Request for Resume (RFR) MHBE IT IDIQ Master Contract All ... · Request for Resume (RFR) MHBE IT...

Request for Resume (RFR) MHBE IT IDIQ Master Contract All Master Contract Provisions Apply

Section 1 – General Information

RFR Number: (Reference BPO Number)

ADPICS Reference BPO number to be entered upon issuance

Functional Area (Enter One Only)

Functional Area Eight – IT Quality Assurance Consulting Services.

Labor Category/s

Enter the labor category/s to be provided:

1. Auditor, Senior (IT)

Anticipated Start Date

1 July 2015

Duration of Assignment

The period of performance for this resource will be from award through June 30, 2016.

MBE Goal, if applicable n/a

Issue Date: mm/dd/yyyy

05/12/2015 Due Date: mm/dd/yyyy

05/26/2015

Time (EST): 00:00 am/pm

12:00 p.m.

Place of Performance: The candidate should be flexible and able to report to various locations as needs and meetings require. Locations where the resource will report for work, depending on the need (and potentially at different locations during the week, as needed):

1. Primary work location will be: 901 Elkridge Landing Road, Linthicum, MD 2. Secondary work location will be: 750 East Pratt Street, Baltimore, MD

Special Instructions: (e.g. interview information, attachments, etc.)

Special Instructions. 1. Offerors may only submit two (2) resumes for review and consideration. 2. Resumes must be signed and dated by the Contractor and their proposed

candidate. 3. MHBE may require a Contractor to furnish references to validate experience

shown on a resume.

Security Requirements (if applicable):

1. n/a

Special Invoicing Instructions:

1. n/a

Section 2 – MHBE Procurement Officer (PO) Information

MHBE / Division Name:

MHBE – Information Technology

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MHBE PO Name: Aaron Jacobs MHBE PO Phone

Number: 410-547-1831

MHBE PO Email Address: [email protected]

MHBE PO Fax: n/a

MHBE PO Mailing Address: 750 E. Pratt St, 16th floor, Baltimore, MD 21202

Section 3 – Scope of Work

MHBE / Project Background

The Maryland Health Benefit Exchange (MHBE) created a website and call center operating under the name Maryland Health Connection (MHC). Through MHC, Maryland residents explore health insurance plans, compare rates, and determine their eligibility for advanced premium tax credits (APTC), cost sharing reductions (CSR) and public assistance programs such as Medicaid and the Maryland Children’s Health Insurance Program (MCHP). Today, the MHBE contracts with MAXIMUS Health Services, Inc. (MAXIMUS) to provide an MHC call center (Call Center) in two Baltimore -based locations housing anywhere from 150 – 300 Call Center representatives. MHBE is seeking one (1) Senior IT Auditor to perform third-party evaluations of the work that Deloitte (MHBE System Maintenance Operations and Enhancements vendor) and Xerox (MHBE Hosting and Data quality assurance audits of IT systems to ensure that systems perform to documented specifications in areas such as: data security, customer privacy, data accuracy, business processes, and customer satisfaction. In support of these efforts, auditing expertise to either perform or validate internal quality assurance audits for large- and medium-scale information technology projects in various environments (i.e., mainframe, mini computers, client/server, WAN/LAN).

Job Description/s

Labor Category/s (From Section 1 Above)

Duties / Responsibilities

• Auditor, Senior IT As directed by MHBE:

• Work with the Office of the CIO to perform as-needed evaluations and audits on the work of Xerox and Deloitte to satisfy CMS requirements

• Develop and deliver written attestations in an agreed-upon or CMS-prescribed format as directed

• Attend and participate in meetings / conference calls with CMS to describe findings

• Develop and deliver corrective action plans, as directed • Other duties as assigned

Minimum Qualifications For minimum qualifications, see the labor category description in the MHBE IT IDIQ RFP for the subject RFR labor category. In addition, qualified candidates must meet the minimum qualifications specified below. Candidates that do not meet minimum qualifications will be deemed not reasonably susceptible for award and will not progress to full evaluation.


Minimum Qualifications

1. Auditor, Senior IT • At least 10 years general auditing experience • Excellent communication skills including the ability to understand and

communicate technical information to business users, and gather business requirements that can be translated into technical requirements

• Experience with establishing and maintaining reporting databased/data warehouse

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• Good writing skills • Ability to work evenings, nights, weekends, and holidays as the work dictates • Ability to manage multiple priorities and tight timelines • Exemplary communication skills including the ability to effectively communicate

with all levels of an organization, MHBE vendor partners, as well as other critical stakeholders.

• Quick study including the ability to quickly come up to speed on business needs and translate business needs into customer service needs

• Demonstrated analytical and problem solving skills • Must be motivated, adaptable, flexible, and able to produce quality results in an

evolving, fast-paced environment • Bachelor's degree

Preferred Qualifications The additional Experience/Knowledge/Skills listed below are preferred by the State.

1. Auditor, Senior IT • At least 3 years of previous Quality Assurance / Independent Verification and Validation experience within the past 2-5 years of working history

• At least 5 years of working experience in complex and dynamic, multi-agency government technology projects, preferably with the Federal Government

• Minimum one (1) year experience with and knowledge of Affordable Care Act (ACA), State Based Marketplaces (SBM), and business objectives of MHBE or Federally Facilitated Marketplaces (FFM) 2

• At least seven (7) years of experience in IT audits. Proficient in generally accepted IT standards, statements and practices.

Section 4 - Required Submissions NOTE: 1. Master Contractors may propose only two candidates for each position requested. 2. Master Contractors proposing in response to the RFR must submit the documents below as separate files contained in two

separate emails as follows:

Email 1 of 2 with “Technical”: Master Contractor Name, RFR number, & candidate name in the subject line 1. Resume for each labor category described in the RFR (Attachment 1) 2. Three (3) current references that can be contacted for performance verification of the submitted consultant’s work

experience and skills. Telephone number and email address of reference is needed. Email 2 of 2 with “Financial”: Master Contractor Name, RFR number, & candidate name in the subject line

1. Price Proposal (Attachment 2) 2. Conflict of Interest Affidavit (Attachment G in the MHBE IT IDIQ RFP)

1. Resume

2. References

3. Price proposal

4. Conflict of Interest Affidavit

Section 5 – Evaluation Criteria Candidates meeting the Minimum Qualifications listed in Section 3 above will be evaluated for overall best value, as follows:

1. Work Experience

2. Training and Education

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3. Ability to answer interview questions

4. Price

Basis for Award Recommendation The MHBE PO will recommend award to the Master Contractor whose proposal is determined to be the most advantageous to the State, considering price and the evaluation factors set forth in the RFR. The MHBE PO will initiate and deliver a Task Order Agreement to the selected Master Contractor. Master Contractors should be aware that if selected, State law regarding conflict of interest may prevent future participation in procurements related to the RFR Scope of Work, depending upon specific circumstances.[

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ATTACHMENT 1

RFR RESUME FORM RFR # ADPICS REFERENCE BPO NUMBER

Instructions: Enter resume information in the fields below; do not submit other resume formats. Submit only one resume per Labor Category described in Section 1 of the RFR. If the RFR requests multiple Labor Categories, use a separate resume form for

h d did t Labor Category:

Auditor, Senior IT

Candidate Name:

Master Contractor:

A. Education / Training

Institution Name / City / State Degree / Certification Year Completed Field Of Study

<add lines as needed>

B. Relevant Work Experience Describe work experience relevant to the Duties / Responsibilities and Minimum Experience / Knowledge / Skill described in Section 3 of the RFR. Starts with the most recent experience first; do not include non-relevant experience.

[Organization] [Title / Role] [Period of Employment / Work] [Location] [Contact Person (Optional if current employer)]

Description of Work…

[Organization] [Title / Role] [Period of Employment / Work] [Location]



C. Employment History List employment history, starting with the most recent employment first

Start and End Dates Job Title or Position Organization Name Reason for Leaving


D. References List persons the State may contact as employment references

Reference Name Job Title or Position Organization Name Telephone / Email

5



LABOR CATEGORY PERSONNEL RESUME SUMMARY (ATTACHMENT 1 CONTINUED)

*“Candidate Relevant Experience” section must be filled out. Do not enter “see resume” as a response.

Proposed Individual’s Name/Company:

How does the proposed individual meet each requirement?

LABOR CATEGORY TITLE – Auditor, Senior IT

Requirement Candidate Relevant Experience *

Education: Bachelor’s Degree required.

Education: 1.

