Account/ Project Manager Manages the Vendor project and is the Vendor liaison to Covered California for project activities. Authorized to make day-to-day project decisions for the Vendor. Executes the project management processes, organizes the project, and manages team work consistent with the approved work plan. Directs all Vendor planning, design, development, implementation, and maintenance/operations activities. Ensures accurate and timely completion of Vendor work, and helps coordinate similar completion of work by other parties (e.g., Issuers and other data sources). Ensures that required information and project documents comply with applicable rules, regulations, and external/internal Covered California and Vendor policies and procedures. Schedules and reports project activities, coordinates use of personnel resources, documents and resolves issues and risks, solves problems, and facilitates EAS implementation. Conducts weekly status meetings, monthly milestone meetings, and any required interim meetings. Assigns Vendor staff to those meetings as appropriate. Provides advance meeting agendas and subsequent meeting minutes. develop, implement, and maintain cost-effective programs and strategies to provide value added services to Covered California. Provides expert guidance ensuring that policy and business rules are correctly implemented in the Vendor’s solution. Is expected to work on-site with Covered California at least 50%. Bachelor’s degree or equivalent work experience. Project Management Institute certification as a Project Management Professional (PMP). At least four (4) years fulfilling contract requirements. At least four (4) years organizing and managing teams of Vendor experts to fulfill client expectations and contract obligations. At least four (4) years fulfilling contract requirements for health care data analytics projects. At least four (4) years working directly with large Issuers to obtain data for client analytic needs. At least five (5) years supporting ad hoc reporting and querying for business processes and decisions. Vendors should also highlight the following desirable qualifications in their responses, if applicable: Understanding of information technology best practices, systems architecture, and the system development life Understanding of relational database design and the ability to produce tabular and graphical displays of data using automated applications. Experience working with health benefit plan sponsors or public sector health benefit plan purchasers. Membership in industry organizations, such as the Healthcare Information Management Systems Society (HIMSS).
Technical Lead Ensures that all Covered California data aggregation and reporting requirements are met. Interfaces with Issuers and other data sources. Ensures aggregated data integrity. Establishes, manages, and monitors data aggregation and data quality procedures. Manages data aggregation requests and associated activities. Manages informational resources pertaining to inquiries, system configuration, and data files. Establishes the principles by which data management activities are executed and defines the goals, objectives, and standards of the required information architecture. Creates, documents, reconciles, and maintains logical and physical data models. Captures, integrates, and publishes descriptive metadata across the various applications and (modeling, integration, etc.). Analyzes and measures data quality levels, identifies data quality issues, and works with data stewards, users, and other IT functions to improve data quality. Bachelor’s degree or equivalent work experience. At least four (4) years working with health data (i.e., enrollment, claims, providers, etc.). At least four (4) years of information technology, data architecture, and management experience for a government or private sector health care payer or provider, including at least three (3) years on a project similar in scope and size to EAS. Significant experience designing, constructing, modifying, maintaining, and operating interfaces and integrating data submissions for the Vendor’s technology. Significant experience working with the data structures and processing capabilities of the Vendor’s technology. Analytics Lead Leads or is an active participant in project data analysis activities, with an emphasis on supplying Covered California staff with necessary training and Vendor solution knowledge. Leads the development of, or develops, ad hoc reports and special data analyses. Documents report / query / analytic results and their interpretations, and presents them to Covered California. Responds to Covered California questions and both one-time and iterative analytical needs. Bachelor’s degree or equivalent work experience. At four (4) years performing health data analytics for a government or private sector health care payer or provider, including at least two (2) years on a project similar in scope and size to EAS. At least two (2) years working with the Vendor’s health care analytics models, tools, and technology. Excellent and demonstrated interpersonal skills, including teamwork, facilitation, negotiation, and communication (i.e., written and verbal) skills.
Proposals in response to this RFP must be divided into two appropriately labeled and sealed packages marked Technical Proposal (applies to both the Draft Technical Proposal and Final Proposal submissions) and Cost Proposal (applies only to the Final Proposal submission). All proposal submissions should be clearly labeled with the RFP number. The contents of each package must be as follows: Package 1 — Technical Proposal and Administrative Requirements For the Draft Technical Proposal, this package addresses all requirements specified in the RFP using Templates A, G – J, and O. For the Final Proposal, this package addresses all requirements specified in the RFP using Templates A – M. Package 2 — Cost Proposal (Final Proposal only) Cost Proposal using the form provided in Template N – Cost Workbook. Package 1 —Technical Proposal and Administrative Requirements This package of the Vendor’s response must include the following, with each section corresponding to the template designated with the same letter: For the Draft Technical Proposal – Sections A, G – J, and O as described below. For the Proposal – Sections A – M as described below. Section A. Cover Letter and Executive Summary (Draft Technical and Final Proposal) This section of the Vendor’s Technical Proposal must include a letter, cover sheet, table of contents, executive summary, Vendor contact/location information (including Subcontractor(s), if applicable), and confirmation that the Vendor meets minimum qualifications. Submission of this section must comply with the instructions detailed in Template A – Cover Letter and Executive Summary. If the Vendor wishes to propose an exception to any Standard Covered California Provision for Contracts and Grants or and Conditions for Technology Contracts, it must notify Covered California in the cover letter. Failure to note exceptions will be deemed to be acceptance of the Standard Covered California Provision for Contracts and Grants. If exceptions are not noted in the RFP response but raised during contract negotiations, Covered California reserves the right to cancel the negotiation if deemed to be in the best interests of Covered California. Section B. Vendor Experience Proposal Only) This section of the Vendor’s Technical Proposal must include an overview of the Vendor’s organization (including Subcontractor(s), if applicable), corporate background and experience, and information regarding financial stability. Submission of this section must comply with the instructions detailed in Template B – Vendor Experience.