Business Systems Consultant Manager Iv

JOB DESCRIPTION

 
Job Title:  Business Systems Consultant Manager IV
 Location:  Salem, OR-- REMOTE
 Duration: Long Term
 
Part Time
 
Job Description:
 
 
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 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 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, security measures, RFP revisions, and SLA recommendations.
 
 
Required skills and experience:
 
 
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.
 
Policy & standards analysis and implementation (7-9 years of experience)