[Remote] Business Systems Consultant Manager IV [Must Have Health Insurance Marketplace]

Note: The job is a remote job and is open to candidates in USA. STI is seeking an experienced Business Systems Consultant Manager IV to support the Oregon Health Authority in transitioning to a state-based health insurance marketplace. This role involves providing technical expertise, ensuring compliance with CMS security requirements, and collaborating with various stakeholders to facilitate a smooth transition process.ResponsibilitiesPlatform 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 timelinesCMS Security Compliance: Ensure that the transition adheres to CMS security requirements, including data protection, access controls, and privacy standardsRFP Review: Analyze RFP documents related to the transition project, identifying gaps, ambiguities, and inconsistencies. Provide recommendations to align RFP requirements with best practicesService 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 SBETechnical Recommendations: Provide technical guidance and recommendations to enhance the state's chosen SBM platform, optimizing its efficiency, scalability, and user-friendlinessStakeholder Collaboration: Collaborate with state agencies, vendors, and CMS to facilitate a smooth transition process, addressing concerns and challenges effectivelyDocumentation: Create comprehensive technical reports and documentation outlining the transition plan, security measures, RFP revisions, and SLA recommendationsSkillsBachelor'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 activitiesIn-depth knowledge of CMS & IRS security requirements and compliance standardsProven experience in reviewing and revising RFPs and SLAs for complex technical projectsStrong analytical and problem-solving skills, with the ability to make data-driven recommendationsExcellent communication and interpersonal skills to work with diverse stakeholdersProject management skills to ensure timely delivery of transition milestonesPolicy & standards analysis and implementation (7-9 years of experience)Consolidation planning and management (10+years of experience)Full-time professional Information Technology Project Development experience and/or Function/Business Process Analysis with at least one (1) year of experience in an Administrative; Managerial; or Supervisory capacitySubstitutions: Accredited college training may substitute for the required work experience, except for the supervisory experience, with a maximum substitution of four (4) years. (Fifteen (15) semester hours in Information Technology or a related area is required.)Accredited graduate training in the above area may substitute for the required work experience, except for the supervisory experience, with a maximum substitution of two (2) yearsSuccessfully completion of an Information Technology Certification program, may substitute for the required work experience with a maximum substitution of two (2) years. (Proof of certification must accompany application.)Two (2) years of work experience as a Project Manager-Senior; Quality Assurance Manager; Project Manager-Intermediate may substitute for all of the required experienceBenefitsRemote work/Telecommuting will be contingent upon the key person providing their own adequate office equipment and connectivity.The selected key person could potentially telecommute, as agreed to between the Agency Authorized Representative and the key person.Telecommuting will be contingent upon the key person providing his/her own adequate computer, monitor(s), Internet connection, and telephone, and be readily available during normal working hours via phone, email or instant message.Access to Agency systems will be provided via VPN or similar software.Company OverviewSTI Education Services Group is an education administration company. It was founded in 1928, and is headquartered in Cainta, Rizal, PHL, with a workforce of 1001-5000 employees. Its website is http://www.sti.edu.