Medicare and ACA Implementation Manager- Health Plans
At a glance
Mid-level Solutions & Sales Engineering role at Sanford. 8 Locations · full-time.
Pay not stated
growthroles summary, based on the employer's posting.
What you'll do
- Turn product materials into business requirements, then build rollout plans and supporting documentation with teams across the organization
- Coordinate implementation and administration work for government program products, keeping business and technology teams aligned
- Share project progress, goals, measures of success, and risks across the organization, then guide teams toward resolutions
- Track changing state and federal rules, coordinate government filings and reports, and help teams respond to agency requests
- Manage overlapping projects and vendor relationships while ensuring required filings meet contract deadlines
What you bring
- A bachelor's degree in business, marketing, healthcare, or a related discipline
- At least three years in health insurance or a related field
- Bring working knowledge of Medicare Advantage, ACA, and commercial health insurance products
Who this fits
This role suits someone who can guide cross-functional teams without direct authority and handle complex, concurrent implementation work. The position is remote, with collaboration across departments. It follows an eight-hour day shift and is scheduled for forty hours per week.
From the employer
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.


Work Shift:
8 Hours - Day Shifts (United States of America)

Scheduled Weekly Hours:
40

Compensation:
Salary Range: $32.50 - $52.00



Union Position:
No

Department Details
Drive healthcare innovation from strategy to implementation. Join a team where your leadership, problem-solving skills, and ability to bring people together will directly shape the future of health plan products and member experiences. This is a high Impact and highly visible role. Work remotely while collaborating with departments across the organization. Continue to build expertise in regulatory, operational, and strategic aspects of health insurance.Summary
The Implementation Manager will play a critical role in bringing products and services from design to market. This individual will serve as the leader for the successful implementation of key Health Plan initiatives and product execution. The Implementation Manager will develop and manage implementation strategies, understands internal and external requirements, develops and manage project plans to enable end-to-end implementation of products and initiatives in collaboration with business and technology teams. This individual will lead cross-functional implementation activities, execution, and alignment/synergies, and understands business and technical details of execution according to stringent deadlines. The Implementation Manager must be able to indirectly lead cross-functional teams and is responsible for fostering a culture of service excellence and continuous improvement.Job Description
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.
Qualifications
Bachelor’s Degree in Business, Marketing, or Healthcare related field3 years experience in health insurance industry or related field required. Experience working within Health Plan and/or project management experience, preferred.
Certified Associate in Project Management (CAPM), preferred.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.
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