OCI Integration Lead/Project Manager

Synectics Inc.; Atlanta (GA); On-site; USD 85,000 - 115,000; Full time

Job summary

A leading company is seeking an OCI Integration Lead/Project Manager to enhance health insurance shopping experiences. The role involves managing partner integrations, coordinating with CMS, and leading technology implementation projects. Ideal candidates will have a strong project management background and relevant experience in health insurance systems.

Benefits

Healthcare coverage through BlueCross BlueShield

Dental plan through MetLife

Vision insurance through VSP

401(k) retirement plan

Certification bonus up to $500

Qualifications

• At least 6 years of relevant experience; a Master’s degree can substitute 2 years.
• Strong background in managing technology implementation projects.

Responsibilities

• Analyzes EDE Partners' policies and manages CMS coordination activities.
• Facilitates communication between internal teams and partners.
• Develops project scopes and objectives, ensuring technical feasibility.

Skills

Project Management

Technology Implementation

Education

Bachelor's degree

Master’s degree

Tools

Microsoft Project

Jira

Job description

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Responsibilities

1. The Partner Integration Lead analyzes SBE's EDE Partners' policies and participates 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.
2. The Project Manager develops a deep knowledge of all aspects of SBE functions and collaborates closely with the Business Technical Analyst to identify and meet emerging needs and improvement opportunities.
3. Develops working knowledge of federal SBE requirements, reports, policies, systems, and regulations relevant to their role.
4. Manages all aspects of CMS and EDE Partner-related coordination and activities, including annual Partner Operational Readiness Reviews (ORRs), change management, system testing, insurance carrier backend processes, and partner compliance reviews.
5. Supports the annual partner application process, including updates, reviews, and approvals.
6. Supports the technical implementation of the program for the Open Enrollment (OE) 2026 go-live on November 1, 2026, and ongoing.
7. Facilitates communication between internal teams, partners, and CMS, acting as the main point of contact for project-related inquiries.
8. Maintains detailed records of the application process, ORR status, and CMS change requests.
9. Generates project status reports and updates senior management on progress, challenges, and solutions.
10. Coordinates reviews and approvals of partner applications, ensuring all documentation and approvals are in place.
11. Hosts regular coordination meetings with cross-functional teams to ensure alignment and address concerns.
12. Monitors CMS changes to the EDE program and SBE requirements, determining impact and necessary changes.
13. Develops project scopes and objectives, involving relevant stakeholders and ensuring technical feasibility.
14. Creates and maintains comprehensive project documentation and detailed project plans.
15. Performs risk management to minimize project risks, reports, and escalates issues to management.
16. Coordinates mitigation of project issues and participates in crafting responses to major business issues.
17. Serves as the main point of contact with CMS and all EDE partners & issuers, including program and technical questions.
18. Facilitates meetings, discussions, and brainstorming sessions to drive decisions and outcomes.
19. Builds and maintains relationships with third parties, vendors, and internal stakeholders.

Qualifications

• Bachelor's degree with at least 6 years of relevant experience; a Master’s degree can substitute 2 years of experience.
• Strong background in managing technology implementation projects.
• Proficient in project management software (e.g., Microsoft Project, Jira).

Preferred Qualifications

• Certification (or working toward certification): PMP, SSCP, CISSP, CISA, CISM.
• Experience with CMS integrations, health insurance Exchanges, and EDE partners.
• Understanding of ACA and the individual market, including federal and state policies.
• Experience with 834 enrollment files and governmental agencies.

Benefits

• Healthcare coverage through BlueCross BlueShield of Illinois.
• Dental plan through MetLife.
• Vision insurance through VSP.
• 401(k) retirement plan with enrollment each quarter.
• Certification bonus of up to $500 for approved professional certifications.
• Equal opportunity employer.