General Experience:

• At least 10 years general auditing experience • Excellent communication skills including the ability to

understand and communicate technical information to business users, and gather business requirements that can be translated into technical requirements

• Experience with establishing and maintaining reporting databased/data warehouse

• Good writing skills • Ability to work evenings, nights, weekends, and holidays as

the work dictates • Ability to manage multiple priorities and tight timelines • Exemplary communication skills including the ability to

effectively communicate with all levels of an organization, MHBE vendor partners, as well as other critical stakeholders.

• Quick study including the ability to quickly come up to speed on business needs and translate business needs into customer service needs

• Demonstrated analytical and problem solving skills • Must be motivated, adaptable, flexible, and able to

produce quality results in an evolving, fast-paced environment

General Experience: 1.

Specialized Experience:

• At least 3 years of previous Quality Assurance / Independent Verification and Validation experience within the past 2-5 years of working history

• At least 5 years of working experience in complex and dynamic, multi-agency government technology projects, preferably with the Federal Government

• Minimum one (1) year experience with and knowledge of Affordable Care Act (ACA), State Based Marketplaces (SBM), and business objectives of MHBE or Federally Facilitated Marketplaces (FFM)


1.

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• At least seven (7) years of experience in IT audits.

Proficient in generally accepted IT standards, statements and practices.

The information provided on this form for this labor category is true and correct to the best of my knowledge: Master Contractor Representative: ______________________________ _______________________________ _______________ Print Name Signature Date Proposed Individual: __________________________________ _______________ Signature Date Instruction: Sign each form.

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ATTACHMENT 2

PRICE PROPOSAL RFR # ADPICS REFERENCE BPO NUMBER

(This form is to be filled out by Master Contractors - Submit with the Financial Response)

Auditor, Senior IT

A C D Fully Loaded

Hourly Labor Rate

Evaluation Hours

Extended Price (A x C)

(Enter the proposed resource name) $ 1900 $

Authorized Individual Name Company Name

Title Company Tax ID # Signature Date The Hourly Labor Rate cannot exceed the Master Contract rate, but may be lower. Proposed rates must be fully loaded, all inclusive, and shall include all direct and indirect costs for the Master Contractor to perform under the TOA. Evaluation Hours are for evaluation purposes only and do not represent actual hours to be worked or invoiced.





Functional Area Nine – Management Consulting Services

Labor Category/s


2. Project Manager – Call Center Manager


1 July 2015






05/26/2015

Time (EST): 12:00 p.m.

8


00:00 am/pm

Place of Performance: The candidate should be flexible and able to report to various locations as needs and meetings require. Locations where the Project Manager will report for work, depending on the need (and potentially at different locations during the week, as needed): 1. 901 Elkridge Landing Road, Linthicum, MD (MHBE) 2. 750 East Pratt Street, Baltimore, MD (MHBE) 3. 1 South Street, Baltimore, MD (MAXIMUS) 4. 2555 Lord Baltimore Drive, Windsor Mill, MD (MAXIMUS)



candidate. 6. MHBE may require a Contractor to furnish references to validate experience shown

on a resume.


2. n/a


2. n/a




MHBE PO Name: Aaron Jacobs MHBE PO Phone Number:

410-547-1831


MHBE PO Fax: n/a




The Maryland Health Benefit Exchange (MHBE) created a website and call center operating under the name Maryland Health Connection (MHC). Through MHC, Maryland residents explore health insurance plans, compare rates, and determine their eligibility for advanced premium tax credits (APTC), cost sharing reductions (CSR) and public assistance programs such as Medicaid and the Maryland Children’s Health Insurance Program (MCHP). Today, the MHBE contracts with MAXIMUS Health Services, Inc. (MAXIMUS) to provide an MHC call center (Call Center) in two Baltimore -based locations housing anywhere from 150 – 300 Call Center representatives. The MHBE seeks a project manager with call center management or client-engagement experience to work as an integral part of the PMO team as a management consultant for Call Center operations (Project Manager). The MHBE anticipates that this Project Manager will work closely with the MHBE’s MAXIMUS contract monitor and report on a daily basis to the MHBE’s chief information technology officer, providing (a) analytical updates on call center service levels; (b) assessments of what MHC website functions may be generating calls to the Call Center; and (c) offering insights into the need for particular information technology solutions that MHBE’s PMO team might implement to make the website easier for consumers to use. The Project Manager will provide project planning, coordination, and oversight, issue and risk management, project scheduling and review, change management support, program governance support, vendor deliverable review, and general

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PM support to State stakeholders. The Project Manager also makes work assignments to team members and follows up to ensure that those duties are carried out appropriately.

Job Description/s



• Project Manager As directed by MHBE:

• Provide management consulting services in connection with the operations of the MAXIMUS Call Center / Level 1 Help Desk, with an approximate headcount of up to 300 employees (inclusive of team leads, managers, trainers, etc.).

• Evaluate, implement (where needed), manage and monitor all Key Performance Indicators (“KPI”), Service Level Agreements (“SLA”).

• Partner with the vendor (MAXIMUS) and client (MHBE) to provide strategic consultation and Call Center operations subject matter expertise.

• Closely manage MAXIMUS scope of services to ensure adherence to the contract scope of work and approved budget.

• Take appropriate action to identify deficiencies and make recommendations for improvement so that client standards and objectives are achieved. Advise whether these initiatives are being carried out by all Call Center staff.

• Assess changes in workload, call volumes, and staffing to evaluate impact to service levels, and make recommendations as needed.

• Develop and utilize reports to improve service levels and operational profitability. • Solicit consumer and staff feedback to develop training enhancements to improve

service levels. • Participate in interviewing and hiring staff. • Evaluate MAXIMUS performance models and make recommendations to improve

employee retention and improve service levels. • Identify training needs, and coordinate with the PMO Organization Change

Management Team Lead to develop and implement. • Champion continuous improvement, including analysis of reports, and

implementation of solutions that improve service delivery, including new policies, delivery of additional training, and identification of proactive solutions to address potential quality issues.

• Consult with other client groups and business units to determine support responsibilities for new and existing applications.

• Attend weekly team meetings, communicate recommendations for improvement as necessary and provide status reporting.

• Maintain up-to-date knowledge of processes, technology, systems, and applications that are utilized in the Call Center.

• Research, and make recommendations on tools, technology that would have a positive impact on service delivery and results.

• Serve as the technical liaison between the Call Center and MHBE IT to identify HBX system enhancements that will allow improved Call Center operations.

• Provide strategic analysis of the vendor contract and provide recommendations for future contract initiatives.


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Labor Category/s

(From Section 1 Above) Minimum Qualifications

2. Project Manager • Minimum 10 years call center management or client engagement experience in a multi-functional environment.

• Ability to build relationships and create synergies with employees, vendors, and customers.

• Exemplary communication skills; ability to effectively communicate with all levels of an organization and its vendor partners as well as other critical stakeholders.

• Ability to perform assessments, pinpoint issues, develop recommendations including pros/cons and risks/benefits, and present to management for discussion, review, and approval.

• Quick study; ability to quickly come up to speed on business needs and translate that into customer service needs

• Strong Customer Service / consultative mindset. • Must be motivated, adaptable, flexible, and able to produce quality results in an

evolving, fast-paced environment. • Demonstrated analytical and problem solving skills. • Excellent organizational and follow-up skills with strong attention to detail. • Bachelor's degree.


2. Project Manager • At least five (5) years of specialized experience includes management of help desks in a multiserver environment, comprehensive knowledge of PC operating systems (e.g., DOS, Windows), networking and mail standards, and supervision of help desk employees. Demonstrated ability to effectively communicate orally and in writing and to have a positive customer service attitude.

• Strong project management expertise particularly in call center environments. • Significant experience and familiarity with call center operations and KPIs. • Within the past three (3) years, experience managing call center budgets as well as

experience managing vendors and contracts. • Significant experience building and managing multi-level teams. • Strong teamwork, leadership and employee motivational skills. • Broad based call center operations experience including help desk, telecom, and

other associated IT services. • Extensive experience in report development, presentations, and trending analysis. • Demonstrated experience in continuous improvement initiatives, root cause

analysis and project management • Project Management certification such as a Project Management Professional

(PMP) or Six Sigma.

