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Solutions Architect Principal

Role overview

Qualifications

  • Bachelor’s degree or equivalency in healthcare field with 2-4 years’ ACA and/or Medicaid-Medicare experience
  • 8 or more years’ experience in solutions architecture
  • Expert knowledge of systems design and analysis including configuration and/or programming of complex systems
  • Excellent communication skills

Responsibilities

  • Identifies solutions based on business and technical criteria, analyzes alternatives, and implements designs
  • Research current and emerging technologies and process methodologies and propose changes as needed
  • Ensures technical data teams deliver efficient and effective system solutions to support business goals
  • Develops, enhances, and maintains established service design procedures and processes

Key facts

  • Remote from: United States
  • Full time
  • Senior (5-10 years)
  • Solutions Architect
  • English

Hard skills

Other skills

  • Communication
  • Analytical Skills
  • Innovation
  • Adaptability

About the company

NES Associates, LLC logo

NES Associates, LLC

IT Services & IT Consulting

NES is your go-to partner when you’re looking for a global Information Technology team that works WITH you, rather than in a vacuum, and possesses the ability to respond quickly. NES supplies the technology experts you need who are experienced in reducing cost and delivering ROI, while striving to exceed your expectations. NES, an employee-owned IT company, works every project with the goal of 100% client satisfaction – PROVEN by our “exceptional” customer satisfaction ratings and 100% client contract renewal in many of our key service areas.

Company details

IndustryIT Services & IT Consulting
Company size201 - 500

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Job description

Type of Requisition:

Regular

Clearance Level Must Currently Possess:

None

Clearance Level Must Be Able to Obtain:

None

Public Trust/Other Required:

NACI (T1)

Job Family:

Technical Solutions

Job Qualifications:

Skills:

AWS Cloud Computing, Communication, Data Sourcing

Certifications:

None

Experience:

8 + years of related experience

US Citizenship Required:

No

Job 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.

Summary

This 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 implementation

Responsibilities

  • 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

Qualifications

  • 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

Value-Add Experience

  • Experience with FWA claims, complaints, or other data maintained in cloud environment.

Location: Remote

Must be able to pass a CMS background check.

GDIT IS YOUR PLACE:

  • 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:

40

Travel Required:

Less than 10%

Telecommuting Options:

Remote

Work Location:

Any Location / Remote

Additional 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 at

gdit.com/tc.

Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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