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Business Systems Consultant Manager IV :: Long Term Contract :: Hybrid-Salem, OR-97302

GlobalPoint Inc
Salem, OR Contractor
POSTED ON 12/14/2024
AVAILABLE BEFORE 4/22/2025
Role: Business Systems Consultant Manager IV

Duration: Long Term Contract

Work Type & Location: Hybrid-Salem, OR-97302

Job Description

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)

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