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Section 4 - Required Submissions

NOTE: 3. Master Contractors may propose only two candidates for each position requested. 4. Master Contractors proposing in response to the RFR must submit the documents below as separate files contained in

two separate emails as follows:




5. Resume

6. References

7. Price proposal



1. Work Experience



4. Price

Basis for Award Recommendation The MHBE PO will recommend award to the Master Contractor whose proposal is determined to be the most advantageous to the State, considering price and the evaluation factors set forth in the RFR. The MHBE PO will initiate and deliver a Task Order Agreement to the selected Master Contractor. Master Contractors should be aware that if selected, State law regarding conflict of interest may prevent future participation in procurements related to the RFR Scope of Work, depending upon specific circumstances.

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ATTACHMENT 1




Project Manager

Candidate Name:

Master Contractor:

E. Education / Training



F. Relevant Work Experience Describe work experience relevant to the Duties / Responsibilities and Minimum Experience / Knowledge / Skill described in Section 3 of the RFR. Starts with the most recent experience first; do not include non-relevant experience.






G. Employment History List employment history, starting with the most recent employment first



H. References List persons the State may contact as employment references


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LABOR CATEGORY TITLE – Project Manager


Education: Bachelor’s Degree from an accredited college or university. Project Management certification such as a Project Management Professional (PMP) or Six Sigma.

Education: 2.

General Experience:

• Minimum 10 years call center management or client engagement experience in a multi-functional environment.

• Ability to build relationships and create synergies with employees, vendors, and customers.

• Exemplary communication skills; ability to effectively communicate with all levels of an organization and its vendor partners as well as other critical stakeholders.

• Ability to perform assessments, pinpoint issues, develop recommendations including pros/cons and risks/benefits, and present to management for discussion, review, and approval.

• Quick study; ability to quickly come up to speed on business needs and translate that into customer service needs

• Strong Customer Service / consultative mindset. • Must be motivated, adaptable, flexible, and able to

produce quality results in an evolving, fast-paced environment.

• Demonstrated analytical and problem solving skills. • Excellent organizational and follow-up skills with strong

attention to detail.



• At least five (5) years of specialized experience includes management of help desks in a multiserver environment, comprehensive knowledge of PC operating systems (e.g., DOS, Windows), networking and mail standards, and supervision of help desk employees. Demonstrated ability to effectively communicate orally and in writing and to have a positive customer service attitude.

• Strong project management expertise particularly in call center environments.


2.

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• Significant experience and familiarity with call center

operations and KPIs. • Within the past three (3) years, experience managing call

center budgets as well as experience managing vendors and contracts.

• Significant experience building and managing multi-level teams.

• Strong teamwork, leadership and employee motivational skills.

• Broad based call center operations experience including help desk, telecom, and other associated IT services.

• Extensive experience in report development, presentations, and trending analysis.

• Demonstrated experience in continuous improvement initiatives, root cause analysis and project management

• Project Management certification such as a Project Management Professional (PMP) or Six Sigma.

1.


15


ATTACHMENT 2



Project Manager

A C D Fully Loaded

Hourly Labor Rate

Evaluation Hours









Functional Area One – Enterprise Service Provider

Labor Category/s


3. Network Manager - Infrastructure


1 July 2015



MBE Goal, if applicable MBE Goal, if applicable

05/12/2015 Due Date: 05/26/2015

16



mm/dd/yyyy


12:00 p.m.






shown on a resume.


3. n/a


3. n/a





410-547-1831


MHBE PO Fax: n/a




The Maryland Health Benefit Exchange (MHBE) created a website and call center operating under the name Maryland Health Connection (MHC). Through MHC, Maryland residents explore health insurance plans, compare rates, and determine their eligibility for advanced premium tax credits (APTC), cost sharing reductions (CSR) and public assistance programs such as Medicaid and the Maryland Children’s Health Insurance Program (MCHP). Today, the MHBE contracts with MAXIMUS Health Services, Inc. (MAXIMUS) to provide an MHC call center (Call Center) in two Baltimore -based locations housing anywhere from 150 – 300 Call Center representatives. MHBE seeks an Infrastructure Manager to work as a Network Support Manager for the Maryland Health Benefit Exchange. The Infrastructure Manager provides services related to the planning, set-up and maintenance of core IT infrastructure capabilities including but not limited to hardware and equipment, operating systems, database software, middleware, and other related technology that supports mission application systems. An infrastructure manager also works with vendors in the areas of capacity planning, systems monitoring, back-up and recovery operations, and general maintenance support for IT infrastructure. The successful candidate will provide end-to-end services for the MHBE computer user population of roughly 150 end users. Services will include Network Deployment, Network Security and Maintenance of the MHBE Enterprise Network. This position will report to and take direction from the Chief Information Security Officer (CISO).

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Job Description/s



• Network Manager - Infrastructure

The successful candidate will provide end-to-end services for the MHBE computer user population of roughly 150 end users. Services will include Network Deployment, Network Security and Maintenance of the MHBE Enterprise Network. This position will report to and take direction from the Chief Information Security Officer (CISO). The Infrastructure Manager will: Assist MHBE networking staff to manage and maintain routers and switches Manage patching, testing, and deployment of workstation and server updates using Absolute Manage Manage the configuration and implementation of an MHBE-wide asset management tool Serve as MHBE Incident Response lead; coordinate responses to network incidents Configure and manage VPN installation and maintenance Assist MHBE networking staff with desktop support Work with MHBE vendors to participate in Disaster Recovery and Business Continuity support The Infrastructure Manager will also participate in meetings regarding project work, hosting and data center services, product evaluations, and other activities as directed. The successful candidate will also adhere to all of MHBE’s standard processes, procedures, and guidelines. The candidate must have flexibility to work overtime, as needed, to support a high-profile, fast-paced project. Work on weekends, holidays, and off-hours may be needed.





•Minimum seven (7) years of experience as a Network Engineer, Security Analyst, Security Administrator, and Network Desktop Specialist •Familiar with Security Configuration Baselines •Experience supporting large-scale projects in dynamic, fast-paced environments •Experience coordinating across multiple groups and interacting with various teams to achieve successful outcomes •Excellent critical thinking, analytic and problem-solving skills •Able to effectively set milestones, meet deadlines, and work in a self-directed fashion to accomplish assigned tasks under tight timeframes with little room for error •Bachelor’s degree. •Availability for work as specified in the RFP

Preferred Qualifications

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The additional Experience/Knowledge/Skills listed below are preferred by the State.


• Experience implementing Cisco VPN or other VPN solutions • 3-5 years Managing Enterprise Networks • MCSE (Microsoft Certified Systems Engineer) • Absolute / Computrace Certification and/or experience • Health and Human Services and/or Healthcare Technology experience preferred • Healthcare IT experience a plus






9. Resume

10. References

11. Price proposal



5. Work Experience



8. Price


19


ATTACHMENT 1




Network Manager - Infrastructure

Candidate Name:

Master Contractor:

I. Education / Training



J. Relevant Work Experience Describe work experience relevant to the Duties / Responsibilities and Minimum Experience / Knowledge / Skill described in Section 3 of the RFR. Starts with the most recent experience first; do not include non-relevant experience.






K. Employment History List employment history, starting with the most recent employment first



L. References List persons the State may contact as employment references


20







LABOR CATEGORY TITLE – Network Manager - Infrastructure



Education: 3.

General Experience: •Minimum seven (7) years of experience as a Network Engineer, Security Analyst, Security Administrator, and Network Desktop Specialist •Familiar with Security Configuration Baselines •Experience supporting large-scale projects in dynamic, fast-paced environments •Experience coordinating across multiple groups and interacting with various teams to achieve successful outcomes •Excellent critical thinking, analytic and problem-solving skills •Able to effectively set milestones, meet deadlines, and work in a self-directed fashion to accomplish assigned tasks under tight timeframes with little room for error •Availability for work as specified in the RFP



• Experience implementing Cisco VPN or other VPN solutions • 3-5 years Managing Enterprise Networks • MCSE (Microsoft Certified Systems Engineer) • Absolute / Computrace Certification and/or experience • Health and Human Services and/or Healthcare Technology

experience • Healthcare IT experience a plus


3.

2.

The information provided on this form for this labor category is true and correct to the best of my knowledge: Master Contractor Representative: ______________________________ _______________________________ _______________ Print Name Signature Date

21


Proposed Individual: __________________________________ _______________ Signature Date Instruction: Sign each form.

22


ATTACHMENT 2



Network Manager - Infrastructure

A C D Fully Loaded

Hourly Labor Rate

Evaluation Hours









Functional Area Four – Software Engineering

Labor Category/s


4. Analyst, Systems (Senior) – Reports


1 July 2015




05/12/2015 Due Date: 05/26/2015

23



mm/dd/yyyy


12:00 p.m.






shown on a resume.


