HIX Consultant

Job Description - Responsibilities:

• Perform functional activities to support and maintain health care exchange that includes programs like MAGI Medicaid, Qualified Health Plans with or without assistance (APTC)
• Utilize knowledge of program rules to analyze defects, perform root cause analysis, suggest solutions, and verify defect fixes
• Review assigned change request documentation and perform impact analysis.
• Convert policy requirements into system requirements and functional design
• Participate in reviews and walkthroughs of deliverables with the Client.
• Review test cases, scenarios, and conditions
• Support users in user acceptance testing

• 4 or more years of experience with State integrated eligibility systems operations and/or implementation as a functional consultant or equivalent positions like Business Analyst, Process Analyst, etc.
• Functional knowledge of ACA (Affordable Care Act) rules and regulations for MAGI Medicaid, Qualified Health Plans with or without assistance, and/or SHOP
• Experience in translating federal and state policy requirements into functional requirements and functional designs OR experience in reviewing functional requirements and/or functional designs of health insurance exchange systems
• Excellent verbal and written skills
• Proven ability to engage with clients on day-to-day work without supervision