Healthcare It Project Manager Business Systems

JOB DESCRIPTION

Job Title:  Healthcare IT Project Manager / Business Systems Consultant Manager (Part Time - Hybrid)
 
Location: Salem, OR
 
Duration: 12 Months
 
Pay Rate: $90/hr on C2C / 1099 All Inclusive
 
Note: This is part time position 4 hours  a day
 
 
 
Job Description:  
 
The Office of Information Services (OIS) is a shared service provider for the Oregon Health Authority (OHA) and Department of Human Services (DHS). OIS provides the technology systems and services that support more than 18,000 OHA and DHS agency staff at local offices and facilities around the state. These systems and services help the two agencies determine client service program eligibility; provide medical, housing, food and job assistance; provide addiction, mental health, vocational and rehabilitative services; protect children, seniors and people with physical and/or developmental disabilities; process claims and benefits; manage provider licensing and state hospital facilities; and promote and protect the state public health. 
 
  
 
SB 972 requires OHA to transition the Oregon Health Insurance Marketplace (OHIM) from a state-based marketplace using the federal platform (SBM-FP) to a state-based marketplace (SBM) using its own technology in time for open enrollment for plan year 2027. Specifically, OHA is required to procure and administer an information technology platform or service and call center, separate from the federal platform and call center, to provide electronic access to the health insurance marketplace in this state by November 1, 2026.  
 
  
 
OIS seeks an experienced Business Systems Consultant Manager IV to serve as a "Health Insurance Exchange Transition Consultant" who will provide technical expertise and guidance to the state of Oregon during this transition. This role requires in-depth knowledge of health insurance marketplace platform capabilities, CMS (Centers for Medicare & Medicaid Services) and IRS (Internal Revenue Service) security requirements, and the ability to review and recommend improvements to Request for Proposal (RFP) requirements.  
 
Contractor's Key Person under this WOC will provide expertise throughout the various phases of the project.
 
  
 
Contractor's Key Person shall be responsible for:
 
 
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)
 
Consolidation planning and management (10+years of experience)
 
 
  
 
Skill Matrix  
 
 
 
 
 
Type
 
 
 
Category
 
 
 
Qualification
 
 
 
Competency
 
 
 
Required
 
 
 
 
 
Skills
 
 
 
Operating Systems
 
 
 
Windows 9x/2000/XP/NT/Vista/7
 
 
 
Advanced (7-9 Years)
 
 
 
Yes
 
 
 
 
 
Skills
 
 
 
Others
 
 
 
Adobe Acrobat
 
 
 
Proficient (4-6 Years)
 
 
 
Yes
 
 
 
 
 
Skills
 
 
 
Others
 
 
 
Backup and recovery
 
 
 
Proficient (4-6 Years)
 
 
 
Yes
 
 
 
 
 
Skills
 
 
 
Others
 
 
 
Communication skills both verbal and written
 
 
 
Expert (10+ Years)
 
 
 
Yes
 
 
 
 
 
Skills
 
 
 
Others
 
 
 
Consolidation planning and management
 
 
 
Expert (10+ Years)
 
 
 
Yes
 
 
 
 
 
Skills
 
 
 
Others
 
 
 
Contract negotiation
 
 
 
Advanced (7-9 Years)
 
 
 
Yes
 
 
 
 
 
Skills
 
 
 
Others
 
 
 
Data center management
 
 
 
Advanced (7-9 Years)
 
 
 
Yes
 
 
 
 
 
Skills
 
 
 
Others
 
 
 
Integration planning and strategy
 
 
 
Advanced (7-9 Years)
 
 
 
Yes
 
 
 
 
 
Skills
 
 
 
Others
 
 
 
Learning ability
 
 
 
Expert (10+ Years)
 
 
 
Yes
 
 
 
 
 
Skills
 
 
 
Others
 
 
 
Presentation skills
 
 
 
Expert (10+ Years)
 
 
 
Yes
 
 
 
 
 
Skills
 
 
 
Others
 
 
 
Project management
 
 
 
Proficient (4-6 Years)
 
 
 
Yes
 
 
 
 
 
Skills
 
 
 
Others
 
 
 
Proposal writing
 
 
 
Expert (10+ Years)
 
 
 
Yes
 
 
 
 
 
Skills
 
 
 
Others
 
 
 
Team work
 
 
 
Expert (10+ Years)
 
 
 
Yes
 
 
 
 
 
Skills
 
 
 
Tools
 
 
 
MicrosoftOffice
 
 
 
Expert (10+ Years)
 
 
 
Yes
 
 
 
 
 
 
 
 
 
Recruiter Details: 
 
Recruiter Name:  Sravani at gsksolutions dot com
 
Contact Number:  Two eight one-Seven six nine-One two six four
 
  
 
 
 
About GSK Solutions Inc:  
 
GSK Solutions Inc is a leading information technology (IT) Services Company that specializes in providing complete consulting solutions and staff augmentation to its clients. We provide on-time, on-budget, and quality service to our clients and consistently meet their expectations. We are known for our superior execution on a sustained basis.  
 
GSK has been in the business of providing both commercial and custom product development services, including, Information Security, Software Development, Consulting and IT Audit. GSK implements highly critical and time-sensitive projects for their Fortune 500 clients located across the country. 
 
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