4. n/a


4. n/a





410-547-1831


MHBE PO Fax: n/a




The Maryland Health Benefit Exchange (MHBE) created a website and call center operating under the name Maryland Health Connection (MHC). Through MHC, Maryland residents explore health insurance plans, compare rates, and determine their eligibility for advanced premium tax credits (APTC), cost sharing reductions (CSR) and public assistance programs such as Medicaid and the Maryland Children’s Health Insurance Program (MCHP). Today, the MHBE contracts with MAXIMUS Health Services, Inc. (MAXIMUS) to provide an MHC call center (Call Center) in two Baltimore -based locations housing anywhere from 150 – 300 Call Center representatives. MHBE seeks one (1) Report Developer/SQL specialist to join the Information Technology program team in support of the Maintenance and Operations program of the MD HBX system. In addition to other duties as assigned the primary role of the report developer/SQL Specialist is to work closely with our MHBE stakeholders and other software and IT team members to develop, maintain and enhance reporting capabilities. In addition report developer will be responsible for understanding complex data model to extract data for the federal reporting. The understanding and timeliness of updates is critical.

Job Description/s

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Labor Category/s

(From Section 1 Above) Duties / Responsibilities

• Analyst, Systems (Senior) – Reports

As directed by MHBE:

• Write queries in SQL, DB2 and Microsoft – SQL server 2012 • Supporting a large-scale project in a dynamic, fast-paced environments • Developing, building, and managing complex, operational and federally mandated

reports

• Systems analysis, organizational, problem solving, troubleshooting, time management, oral and written communication skills.

• Work within a multi-disciplinary team in a fast paced, technically challenging environment.

• Developing reports in SSRS tool • Knowledge of Informatica • Over time, able to develop Subject Matter Expertise in developing data warehouse

for the functionality of the MD HBX system, and how it supports the business of MHBE and its stakeholders

• Other duties as assigned





• Minimum 5 years of experience working in a complex project environment as a Report Developer

• Ability to work evenings, nights, weekends, and holidays as the work dictates • Proficient in writing SQL query, DB2 as well as Microsoft – SQL server 2012 • Attention to detail, critical thinking, and problem solving • Self-starter and quick study; ability to quickly come up to speed in a new

environment • Must be motivated, adaptable, flexible, and able to produce quality results in an

evolving, fast-paced environment • Bachelor’s degree required



• Advanced queries and joins • Healthcare IT experience or Health and Human Services (social services)

experience a plus • Developing reports in SSRS tool

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NOTE: 7. Master Contractors may propose only two candidates for each position requested. 8. Master Contractors proposing in response to the RFR must submit the documents below as separate files contained in two





13. Resume

14. References

15. Price proposal



9. Work Experience



12. Price


26


ATTACHMENT 1




Analyst, Systems (Senior) – Reports

Candidate Name:

Master Contractor:

M. Education / Training



N. Relevant Work Experience Describe work experience relevant to the Duties / Responsibilities and Minimum Experience / Knowledge / Skill described in Section 3 of the RFR. Starts with the most recent experience first; do not include non-relevant experience.






O. Employment History List employment history, starting with the most recent employment first



P. References List persons the State may contact as employment references


27







LABOR CATEGORY TITLE – Systems Analyst - Reports


Education: Bachelor’s Degree required

Education: 4.

General Experience:

• Minimum 5 years of experience working in a complex project environment as a Report Developer

• Ability to work evenings, nights, weekends, and holidays as the work dictates

• Proficient in writing SQL query, DB2 as well as Microsoft – SQL server 2012

• Attention to detail, critical thinking, and problem solving • Self-starter and quick study; ability to quickly come up to

speed in a new environment • Must be motivated, adaptable, flexible, and able to




• Advanced queries and joins • Healthcare IT experience or Health and Human Services

(social services) experience a plus • Developing reports in SSRS tool


4.

3.

The information provided on this form for this labor category is true and correct to the best of my knowledge: Master Contractor Representative: ______________________________ _______________________________ _______________ Print Name Signature Date Proposed Individual: __________________________________ _______________ Signature Date

28


Instruction: Sign each form.

29


ATTACHMENT 2



Analyst, Systems (Senior) – Reports

A C D Fully Loaded

Hourly Labor Rate

Evaluation Hours









Functional Area Eight – IT Quality Assurance Consulting Services

Labor Category/s


Testing Specialist (Lead)


1 July 2015




05/12/2015 Due Date: 05/26/2015

30



mm/dd/yyyy


12:00 p.m.






shown on a resume.


5. n/a


5. n/a





410-547-1831


MHBE PO Fax: n/a




The Maryland Health Benefit Exchange (MHBE) created a website and call center operating under the name Maryland Health Connection (MHC). Through MHC, Maryland residents explore health insurance plans, compare rates, and determine their eligibility for advanced premium tax credits (APTC), cost sharing reductions (CSR) and public assistance programs such as Medicaid and the Maryland Children’s Health Insurance Program (MCHP). Today, the MHBE contracts with MAXIMUS Health Services, Inc. (MAXIMUS) to provide an MHC call center (Call Center) in two Baltimore -based locations housing anywhere from 150 – 300 Call Center representatives. MHBE is seeking one (1) Lead Testing Specialist to provide oversight of testing services for the Maryland Health Benefit Exchange. The Lead Testing Specialist supports the development of test plans and test scripts based on business and technical requirements for MHBE systems; creates test data and test scenarios; performs testing and documents results; works with developers (primarily contractors) to review test results and plan any necessary remediation. This position will also perform critical software validation services on behalf of MHBE, conducting rigorous User Acceptance Testing (UAT) on the MD HBX system. Testers provide detailed test case development and execution services to enable MHBE to release quality-driven software changes to the consumer and worker population. This role will work closely with MHBE and the Maintenance, Operations, and Enhancements vendor to understand the business requirements of the software changes,

31


develop release-specific test cases and scripts, and perform thorough regression testing of each change. Testers will also support the analysis and research of problem cases in Production, to better understand and prepare test scripts and cases for use in validating software fixes. Testing may be manual, may involve the use of automated testing tools, and may also be reviewing the results of batch cycles, validating reports, verifying notice generation, and other end-user activities.

Job Description/s



• Testing Specialist, Lead As directed by MHBE: • The candidate should be flexible and adaptable, and work well in a fast-paced environment. •Translate verbal and written requirements/functional specifications into effective test cases/scenarios in order to conduct integrated, scenario-based User Acceptance Testing of a complex, web-based healthcare system. The system includes multiple interfaces to state and Federal systems, notifications, document management workflows, and full case management eligibility determination, disposition, and life cycle activities. •The candidate will be directly responsible for developing the test cases/scripts, end-to-end test scenarios, working with business stakeholders to refine test scenarios, • User Acceptance Testing execution, documenting defects, and working with the technical team and business to troubleshoot and resolve identified issues. •The candidate will work with business and technology leads to identify the appropriate data for testing, and prepare that data for User Acceptance Testing. •The candidate should have excellent communication skills (written and verbal) and be adept at building relationships, and will be responsible for creating functional and technical documentation. •Support user acceptance testing and be able to work evenings, nights, weekends, and holidays as the work dictates. •The candidate will support on-site user support post go-live and with advance notification may be required to travel to local offices outside of the Baltimore metro area. •The candidate will support troubleshooting and provide operational support including analysis of issues and documentation of business requirements. In this function the candidate may interact with external agencies or possible the public. The candidate shall have a professional demeanor and provide excellent customer service. •Other duties as assigned.




5. Testing Specialist, Lead •Minimum 6 years of experience as User Acceptance Tester •At least two (2) years of experience leading teams of software testers •Bachelor’s degree • Ability to work evenings, nights, weekends, and holidays as the work dictates

32


•Detail oriented with significant focus on quality •Ability to manage multiple priorities and tight timelines •Exemplary communication skills; ability to effectively communicate with all levels of an organization and its vendor partners as well as other critical stakeholders •Quick study; ability to quickly come up to speed on business needs and translate that into customer service needs •Must be motivated, adaptable, flexible, and able to produce quality results in an evolving, fast-paced environment


5. Testing Specialist, Lead •Hands-on knowledge of testing object-oriented language and tools •Familiarity with SQL, HTML, CSS and JavaScript •Excellent critical thinking, analytic and problem-solving skills •Experience performing manual testing on web-based systems •Experience performing end-to-end scenario-based testing •Proven knowledge and experience with formal QA Processes and full SDLC •Experience with JIRA and JAMA •Health Insurance domain expertise






17. Resume

18. References

19. Price proposal



13. Work Experience



16. Price

33


Basis for Award Recommendation

The MHBE PO will recommend award to the Master Contractor whose proposal is determined to be the most advantageous to the State, considering price and the evaluation factors set forth in the RFR. The MHBE PO will initiate and deliver a Task Order Agreement to the selected Master Contractor. Master Contractors should be aware that if selected, State law regarding conflict of interest may prevent future participation in procurements related to the RFR Scope of Work, depending upon specific circumstances.[

34


ATTACHMENT 1




Testing Specialist, Lead

Candidate Name:

Master Contractor:

Q. Education / Training



R. Relevant Work Experience Describe work experience relevant to the Duties / Responsibilities and Minimum Experience / Knowledge / Skill described in Section 3 of the RFR. Starts with the most recent experience first; do not include non-relevant experience.






