- 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)
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.