Role: Partner Integration Lead/Project Manager
Location: Atlanta, GA||Hybrid-3days a week
Duration:12+Months
Job Details:
The Partner Integration Lead is a member of the SBE’s Technology Department and reports to the Partner Integration Manager. The Partner Integration Lead is responsible for analyzing SBE’s EDE (Enhanced Direct Enrollment) Partners’ policies, and participate in inspections and program evaluations—that integrate with the Georgia Access Eligibility & Enrollment System to provide a seamless consumer health insurance shopping experience from application to enrollment. The Project Manager will build a deep knowledge of all aspects of the SBE functions and will collaborate closely with the Bus iness Technical Analyst to identify and meet emerging needs and improvement opportunities. SBE staff, including the Project Manager, are expected to develop working knowledge of federal SBE requirements, reports, policies, systems, and regulations as they apply to the responsibilities of their role.
Responsibilities:
This role manages all aspects of the CMS and EDE Partner-related coordination and activities, including the annual partner Operational Readiness Reviews (ORRs), change management, system testing, insurance carrier backend processes, and partner compliance reviews.
The responsibilities of this role include, but are not limited to the following:
Skill
Required / Desired
Amount
of Experience
Proficient in project management software (e.g., Microsoft Project, Jira etc).
Required
6
Years
Proven work experience in managing technology implementation projects.
Required
6
Years
Certification (or working toward certification): PMP, SSCP, CISSP, CISA, CISM.
Highly desired
Experience with CMS integrations and requirements.
Highly desired
3
Years
Experience with state health insurance Exchanges, the federal Exchange, or EDE partners.
Highly desired
3
Years
Understanding of the Affordable Care Act (ACA) and the individual market, including federal and state health insurance policies and programs.
Highly desired
3
Years
Experience working with and/or processing 834 enrollment files.
Highly desired
3
Years
Experience working in and/or with governmental agencies.
Highly desired
3
Years