Solutions Architect Principal

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

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: RemoteMust 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

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