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Integration Lead/Project Manager

DataStaff, Inc.

Atlanta (GA)

On-site

USD 80,000 - 100,000

Full time

3 days ago
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Job summary

A leading company is seeking an Integration Lead/Project Manager in Atlanta, GA for a long-term contract. The role involves managing projects, collaborating with partners, and ensuring compliance with federal regulations. Candidates should have a strong background in CMS integrations and health insurance policies. This position requires onsite work three days a week and offers a competitive benefits package.

Benefits

Medical insurance
Vision insurance
401(k)
Paid vacation
Sick leave
Holiday leave

Qualifications

  • At least 6 years of relevant professional experience.
  • Master's degree can substitute for 2 years of experience.

Responsibilities

  • Manage projects from definition through implementation.
  • Coordinate with internal teams and partners for project success.
  • Develop project scopes and objectives with stakeholders.

Skills

PMP
CISSP
CISA
CISM
CMS integrations
Affordable Care Act

Education

Bachelor’s degree
Master's degree

Job description

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DataStaff, Inc. is currently seeking an Integration Lead/Project Manager for a long-term contract opportunity with one of our direct clients in Atlanta, GA.

* Selected candidate will be required to work onsite 3 days per week.

Job Description:

Under broad supervision, manages projects through full life cycle from project definition through implementation of project deliverables. Creates collaborative partnership with all internal and external team members to accomplish the deliverables.

Position Description

The Partner Integration Lead is a member of the Technology Department and reports to the Partner Integration Manager. The Partner Integration Lead is responsible for analyzing the EDE (Enhanced Direct Enrollment) Partners’ policies, and participate in inspections and program evaluations—that integrate with the 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 functions and will collaborate closely with the Business Technical Analyst to identify and meet emerging needs and improvement opportunities. Staff, including the Project Manager, are expected to develop working knowledge of federal requirements, reports, policies, systems, and regulations as they apply to the responsibilities of their role.

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:

  • Program OperationsSupport the annual partner application process including application updates, reviews, and approvals.
  • Support the technical implementation of the program for partners for Open Enrollment (OE) 2026 go-live on November 1, 2026, and ongoing.
  • Support the annual partner ORRs with support from the Eligibility and Policy Manager and the Information Security Officer.
  • Manage the review and approval of partner consumer QHP applications and technical change requests with support from other staff as needed.
  • Facilitate communication between internal teams, partners, and CMS, acting as the point of contact for project-related inquiries.
  • Maintain detailed records of the partner application process, ORR status, and CMS change requests.
  • Generate regular project status reports and provide updates to senior management on progress, challenges, and solutions.
  • Coordinate reviews and approvals of partner applications, ensuring all necessary documentation and approvals are in place.
  • Work closely with internal teams to manage communications and feedback during the application process.
  • Host regular coordination meetings with cross-functional teams (e.g., Legal, Policy, Operations) to ensure alignment and address any concerns during
  • the application cycle.
  • Monitor CMS changes to their Enhanced Direct Enrollment (EDE) program and requirements and coordinate with the Eligibility and Policy
  • Manager to determine the impact and what changes will be adopted by Georgia Access.
  • Direct the required partner documentation updates (e.g., ORR materials, business requirements, technical requirements) and review updates
  • completed by the Partner Integration Analysts.
  • Monitor changes made by CMS to the Enhanced Direct Enrollment (EDE) program and provide feedback to leadership if the same changes should be
  • adopted by Georgia Access.
  • Developing project scopes and objectives, involving all relevant stakeholders and ensuring technical feasibility
  • Creating and maintaining comprehensive project documentation
  • Developing detailed project plan(s) and visual tools to track progress
  • Perform risk management to minimize project risks
  • Reporting and escalating to management as needed
  • Coordinating mitigation of project issues that arise
  • Participating in crafting and documenting appropriate responses to major business issues that arise and could significantly impact stakeholders
  • Stakeholder EngagementServe as the main point of contact on behalf of the Center of Medicaid and Medicaid Services (CMS) and all EDE partners & Issuers
  • interactions, including program and technical questions, issues, and coordination with technical vendor(s).
  • Skilled in facilitating meetings, discussions, and brainstorming sessions to drive decisions and outcomes.
  • Meet regularly with the partners to communicate program and policy updates, technical progress, challenges, and mitigation strategies as necessary.
  • Meet with the Technology Director, leadership, and partners to communicate technical program status, progress, timelines, challenges, system
  • issues, and proposed mitigation strategies as needed.
  • Establishing and maintaining relationships with third parties/vendors and business partners
  • Managing relationships with internal clients and all stakeholders

Education & Years of Experience

  • Bachelor’s degree and at least 6 years of relevant professional experience.
  • Master's degree in a relevant field may be substituted for 2 years of experience.

Required Skills:

Desired Skill:

  • Certification (or working toward certification): PMP, SSCP, CISSP, CISA, CISM.
  • 3 Years - Experience with CMS integrations and requirements.
  • 3 Years - Experience with state health insurance Exchanges, the federal Exchange, or EDE partners.
  • 3 Years - Understanding of the Affordable Care Act (ACA) and the individual market, including federal and state health insurance policies and programs.
  • 3 Years - Experience working with and/or processing 834 enrollment files.
  • 3 Years - Experience working in and/or with governmental agencies.

This position is available on a corp to corp basis or as a W2 position with a competitive benefits package. DataStaff offers medical, dental, and vision coverage options as well as paid vacation, sick, and holiday leave. As many of our opportunities are long-term, we also have a 401k program available for employees after 6 months.

Seniority level
  • Seniority level
    Mid-Senior level
Employment type
  • Employment type
    Contract
Job function
  • Job function
    Information Technology
  • Industries
    Staffing and Recruiting

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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