S. Employment History List employment history, starting with the most recent employment first



T. References List persons the State may contact as employment references


35







LABOR CATEGORY TITLE – Testing Specialist, Lead


Education: Bachelor’s degree required.

Education: 5.

General Experience: •Minimum 6 years of experience as User Acceptance Tester •At least two (2) years of experience leading teams of software testers •Detail oriented with significant focus on quality •Ability to manage multiple priorities and tight timelines •Exemplary communication skills; ability to effectively communicate with all levels of an organization and its vendor partners as well as other critical stakeholders •Quick study; ability to quickly come up to speed on business needs and translate that into customer service needs •Must be motivated, adaptable, flexible, and able to produce quality results in an evolving, fast-paced environment


Specialized Experience: •Hands-on knowledge of testing object-oriented language and tools •Familiarity with SQL, HTML, CSS and JavaScript •Excellent critical thinking, analytic and problem-solving skills •Experience performing manual testing on web-based systems •Experience performing end-to-end scenario-based testing •Proven knowledge and experience with formal QA Processes and full SDLC •Experience with JIRA and JAMA


5.

4.

The information provided on this form for this labor category is true and correct to the best of my knowledge: Master Contractor Representative: ______________________________ _______________________________ _______________

36


Print Name Signature Date Proposed Individual: __________________________________ _______________ Signature Date Instruction: Sign each form.

37


ATTACHMENT 2



Testing Specialist, Lead

A C D Fully Loaded

Hourly Labor Rate

Evaluation Hours







ADPICS reference number to be entered upon issuance


Functional Area Eight – IT Quality Assurance Consulting Services

Labor Category/s


Testing Specialist


1 July 2015




05/12/2015 Due Date: 05/26/2015

38



mm/dd/yyyy


12:00 p.m.




Special Instructions. 16. Offerors may only submit seven (7) resumes for review and consideration. 17. Resumes must be signed and dated by the Contractor and their proposed


shown on a resume.


6. n/a


6. n/a





410-547-1831


MHBE PO Fax: n/a




The Maryland Health Benefit Exchange (MHBE) created a website and call center operating under the name Maryland Health Connection (MHC). Through MHC, Maryland residents explore health insurance plans, compare rates, and determine their eligibility for advanced premium tax credits (APTC), cost sharing reductions (CSR) and public assistance programs such as Medicaid and the Maryland Children’s Health Insurance Program (MCHP). Today, the MHBE contracts with MAXIMUS Health Services, Inc. (MAXIMUS) to provide an MHC call center (Call Center) in two Baltimore -based locations housing anywhere from 150 – 300 Call Center representatives. MHBE is seeking seven (7) Testers to provide testing services for the Maryland Health Benefit Exchange. The Testers Support the development of test plans and test scripts based on business and technical requirements for MHBE systems; creates test data and test scenarios; performs testing and documents results; works with developers (primarily contractors) to review test results and plan any necessary remediation. This position will also perform critical software validation services on behalf of MHBE, conducting rigorous User Acceptance Testing (UAT) on the MD HBX system. Testers provide detailed test case development and execution services to enable MHBE to release quality-driven software changes to the consumer and worker population. This role will work closely with MHBE and the Maintenance, Operations, and Enhancements vendor to understand the business requirements of the software changes, develop release-specific test cases and scripts, and perform

39


thorough regression testing of each change. Testers will also support the analysis and research of problem cases in Production, to better understand and prepare test scripts and cases for use in validating software fixes. Testing may be manual, may involve the use of automated testing tools, and may also be reviewing the results of batch cycles, validating reports, verifying notice generation, and other end-user activities.

Job Description/s



• Testing Specialist As directed by MHBE: • The candidate should be flexible and adaptable, and work well in a fast-paced environment. •Translate verbal and written requirements/functional specifications into effective test cases/scenarios in order to conduct integrated, scenario-based User Acceptance Testing of a complex, web-based healthcare system. The system includes multiple interfaces to state and Federal systems, notifications, document management workflows, and full case management eligibility determination, disposition, and life cycle activities. •The candidate will be directly responsible for developing the test cases/scripts, end-to-end test scenarios, working with business stakeholders to refine test scenarios, • User Acceptance Testing execution, documenting defects, and working with the technical team and business to troubleshoot and resolve identified issues. •The candidate will work with business and technology leads to identify the appropriate data for testing, and prepare that data for User Acceptance Testing. •The candidate should have excellent communication skills (written and verbal) and be adept at building relationships, and will be responsible for creating functional and technical documentation. •Support user acceptance testing and be able to work evenings, nights, weekends, and holidays as the work dictates. •The candidate will support on-site user support post go-live and with advance notification may be required to travel to local offices outside of the Baltimore metro area. •The candidate will support troubleshooting and provide operational support including analysis of issues and documentation of business requirements. In this function the candidate may interact with external agencies or possible the public. The candidate shall have a professional demeanor and provide excellent customer service. •Other duties as assigned.




6. Testing Specialist •Minimum 4 years of experience as User Acceptance Tester •Bachelor’s degree required. •Detail oriented with significant focus on quality •Ability to work evenings, nights, weekends, and holidays as the work dictates

40


•Ability to manage multiple priorities and tight timelines •Exemplary communication skills; ability to effectively communicate with all levels of an organization and its vendor partners as well as other critical stakeholders •Quick study; ability to quickly come up to speed on business needs and translate that into customer service needs •Must be motivated, adaptable, flexible, and able to produce quality results in an evolving, fast-paced environment


6. Testing Specialist •Familiarity with SQL, HTML, CSS and JavaScript •Excellent critical thinking, analytic and problem-solving skills •Experience performing manual testing on web-based systems •Experience performing end-to-end scenario-based testing •Proven knowledge and experience with formal QA Processes and full SDLC •Experience with JIRA and JAMA •Hands-on knowledge of testing object-oriented language and tools •Health Insurance domain expertise •Health and Human Services (social services) domain expertise •State government domain expertise •Experience specifically with User Acceptance Testing •Experience with regression testing

Section 4 - Required Submissions NOTE: 11. Master Contractors may propose only seven candidates for each position requested. 12. Master Contractors proposing in response to the RFR must submit the documents below as separate files contained in two





21. Resume

22. References

23. Price proposal



17. Work Experience



41


20. Price


42


ATTACHMENT 1




Testing Specialist

Candidate Name:

Master Contractor:

U. Education / Training



V. Relevant Work Experience Describe work experience relevant to the Duties / Responsibilities and Minimum Experience / Knowledge / Skill described in Section 3 of the RFR. Starts with the most recent experience first; do not include non-relevant experience.






W. Employment History List employment history, starting with the most recent employment first



X. References List persons the State may contact as employment references


43







LABOR CATEGORY TITLE – Testing Specialist


Education: •Bachelor’s degree required.

Education: 6.

General Experience: •Minimum 4 years of experience as User Acceptance Tester •Detail oriented with significant focus on quality •Ability to work evenings, nights, weekends, and holidays as the work dictates •Ability to manage multiple priorities and tight timelines •Exemplary communication skills; ability to effectively communicate with all levels of an organization and its vendor partners as well as other critical stakeholders •Quick study; ability to quickly come up to speed on business needs and translate that into customer service needs •Must be motivated, adaptable, flexible, and able to produce quality results in an evolving, fast-paced environment


Specialized Experience: •Familiarity with SQL, HTML, CSS and JavaScript •Excellent critical thinking, analytic and problem-solving skills •Experience performing manual testing on web-based systems •Experience performing end-to-end scenario-based testing •Proven knowledge and experience with formal QA Processes and full SDLC •Experience with JIRA and JAMA •Hands-on knowledge of testing object-oriented language and tools •Health Insurance domain expertise •Health and Human Services (social services) domain expertise •State government domain expertise •Experience specifically with User Acceptance Testing •Experience with regression testing


6.

