Medicaid & ACA Manager

Blue Cross Blue Shield of Kansas
  • Topeka, Kansas
  • Instant Apply
Today

Job Description

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

Why Join Us?

  • