OCI Integration Lead/Project Manager

LanceSoft Inc; Atlanta (GA); Hybrid; USD 90,000 - 120,000; Full time

Job summary

A leading company in Georgia is seeking an OCI Integration Lead/Project Manager to oversee the implementation of the Georgia Access Eligibility and Enrolment System. This hybrid position requires strong project management skills and experience in technology integration. The role involves coordinating with CMS and EDE partners, managing compliance reviews, and ensuring a smooth consumer experience from application to enrollment. Candidates should have a Bachelor's degree and at least six years of relevant experience, with a strong background in managing technology projects.

Qualifications

• At least 6 years of relevant experience; Master's may substitute 2 years.
• Strong background in managing technology implementation projects.

Responsibilities

• Manage all aspects of CMS and EDE Partner coordination.
• Facilitate communication between internal teams, partners, and CMS.
• Develop project scopes, objectives, and documentation.

Skills

Project Management

Stakeholder Engagement

Risk Management

Education

Bachelor's degree

Master's degree

Tools

Microsoft Project

Jira

Job description

Job ID: 764064

Title: OCI Integration Lead/Project Manager

Duration: 06/09/2025 - 06/30/2026

Location: Atlanta, GA 30334

Position: Hybrid

Job Description:

Background:

The State of Georgia is implementing a State-based Exchange (SBE), Georgia Access, to improve access to affordable, quality health insurance for residents. The Go-live date for the SBE was November 1, 2024. The SBE is being implemented as a new division within the Office of the Commissioner of Insurance and Safety Fire (OCI). The goals of Georgia Access are to increase competition, innovation, and private sector investment in Georgia’s market, improve the shopping and enrolment experience for consumers, and reduce the number of uninsured Georgians. Georgia Access is designed to enhance consumer choice by facilitating a more competitive marketplace with Georgia’s private-sector partners providing innovative solutions for enrolment. Consumers will have the option to shop for, compare, and enroll in qualified health plans (QHPs) and stand-alone dental plans (SADPs) through certified web-brokers and health insurance carriers in addition to the State’s consumer portal. Georgia Access will be the nation’s first SBE that offers both private- and public-sector enrolment channels for consumers. The State will also certify Navigators and Certified Application Counselors (CACs) to provide consumer assistance. Georgia Access is comprised of a number of technology providers, partners, and interfaces. In the current plan, a contracted vendor will implement and maintain the Georgia Access Eligibility and Enrolment System as a Software-as-a-Service (SaaS) product. The Eligibility and Enrolment System will have several interfaces with federal and state systems, including the Federal Data Services Hub, CMS, IRS, and the State’s Medicaid eligibility system. It will also interface with health insurance carriers and private sector partners for consumer enrollment and plan shopping. Georgia Access must maintain compliance with HIPAA, PHI, and PII across all vendors and systems.

Position Description

The Partner Integration Lead is a member of the SBE’s Technology Department, reporting to the Partner Integration Manager. They analyze SBE’s EDE Partners’ policies and participate in inspections and program evaluations to ensure seamless integration with the Georgia Access Eligibility & Enrolment System, providing a smooth consumer experience from application to enrollment. The Project Manager will develop comprehensive knowledge of SBE functions and collaborate with the Business Technical Analyst to identify and address needs and improvements. SBE staff, including the Project Manager, are expected to develop working knowledge of federal SBE requirements, reports, policies, systems, and regulations relevant to their roles.

Note: Local candidates only, as onsite work is required 3 days per week.

Responsibilities:

This role manages all aspects of CMS and EDE Partner coordination, including annual partner Operational Readiness Reviews (ORRs), change management, system testing, insurance carrier backend processes, and compliance reviews. Responsibilities include:

• Supporting the annual partner application process, including updates, reviews, and approvals.
• Supporting technical implementation for Open Enrollment 2026 go-live and ongoing activities.
• Supporting annual ORRs with relevant managers and security officers.
• Managing review and approval of partner applications and change requests.
• Facilitating communication between internal teams, partners, and CMS.
• Maintaining detailed records of applications, ORR status, and change requests.
• Generating project status reports and updating senior management.
• Coordinating reviews and approvals, ensuring documentation completeness.
• Managing communications and feedback during application cycles.
• Hosting coordination meetings with cross-functional teams.
• Monitoring CMS changes to EDE and SBE requirements, assessing impacts, and adopting necessary changes.
• Overseeing partner documentation updates and reviewing submissions.
• Developing project scopes, objectives, and documentation.
• Creating project plans and visual tracking tools.
• Performing risk management and escalating issues as needed.
• Participating in issue resolution and response planning.

Stakeholder Engagement

• Serving as the main contact for CMS and EDE partners regarding program and technical questions.
• Facilitating meetings and discussions to drive decisions.
• Communicating updates, challenges, and mitigation strategies with partners and leadership.
• Establishing and maintaining relationships with third parties, vendors, and stakeholders.

Education & Experience

• Bachelor’s degree and at least 6 years of relevant experience; Master’s degree may substitute 2 years of experience.
• Strong background in managing technology implementation projects.
• Proficiency in project management tools such as Microsoft Project or Jira.

Preferred Qualifications

• Certifications like PMP, SSCP, CISSP, CISA, CISM (or working toward them).
• Experience with CMS integrations, state health insurance exchanges, and federal exchanges.
• Knowledge of the ACA and the individual insurance market.
• Experience with processing 834 enrollment files.
• Experience working with government agencies.