Develops and leads data and solutions architecture for the CMS Marketplace Program Integrity Contractor program. Identifies technical solutions, evaluates systems and business-process architectures, researches emerging technologies, guides data teams, documents analyses, presents technical plans, and advises stakeholders. The role safeguards PII and PHI, supports CMS/MPIC operations, may mentor staff, and requires current CMS/MPIC experience, AWS or cloud architecture expertise, and Public Trust eligibility.
Type of Requisition:
RegularClearance Level Must Currently Possess:
NoneClearance Level Must Be Able to Obtain:
NonePublic Trust/Other Required:
NACI (T1)Job Family:
Technical SolutionsJob Qualifications:
Skills:
AWS Cloud Computing, Communication, Data SourcingCertifications:
NoneExperience:
8 + years of related experienceUS Citizenship Required:
NoJob Description:
The Affordable Care Act (ACA) requires every state to establish a health insurance exchange (also called Health Insurance Marketplace) to facilitate the purchase of health insurance for individuals and small businesses. Through the Center of Program Integrity (CPI), Centers for Medicare & Medicaid Services (CMS) has strong oversight and internal controls to protect consumers enrolled in the Marketplaces and safeguard taxpayer dollars. CMS develops and enforces rules for insurance agents, and brokers, and others who assist with Federally Facilitated Marketplace (FFM) enrollments. The Marketplace Program Integrity Contractor (MPIC) is designed to support this oversight. Through research, investigation and data analysis, the desired outcomes of the MPIC efforts are to prevent, detect, and resolve noncompliance with Marketplace rules, requirements, and laws; recommend administrative actions to CMS; and recommend referrals to law enforcement if potential fraud and abuse is identified.SummaryThis position develops, analyzes, and/or creates architecture for operational, Marketplace, MPIC, and other organizational data to support customer needs. Formulates and applies solutions and other optimizing methods to develop and interpret information that assists management with decision making, policy formulation, or other managerial functions. May collect and analyze data and develop decision support software, service, or products. May develop and supply optimal time, cost, or data solutions for program evaluation, review, or implementationResponsibilities- Identifies solutions based on business and technical criteria, analyzes alternatives, and implements designs.
- Research current and emerging technologies and process methodologies and propose changes and tailoring where needed.
- Assesses the system and business process architecture currently in place and works with staff to recommend improvements.
- Ensures technical data teams deliver efficient and effective system solutions to support business goals and objectives.
- Develops, enhances, and maintains established service design procedures and processes by applying process frameworks and methodologies.
- Prepares and presents test plans, technical presentations, and analyst briefings.
- Identifies customer requirements, analyzes alternatives, and conducts product recommendations related to data, software, platform, and network configurations.
- Provides updates to stakeholders on project cost, schedule, and quality in comparison to stakeholder objectives.
- May coach and provide guidance to less experienced professionals.
- May serve as a team or task lead.
- Recognized as a Subject Matter Expert in data and solutions architecture.
- Within MPIC management and tracking systems, comprehensively document in detail work associated with data collection, analysis, interpretation, and the associated architecture.
- As needed, assist in ad-hoc educational and outreach sessions with partners, e.g., CMS, law enforcement, Agent/Brokers, Navigators, etc.
- Safeguard PII and PHI
- Infrequent travel may be required
- Bachelor’s degree or equivalency in healthcare field that includes 2-4 years’ ACA and/or Medicaid-Medicare experience.
- 8 or more years’ experience in solutions architecture.
- Experience with solutions architecture, such as AWS, Cloud, connections/interfaces with data sources.
- Expert knowledge of systems design and analysis to include configuration and/or programming of complex systems (infrastructure/ database/ applications)
- Able to adapt to both changing business and client needs, and a changing technical environment
- Demonstrated ability to be innovative in design and thought, when appropriate to meet business needs
- Excellent communication skills
- Deep analytical skills
- MUST have current experience supporting the CMS/MPIC program
- Must be able to obtain and maintain a Public Trust
- Experience with FWA claims, complaints, or other data maintained in cloud environment.
- 401K with company match
- Comprehensive health and wellness packages
- Internal mobility team dedicated to helping you own your career
- Professional growth opportunities including paid education and certifications
- Cutting-edge technology you can learn from
#GDITFedHealthJobs
The likely salary range for this position is $142,792 - $161,000. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.Scheduled Weekly Hours:
40Travel Required:
Less than 10%Telecommuting Options:
RemoteWork Location:
Any Location / RemoteAdditional Work Locations:
Total Rewards at GDIT:
Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee’s date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.
Our Identity Verification Process:
As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes.About Our Work:
We are GDIT. A global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50+ countries worldwide, offering leading mission-ready capabilities in AI, cloud, cyber and software development.Join our Talent Community to stay up to date on our career opportunities and events atgdit.com/tc.
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