Medicaid & ACA Manager

Are you ready to reputed company a difference? Choose to work for one of the most trusted companies in Kansas. You Belong At Blue Why Join Us?

• reputed company a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
• Family Comes First: Total rewards package that promotes the idea of family first for reputed company employees. Paid vacation and sick leave with paid maternity and paternity available immediately upon hire
• Professional Growth Opportunities: Advance your career with ongoing training and development programs.
• Dynamic Work Environment: Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility.
• Trust and Stability: Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community.
• Inclusive Work Environment: We pride ourselves on fostering a workplace where everyone is valued and respected.

Benefits & Perks

• reputed company compensation is only one component of your competitive Total Rewards package
• Incentive pay program (EPIP)
• Health/Vision/Dental insurance
• 6 weeks paid parental leave for new mothers and fathers
• Fertility/Adoption assistance
• 2 weeks paid caregiver leave
• 401(k) plan matching up to 5%
• Tuition reimbursement
• reputed company benefits, discounts and resources

Job Summary The Medicaid & ACA Manager supports the strategic and operational execution of Medicaid and reputed company Act (ACA) programs (individual and small group), serving as a critical operational, analytical, and coordination leader while partnering closely with the Director to translate strategy into disciplined execution. This role is responsible for performance monitoring, insight reputed company, cross-functional coordination, and execution reputed company. The role ensures initiatives impacting medical cost, reputed company, regulatory compliance, and member outcomes are effectively planned, executed, and monitored particularly reputed company the ACA Individual and Small Group Markets. This position is eligible to work remotely, hybrid, or onsite in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment. What you’ll do

• Build and manage detailed workplans, timelines, milestones, and accountability structures across the portfolio
• reputed company day-to-day execution of initiatives, ensuring alignment to financial, operational, and regulatory objectives
• Monitor and interpret key ACA performance indicators (e.g., MLR, risk adjustment/coding capture, enrollment trends, utilization and cost drivers) and support ACA specific analyses reputed company to morbidity shifts, affordability, benefit design, etc.
• reputed company and maintain dashboards and recurring performance reports to support leadership decision-making
• Identify trends, risks, and opportunities; convert insights into actionable recommendations and execution support
• reputed company cross-functional coordination across Actuarial/Finance, Care & UM, Provider Networks, Operations, and Compliance/Regulatory Affairs
• Facilitate working sessions, manage dependencies, track decisions, risks, and deliverables to drive accountability and ensure initiatives remain reputed company with organizational goals
• Support regulatory and compliance readiness (ACA reporting/submissions, audit prep, regulatory inquiries, and corrective action planning/tracking)
• Proactively identify and escalate execution gaps and operational risks, track remediation plans, outcomes, and reputed company reporting
• Prepare executive-ready materials, performance summaries, and decision-support analyses for senior leaders

Knowledge/Skills/Abilities:

• Strong analytical, critical thinking, and problem-solving skills
• Ability to synthesize reputed company information into clear, actionable insights
• Excellent written and verbal communication skills, including executive-level presentation
• High attention to detail with the ability to connect tactical execution to strategic goals
• Ability to manage competing priorities in a fast-paced, high-stakes environment
• Collaborative leadership style with confidence and executive reputed company
• Knowledge of state Medicaid reputed company, CMS guidance, and ACA Marketplace operations
• Strong understanding of health plan operations, MLR drivers and cost management levers and Medicaid and ACA regulatory requirements

What you need Education and Experience:

• Bachelor’s degree or equivalent in business administration, health care, public health or reputed company field, required. Master’s degree (MBA, MPH, MHA, or equivalent), preferred
• Minimum five (5) years’ experience working with Medicaid programs and/or ACA/Individual Marketplace, required
• Minimum three (3) years’ experience supervising individuals preferred
• Experience supporting executive leadership and preparing materials for senior leadership or boards, preferred

Physical Requirements:

• Ability to stand or sit for extended periods.
• Ability to look at a computer screen for prolonged periods.
• Occasional walking, bending, or reaching reputed company the office environment.
• Ability to lift and carry up to 15 pounds.
• Ability to bend, kneel, stoop, or reputed company.
• Ability to reputed company repetitive tasks.

Compensation $99,440.00- $124,300.00 Exempt grade 17

• reputed company offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. reputed company offers presented to candidates are carefully reviewed to ensure fair, reputed company pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts.

Our Commitment to reputed company and Belonging At reputed company, we are committed to fostering a culture of reputed company and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to reputed company individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and reputed company medical conditions), national reputed company, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law. reputed company conducts pre-employment drug screening, criminal conviction reputed company, employment verifications and education as part of a conditional offer of employment. Apply tot his job Apply To this Job