5.

44



45


ATTACHMENT 2



Testing Specialist

A C D Fully Loaded

Hourly Labor Rate

Evaluation Hours







RFR # ADPICS Reference BPO number to be entered upon issuance


Functional Area One – Enterprise Service Provider

Labor Category/s


5. Architect, Systems (Senior)


1 July 2015




05/12/2015 Due Date: 05/26/2015

46



mm/dd/yyyy


12:00 p.m.






shown on a resume.


7. n/a


7. n/a





410-547-1831


MHBE PO Fax: n/a




The Maryland Health Benefit Exchange (MHBE) created a website and call center operating under the name Maryland Health Connection (MHC). Through MHC, Maryland residents explore health insurance plans, compare rates, and determine their eligibility for advanced premium tax credits (APTC), cost sharing reductions (CSR) and public assistance programs such as Medicaid and the Maryland Children’s Health Insurance Program (MCHP). Today, the MHBE contracts with MAXIMUS Health Services, Inc. (MAXIMUS) to provide an MHC call center (Call Center) in two Baltimore -based locations housing anywhere from 150 – 300 Call Center representatives. MHBE is seeking a Systems Architect to support the on-going software development lifecycle activities associated with the Maryland Health Benefit Exchange (MD HBX) solution. The Systems Architect plans and documents technical architectures and roadmaps, ensuring that vendors understand technical requirements and standards; validates that new or modified technical capabilities are implemented according to specifications (Standards include but are not limited those set forth in the Patient Protection and Affordable Care Act, as amended (ACA), the Health Information Portability and Accountability Act, (HIPAA), the Health Information Technology for Economic and Clinical Health Act (HITECH), the Medicaid Information Technology Architecture Initiative (MITA)); and plans and oversees interface development. The Systems Architect will work

47


with the MHBE Chief Information Officer (CIO) and Program Management Office (PMO) to provide solution development oversight and support along with providing technical strategies for future development / enhancement efforts.

Job Description/s



• Architect, Systems (Senior) As directed by MHBE: •Develop expert knowledge of Maryland’s HBX solution and enterprise systems •Deliver enhancements to the underlying core solution (e.g. technical interfaces with external systems) •Define application and underlying technology roadmaps •Deliver software architecture documents detailing the vision for how a new set of capabilities addresses the business requirements and integrates with existing applications or components •Interact with and advise business stakeholders of the application regarding functional and non-functional requirements •Create proof-of-concept applications to demonstrate viability of solutions under consideration •Develop enterprise level conceptual solutions •Contribute to the review and approval of conceptual, logical, and physical data models •Establish application/system architecture guiding principles and design goals •Have a working knowledge of other architecture disciplines including application, database, infrastructure, and enterprise architecture •Identify system integration opportunities •Evaluate, recommend, and select application development tools and utilities •Establish and execute formal policies and procedures for application design review and approval •Identify and implement best practices, tools, and standards •Facilitate system reliability, availability, scale, and performance activities •Advise MHBE senior leadership about relevant technology trends and provide recommendations on feasibility and potential impact for MHBE •Perform other duties as assigned




7. Architect, Systems (Senior) •Minimum of ten (10) years of experience with architecting large scale solutions (Java and mainframe experience a plus) •Strong understanding of SOA principles, design patterns and ability to research and apply new technology on large scale systems •Strong ability to diagnose and solve architecture issues such as performance and security issues

48


•Ability to work evenings, nights, weekends, and holidays as the work dictates •Ability to manage multiple priorities and tight timelines •Exemplary communication skills including the ability to effectively communicate with all levels of an organization, external vendor partners, as well as other internal and external stakeholders •Quick study including the ability to quickly come up to speed on business needs and translate business needs into customer service needs •Demonstrated analytical and problem solving skills •Must be motivated, adaptable, flexible, and able to produce quality results in an evolving, fast-paced environment •Bachelor’s Degree in Information Technology or Information Systems


7. Architect, Systems (Senior) •Master’s degree in Information Technology or Information Systems preferred. •Previous consulting experience •Proven knowledge and hands-on experience designing and developing enterprise applications using C# or Java. Experience with Microsoft SQL Server and Active Directory is a plus •Minimum of two (2) years of experience and knowledge of MD Clients’ Automated Resource Eligibility System (CARES) •Minimum two (2) year experience with and knowledge of Affordable Care Act (ACA), State Based Marketplaces (SBM), and business objectives of MHBE or Federally Facilitated Marketplaces (FFM) •Proven background in the design and implementation of large scale, complex custom application development systems •Strong understanding of health Insurance electronic data interfaces (EDI), data transmission, and healthcare transactions including experience and knowledge of 270/271 transactions, return acknowledgements (997 & 824 responses) batch processing, testing with trading partners, commercial health plans, and other healthcare provider networks

Section 4 - Required Submissions NOTE: 13. Master Contractors may propose two candidates for each position requested. 14. Master Contractors proposing in response to the RFR must submit the documents below as separate files contained in two





25. Resume

26. References

27. Price proposal

49




21. Work Experience



24. Price


50

Request for Resume (RFR) MHBE IT IDIQ Master Contract

ATTACHMENT 1




Architect, Systems (Senior)

Candidate Name:

Master Contractor:

Y. Education / Training



Z. Relevant Work Experience Describe work experience relevant to the Duties / Responsibilities and Minimum Experience / Knowledge / Skill described in Section 3 of the RFR. Starts with the most recent experience first; do not include non-relevant experience.






AA. Employment History List employment history, starting with the most recent employment first



BB. References List persons the State may contact as employment references


51







LABOR CATEGORY TITLE – Architect, Systems (Senior)


Education: Bachelor’s Degree in Information Technology or Information Systems

Education: 7.

General Experience: •Minimum of ten (10) years of experience with architecting large scale solutions (Java and mainframe experience a plus) •Strong understanding of SOA principles, design patterns and ability to research and apply new technology on large scale systems •Strong ability to diagnose and solve architecture issues such as performance and security issues •Ability to work evenings, nights, weekends, and holidays as the work dictates •Ability to manage multiple priorities and tight timelines •Exemplary communication skills including the ability to effectively communicate with all levels of an organization, external vendor partners, as well as other internal and external stakeholders •Quick study including the ability to quickly come up to speed on business needs and translate business needs into customer service needs •Demonstrated analytical and problem solving skills •Must be motivated, adaptable, flexible, and able to produce quality results in an evolving, fast-paced environment


Specialized Experience: •Master’s degree in Information Technology or Information Systems preferred. •Previous consulting experience •Proven knowledge and hands-on experience designing and developing enterprise applications using C# or Java. Experience with Microsoft SQL Server and Active Directory is a plus •Minimum of two (2) years of experience and knowledge of MD Clients’ Automated Resource Eligibility System (CARES)


7.

52


•Minimum two (2) year experience with and knowledge of Affordable Care Act (ACA), State Based Marketplaces (SBM), and business objectives of MHBE or Federally Facilitated Marketplaces (FFM) •Proven background in the design and implementation of large scale, complex custom application development systems •Strong understanding of health Insurance electronic data interfaces (EDI), data transmission, and healthcare transactions including experience and knowledge of 270/271 transactions, return acknowledgements (997 & 824 responses) batch processing, testing with trading partners, commercial health plans, and other healthcare provider networks

6.


53


ATTACHMENT 2



Architect, Systems (Senior)

A C D Fully Loaded

Hourly Labor Rate

Evaluation Hours










Labor Category/s Enter the labor category/s to be provided: 1. Analyst, Systems (Senior)


1 July 2015




54




05/26/2015


12:00 p.m.






shown on a resume.


