Business Systems Consultant Manager IV

4 weeks ago


Salem, Oregon, United States Telnet Inc Full time
Job Summary

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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