Medicaid & ACA Manager

Blue Cross Blue Shield of Kansas

Hutchinson, Kansas

Apply

JOB DETAILS

SKILLS

Actuarial Skills, Analysis Skills, Centers for Medicare and Medicaid Services (CMS), Communication Skills, Corrective Action, Cost Control, Cross-Functional, Decision Support, Dental Insurance, Detail Oriented, Finance, Financial Operations, Fitness, Health Plan, Incentive Programs, Leadership, Medicaid, Operational Audit, Operational Strategy, Operations Planning, Performance Analysis, Performance Metrics, Presentation/Verbal Skills, Problem Solving Skills, Progress Reports, Regulations, Regulatory Compliance, Regulatory Requirements, Reporting Dashboards, Risk, Risk Analysis, Team Player, Training Program, Training/Teaching, Trend Analysis, Vision Plan, Writing Skills

LOCATION

Hutchinson, Kansas

POSTED

1 day ago

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

You Belong At Blue

Why Join Us?

Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
FamilyComes First: Total rewards package that promotes the idea of family first for all 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

Base 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
- Health & fitness benefits, discounts and resources

Job Summary

The Medicaid & ACA Manager supports the strategic and operational execution of Medicaid and Affordable Care 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 generation, cross-functional coordination, and execution oversight. The role ensures initiatives impacting medical cost, revenue, regulatory compliance, and member outcomes are effectively planned, executed, and monitored particularly within 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
Oversee 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 related to morbidity shifts, affordability, benefit design, etc.
Develop 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
Lead 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 aligned 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 progress 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 complex 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 presence
Knowledge of state Medicaid contracts, 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 admi

About the Company

Blue Cross Blue Shield of Kansas

Resume Resources

Free Resume Templates Free Resume Builder