  • Analyze RFP documents related to the transition project, identifying gaps, ambiguities, and inconsistencies.
  • Assess and suggest enhancements to Service Level Agreements (SLAs), ensuring that they are clear, measurable, and align with the state's and CMS' expectations for the new SBE.
  • Provide technical guidance and recommendations to enhance the state's chosen SBM platform, optimizing its efficiency, scalability, and user-friendliness.
  • Collaborate with state agencies, vendors, and CMS to facilitate a smooth transition process, addressing concerns and challenges effectively.
  • Create comprehensive technical reports and documentation outlining the transition plan, security measures, RFP revisions, and SLA recommendations.

Requirements:

  • 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.


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