Business Systems Consultant Manager IV
4 weeks ago
We are seeking a highly experienced Business Systems Consultant Manager IV to join our team at Telnet Inc. as a Health Insurance Exchange Transition Specialist. This key person will provide technical expertise and guidance to the state of Oregon during the transition process.
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.
Work Schedule:
Typically Monday - Friday with part-time hours between 8 AM - 5 PM Pacific Standard Time.
Location:
Salem, Oregon (Hybrid).
Duration:
12 Months.
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