Integration Lead/Project Manager

OCI Integration Lead/Project Manager

Atlanta, GA

Hybrid

1+ year contract

Under broad supervision, manages projects through full life cycle from project definition through implementation of project deliverables. Creates collaborative partnership with all internal and external team members to accomplish the deliverables.

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 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 enrollment 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 enrollment. 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 Enrollment System as a Software-as-a-Service (SaaS) product. The Eligibility and Enrollment System will have several interfaces with federal and state systems, including the Federal Data Services Hub, the Centers for Medicare & Medicaid Services (CMS), Internal Revenue Service (IRS), and the State’s Medicaid eligibility system. In addition, the Eligibility and Enrollment System interfaces with health insurance carriers for consumer enrollment information and with private sector partners (e.g., web-brokers) for plan shopping and selection. Georgia Access must maintain

compliance with HIPAA, PHI, and PII across all vendors and systems.