OCI Integration Lead/Project Manager

Idexcel; Atlanta (GA); Hybrid; USD 100,000 - 125,000; Full time

Job summary

A leading company is seeking an OCI Integration Lead/Project Manager to manage projects through their full life cycle. The role involves collaborating with internal and external teams to ensure seamless integration with health insurance systems. Local candidates are preferred, as the position requires onsite work three days a week. The ideal candidate will have experience with CMS integrations and the Affordable Care Act.

Qualifications

• Experience with state health insurance Exchanges and federal Exchange.
• Understanding of federal and state health insurance policies.

Responsibilities

• Manage all aspects of CMS and EDE Partner-related coordination.
• Conduct annual partner Operational Readiness Reviews (ORRs).

Skills

PMP

CMS integrations

Affordable Care Act

Job description

3 days ago Be among the first 25 applicants

This range is provided by Idexcel. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$70.00/hr - $70.00/hr

Direct message the job poster from Idexcel

Job Title: OCI Integration Lead/Project Manager

Location: Atlanta, GA 30334 (Hybrid (3 days onsite))

Duration: 12+ months

Interview Type: In-Person Interview only

Client NOTE: Local candidates only as they will be required to work onsite 3 days per week.

Short Description:

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

Position Description:

The Partner Integration Lead is a member of the SBE’s Technology Department and reports to the Partner Integration Manager. The role involves analyzing SBE’s EDE (Enhanced Direct Enrollment) Partners’ policies, participating in inspections and program evaluations, and integrating with the Georgia Access Eligibility & Enrollment System to provide a seamless consumer health insurance shopping experience from application to enrollment. The Project Manager will develop a deep knowledge of all aspects of SBE functions and collaborate closely with the Business 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 relevant to their responsibilities. Local candidates only as they will be required to work onsite 3 days per week.

Responsibilities:

This role manages all aspects of 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.

Certification (or working toward certification): PMP, SSCP, CISSP, CISA, CISM.

Preferred Qualifications:

• Experience with CMS integrations and requirements.
• Experience with state health insurance Exchanges, the federal Exchange, or EDE partners.
• Understanding of the Affordable Care Act (ACA) and the individual market, including federal and state health insurance policies and programs.
• Experience working with and/or processing 834 enrollment files.
• Experience working in and/or with governmental agencies.

Seniority level

• Mid-Senior level

Employment type

• Contract

Job function

• Information Technology

Industries

• IT Services and IT Consulting

Referrals increase your chances of interviewing at Idexcel by 2x

Get notified about new Integration Project Manager jobs in Atlanta, GA.