1. n/a


1. n/a

Section 2 – MHBE Procurement Officer (PO) Information MHBE / Division Name:



410-547-1831


MHBE PO Fax: n/a



MHBE / Project Background The Maryland Health Benefit Exchange (MHBE) created a website and call center operating under the name Maryland Health Connection (MHC). Through MHC, Maryland residents explore health insurance plans, compare rates, and determine their eligibility for advanced premium tax credits (APTC), cost sharing reductions (CSR) and public assistance programs such as Medicaid and the Maryland Children’s Health Insurance Program (MCHP). Today, the MHBE contracts with MAXIMUS Health Services, Inc. (MAXIMUS) to provide an MHC call center (Call Center) in two Baltimore -based locations housing anywhere from 150 – 300 Call Center representatives. MHBE is seeking one (1) Systems Analyst to provide 8001 / MMIS file analysis support services for the MD HBX system. The Systems Analyst analyzes technologies used for systems development, interoperability, data management and storage, and related systems capabilities; documents technical requirements and ensures that vendors adhere to technical standards; and participates in non-functional testing and interface coordination. Successful candidates will provide highly technical and detailed systems analysis services to enable MHBE to meet case and application research and problem resolution needs. This role will work closely with the Operations Support team to perform analysis as directed regarding the 8001 transaction between MHBE and the Department of Health and Mental Hygeine. This work will also support management decision making

55


and problem-resolution activities. The Systems Analyst position also performs ad-hoc data analysis and develops as-needed reports for internal management use or for external stakeholders.

Job Description/s Labor Category/s


1. Analyst, Systems (Senior) As directed by MHBE: ● Analyze the error files received from Interim Data Base.

● If this rejection requires data fix, need to create a data change request with the development team.

● If it requires an outreach, coordinate with the Customer Service Representative team.

● If it requires a coordination with the Xerox team or MHBE stakeholder team, this person will reach out to the point of contact of the respective agencies

● Perform other duties as assigned




1. Analyst, Systems (Senior) ● Experience in analyzing the flat file formats ● Experience in reviewing and understanding technical documents such as

companion and implementation guides of Health care ● Strong analytical and problem solving skills ● Good writing skills ● Ability to work evenings, nights, weekends, and holidays as the work dictates ● Ability to manage multiple priorities and tight timelines ● Exemplary communication skills including the ability to effectively communicate


● Quick study including the ability to quickly come up to speed on business needs and translate business needs into customer service needs

● Demonstrated analytical and problem solving skills ● Must be motivated, adaptable, flexible, and able to produce quality results in an

evolving, fast-paced environment ● Bachelor's degree


1. Analyst, Systems (Senior) ● Knowledge in the ACA eligibility rules ● In-depth understanding of 8001 enrollment transactions including Adds,

Terminations, Cancellations and Life events ● Understand State/Federal QHP requirements and coordinate between the various

State agencies ● Knowledge of DB2 database and SQL ● Previous consulting experience


56


NOTE: 1. Master Contractors may propose only two candidates for each position requested. 2. Master Contractors proposing in response to the RFR must submit the documents below as separate files contained in two





1. Resume

2. References

3. Price proposal



25. Work Experience



28. Price


57


58


SECTION 1ATTACHMENT 1

SECTION 2RFR RESUME FORM RFR # ADPICS REFERENCE BPO NUMBER

Instructions: Enter resume information in the fields below; do not submit other resume formats. Submit only one resume per Labor Category described in Section 1 of the RFR. If the RFR requests multiple Labor Categories, use a separate resume form for each proposed candidate. Labor Category:

Analyst, Systems (Senior)

Candidate Name:

Master Contractor:







[Organization] [Title / Role] [Period of Employment / Work] [Location] [Contact Person]






59


D. References

List persons the State may contact as employment references




*“Candidate Relevant Experience” section must be filled out. Do not enter “see resume” as a response. Proposed Individual’s Name/Company:


LABOR CATEGORY TITLE – Analyst, Systems



Education: 1.

General Experience: ● Experience in analyzing the flat file formats ● Experience in reviewing and understanding technical

documents such as companion and implementation guides of Health care

● Strong analytical and problem solving skills ● Good writing skills ● Ability to work evenings, nights, weekends, and holidays as

the work dictates ● Ability to manage multiple priorities and tight timelines ● Exemplary communication skills including the ability to



● Demonstrated analytical and problem solving skills ● Must be motivated, adaptable, flexible, and able to



Specialized Experience: ● Knowledge in the ACA eligibility rules ● In-depth understanding of 8001 enrollment transactions

including Adds, Terminations, Cancellations and Life events ● Understand State/Federal QHP requirements and

coordinate between the various State agencies ● Knowledge of DB2 database and SQL ● Previous consulting experience

Specialized Experience: 1.

60



61


SECTION 3ATTACHMENT 2 SECTION 4PRICE PROPOSAL

SECTION 5RFR # ADPICS REFERENCE BPO NUMBER (This form is to be filled out by Master Contractors - Submit with the Financial Response)


A C D Fully Loaded

Hourly Labor Rate

Evaluation Hours





SECTION 6








1 July 2015


62






05/26/2015


12:00 p.m.

Place of Performance: The candidates should be flexible and able to report to various locations as needs and meetings require. Locations where the resource will report for work, depending on the need (and potentially at different locations during the week, as needed):



Special Instructions. 1. Offerors may only submit four (4) resumes for review and consideration. 2. Resumes must be signed and dated by the Contractor and their proposed


shown on a resume.


1. n/a


1. n/a




410-547-1831


MHBE PO Fax: n/a



MHBE / Project Background The Maryland Health Benefit Exchange (MHBE) created a website and call center operating under the name Maryland Health Connection (MHC). Through MHC, Maryland residents explore health insurance plans, compare rates, and determine their eligibility for advanced premium tax credits (APTC), cost sharing reductions (CSR) and public assistance programs such as Medicaid and the Maryland Children’s Health Insurance Program (MCHP). Today, the MHBE contracts with MAXIMUS Health Services, Inc. (MAXIMUS) to provide an MHC call center (Call Center) in two Baltimore -based locations housing anywhere from 150 – 300 Call Center representatives. MHBE is seeking two (2) Systems Analyst to provide EDI support services for the MD HBX system. The Systems Analyst analyzes technologies used for systems development, interoperability, data management and storage, and related systems capabilities; documents technical requirements and ensures that vendors adhere to technical standards; and participates in

63


non-functional testing and interface coordination. Successful candidates will provide highly technical and detailed systems analysis services to enable MHBE to meet case and application research and problem resolution needs. This role will work closely with the Operations Support team to perform analysis as directed regarding the EDI / 834 transaction between MHBE and the Insurance Carriers. This work will also support management decision making and problem-resolution activities. The Systems Analyst position also performs ad-hoc data analysis and develops as-needed reports for internal management use or for external stakeholders.



1. Analyst, Systems (Senior) As directed by MHBE: ● Analyze TA1 files from carriers and identify the root cause for rejection.

Coordinate with the development team and retransmit the file, if needed. ● Analyze the 999 files from carriers, and identify the root cause why transactions

are rejected. o If this rejection requires data fix, need to create a data change request with

the development team. o If it requires an outreach, coordinate with the Customer Service

Representative team. ● Analyze the error reports by accessing the database or the application to find out

root cause why transaction is rejected o If this rejection requires data fix, need to create a data change request

with the development team. o If it requires an outreach, coordinate with the Customer Service

Representative team. ● Good writing skills ● Ability to work evenings, nights, weekends, and holidays as the work dictates ● Ability to manage multiple priorities and tight timelines ● Exemplary communication skills including the ability to effectively

communicate with all levels of an organization, MHBE vendor partners, as well as other critical stakeholders.


● Demonstrated analytical and problem solving skills ● Must be motivated, adaptable, flexible, and able to produce quality results in

an evolving, fast-paced environment ● Perform other duties as assigned


For minimum qualifications, see the labor category description in the MHBE IT IDIQ RFP for the subject RFR labor category. In addition, qualified candidates must meet the minimum qualifications specified below. Candidates that do not meet minimum qualifications will be deemed not reasonably susceptible for award and will not progress to full evaluation.



1. Analyst, Systems (Senior) ● Experience with EDI validation tools such as Edifecs, WTX. ● Experience in creating EDI X12 files for different kinds of transactions sets such as

834/999/TA1. ● Experience in reviewing and understanding technical documents such as

companion and implementation guides of Health care EDI formats such as 834,999

● Experience in analyzing, testing of SOA, EDI and EAI Applications

64


● Strong analytical and problem solving skills ● Excellent communication skills including the ability to understand and

communicate technical information to business users, and gather business requirements that can be translated into technical requirements

● Experience with establishing and maintaining reporting databased/data warehouse

● Good writing skills ● Ability to work evenings, nights, weekends, and holidays as the work dictates ● Ability to manage multiple priorities and tight timelines ● Exemplary communication skills including the ability to effectively communicate



● Demonstrated analytical and problem solving skills ● Must be motivated, adaptable, flexible, and able to produce quality results in an

evolving, fast-paced environment ● Bachelor's degree


1. Analyst, Systems (Senior) ● Knowledge in the ACA eligibility rules ● In-depth understanding of 834 enrollment transactions including Adds,

Terminations, Cancellations and Life events ● Understand State/Federal QHP requirements and coordinate between the State

system and Carriers and CMS during implementation. ● Knowledge of DB2 database and SQL ● Previous consulting experience desired but not required

Section 4 - Required Submissions NOTE: 1. Master Contractors may propose only two candidates for each position requested - in this case, four candidates in total. 2. Master Contractors proposing in response to the RFR must submit the documents below as separate files contained in two





1. Resume

2. References

3. Price proposal



29. Work Experience


65



32. Price


66






Candidate Name:

Master Contractor:













67


D. References










Education: 1.

