Medicare and ACA Implementation Manager- Health Plans

Responsibilities

• Translates product documentation into business requirements that ensure products and services meet the needs of the market
• Leads cross-functional teams to create Implementation plans and appropriate documentation for product or project rollouts
• Collaborates with all departments to assist in supporting tactical tasks, implementation, and administration for government program product lines
• Communicates project and initiative implementation status, key objectives, success metrics and any risks/issues effectively throughout the organization
• Assesses project issues and leads the team to develop resolutions to meet goals and objectives
• Maintains current knowledge of the regulatory environment that impacts existing and new products to ensure compliance with external state and federal regulators
• Manages complex concurrent projects and vendor relations to support and accomplish the goals and objectives of the organization
• Coordinates with government programs to submit product filings and applicable product reporting to governmental agencies
• Understands business requirements and identifies internal resources needed to respond to government agency requests, implement new guidance and/or assist in developing or streamlining internal processes
• Serves as the conduit between applicable governmental agencies, internal departments, and subcontracted agencies to ensure timely and accurate dissemination of product requirements and lead their implementation
• Coordinates and/or monitors timely required reporting and filings to meet contract requirements
• Applies knowledge and experience of Medicare Advantage, Affordable Care Act (ACA), and commercial health insurance products to support daily operations and business objectives

Preferred

• Experience working within Health Plan and/or project management experience, preferred
• Certified Associate in Project Management (CAPM), preferred

Benefits

• Work remotely while collaborating with departments across the organization.
• Glassdoor
• 3.5
• Integrated rural health system providing clinical care and health plans.
• Sioux Falls, South Dakota, USA
• http://www.sanfordhealth.org
• Late Stage
• Total Funding
• $0.01M
• Key Investors
• South Dakota Department of Human Services
• 2024-07-24
• Grant· $0.01M
• Leadership Team
• Baier Roger
• CEO
• Bill Gassen
• President & Chief Executive Officer
• Recent News
• Star Tribune
• Minnesota loses another birth center, this time in Luverne
• 2026-10-29
• Minnesota targets rural obstetrics with $15M investment promised by Sanford
• Fierce Healthcare
• Marsh survey examines how health systems are managing capital, investment strategies
• 2026-10-15
• Company data provided by
• AI Tools
• Customize Your Resume
• Maximize your interview chances

Qualifications

• Bachelor's Degree in Business, Marketing, or Healthcare related field
• 3 years experience in health insurance industry or related field
• Experience working within Health Plan and/or project management experience, preferred
• Certified Associate in Project Management (CAPM), preferred

Required skills

• Affordable Care Act (ACA), CAPM, Commercial Health Insurance, Health Plan Operations, Medicare Advantage

Preferred skills

• Certified Associate in Project Management (CAPM), preferred

Experience

• 3+ years