General Experience: ● Experience with EDI validation tools such as Edifecs, WTX. ● Experience in creating EDI X12 files for different kinds of

transactions sets such as 834/999/TA1. ● Experience in reviewing and understanding technical

documents such as companion and implementation guides of Health care EDI formats such as 834,999

● Experience in analyzing, testing of SOA, EDI and EAI Applications

● Strong analytical and problem solving skills ● Excellent communication skills including the ability to

understand and communicate technical information to business users, and gather business requirements that can be translated into technical requirements

● Experience with establishing and maintaining reporting databased/data warehouse

● Good writing skills ● Ability to work evenings, nights, weekends, and holidays as

the work dictates ● Ability to manage multiple priorities and tight timelines ● Exemplary communication skills including the ability to



● Demonstrated analytical and problem solving skills


68


● Must be motivated, adaptable, flexible, and able to


Specialized Experience: ● Knowledge in the ACA eligibility rules ● In-depth understanding of 834 enrollment transactions

including Adds, Terminations, Cancellations and Life events ● Understand State/Federal QHP requirements and

coordinate between the State system and Carriers and CMS during implementation.

● Knowledge of DB2 database and SQL ● Previous consulting experience desired but not required

Specialized Experience: 1.


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A C D Fully Loaded

Hourly Labor Rate

Evaluation Hours





SECTION 12








1 July 2015


70






05/26/2015


12:00 p.m.






shown on a resume.


1. n/a


1. n/a




410-547-1831


MHBE PO Fax: n/a



MHBE / Project Background The Maryland Health Benefit Exchange (MHBE) created a website and call center operating under the name Maryland Health Connection (MHC). Through MHC, Maryland residents explore health insurance plans, compare rates, and determine their eligibility for advanced premium tax credits (APTC), cost sharing reductions (CSR) and public assistance programs such as Medicaid and the Maryland Children’s Health Insurance Program (MCHP). Today, the MHBE contracts with MAXIMUS Health Services, Inc. (MAXIMUS) to provide an MHC call center (Call Center) in two Baltimore -based locations housing anywhere from 150 – 300 Call Center representatives. MHBE is seeking one (1) Systems Analysts to provide Production Support for the MD HBX. The Systems Analyst analyzes technologies used for systems development, interoperability, data management and storage, and related systems capabilities; documents technical requirements and ensures that vendors adhere to technical standards; and participates in

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non-functional testing and interface coordination. Successful candidates will provide highly technical and detailed systems analysis services to enable MHBE to meet case and application research and problem resolution needs. This role will work closely with the Operations Support team to perform analysis as directed utilizing queries, reporting, and data calls as needed. This work will also support management decision making and problem-resolution activities. The Systems Analyst position also performs ad-hoc data analysis and develops as-needed reports for internal management use or for external stakeholders.



1. Analyst, Systems (Senior) As directed by MHBE: Work with the Operations Support team to research and resolve problem cases and applications 1 • Develop queries utilizing MHBE database applications and analytical tools to evaluate specific case data within the system in support of problem resolution • Provide technical analysis to the Operations Support team in the form of reports, documentation, and other requested formats to support problem resolution • Perform data analysis and provide technical consultation to MHBE management, as needed • Work under direction, approval, and oversight of MHBE leadership, perform database updates and fixes for problem cases • Create reports and other means to monitor and observe production operations of the MD HBX system • Develop subject matter Expertise regarding the MD HBX database and data integration to develop efficient and effective queries and reports • Understand the data dictionary and metadata repository, as needed • Understand the existing data field definitions, data entities, attributes, and relationships, as needed • Perform ad hoc reporting as directed and format the outputs in presentation-quality work products, as directed • Work with Deloitte and Xerox to operationalize production based queries and ad hoc reports, as needed and directed • Perform other duties as assigned




1. Analyst, Systems (Senior) • At least three (3) years using SQL Server 2008 Database Programming • At least three (3) years working with stored procedures, views, and other objects required to capture, retain, and aggregate data for complex report requirements • Excellent communication skills including the ability to understand and communicate technical information to business users, and gather business requirements that can be translated into technical requirements • Experience with establishing and maintaining reporting database/data warehouse • Good writing skills

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• Ability to work evenings, nights, weekends, and holidays as the work dictates • Ability to manage multiple priorities and tight timelines • Exemplary communication skills including the ability to effectively communicate with all levels of an organization, MHBE vendor partners, as well as other critical stakeholders. • Quick study including the ability to quickly come up to speed on business needs and translate business needs into customer service needs • Demonstrated analytical and problem solving skills • Must be motivated, adaptable, flexible, and able to produce quality results in an evolving, fast-paced environment • Bachelor's degree


1. Analyst, Systems (Senior) • At least one (1) year of Semantic Layer generation and business object creation • At least two (2) years of Eclipse or other IDE development tools for automated development efforts • At least two (2) years of understanding query tuning, testing, and formatting outputs • Strong analytical and debugging skills using JAVA programming • Minimum of one (1) year of experience and knowledge of MD Clients’ Automated Resource Eligibility System (CARES) or comparable eligibility / case management systems within Health and Human Services • Minimum one (1) year experience with and knowledge of Affordable Care Act (ACA), State Based Marketplaces (SBM), and business objectives of MHBE or Federally Facilitated Marketplaces (FFM) 2 • Experience in integration with PARIS interface system. • Experience and knowledge of 270/271 transactions including return acknowledgements (997 & 824 responses) batch processing, testing with trading partners, commercial health plans, and other healthcare provider networks • Previous consulting experience desired but not required






1. Resume

2. References

3. Price proposal


Section 5 – Evaluation Criteria 73


Candidates meeting the Minimum Qualifications listed in Section 3 above will be evaluated for overall best value, as follows:

33. Work Experience



36. Price


74






Candidate Name:

Master Contractor:













75


D. References










Education: 1.

General Experience: • At least three (3) years using SQL Server 2008 Database Programming • At least three (3) years working with stored procedures, views, and other objects required to capture, retain, and aggregate data for complex report requirements • Excellent communication skills including the ability to understand and communicate technical information to business users, and gather business requirements that can be translated into technical requirements • Experience with establishing and maintaining reporting database/data warehouse • Good writing skills • Ability to work evenings, nights, weekends, and holidays as the work dictates • Ability to manage multiple priorities and tight timelines • Exemplary communication skills including the ability to effectively communicate with all levels of an organization, MHBE vendor partners, as well as other critical stakeholders. • Quick study including the ability to quickly come up to speed on business needs and translate business needs into customer service needs • Demonstrated analytical and problem solving skills • Must be motivated, adaptable, flexible, and able to produce quality results in an evolving, fast-paced environment


Specialized Experience: Specialized Experience:

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• At least one (1) year of Semantic Layer generation and business object creation • At least two (2) years of Eclipse or other IDE development tools for automated development efforts • At least two (2) years of understanding query tuning, testing, and formatting outputs • Strong analytical and debugging skills using JAVA programming • Minimum of one (1) year of experience and knowledge of MD Clients’ Automated Resource Eligibility System (CARES) or comparable eligibility / case management systems within Health and Human Services • Minimum one (1) year experience with and knowledge of Affordable Care Act (ACA), State Based Marketplaces (SBM), and business objectives of MHBE or Federally Facilitated Marketplaces (FFM) 2 • Experience in integration with PARIS interface system. • Experience and knowledge of 270/271 transactions including return acknowledgements (997 & 824 responses) batch processing, testing with trading partners, commercial health plans, and other healthcare provider networks • Previous consulting experience desired but not required

1.

1. The information provided on this form for this labor category is true and correct to the best of my knowledge: Master Contractor Representative: ______________________________ _______________________________ _______________ Print Name Signature Date Proposed Individual: __________________________________ _______________ Signature Date Instruction: Sign each form.

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A C D Fully Loaded

Hourly Labor Rate

Evaluation Hours





SECTION 18

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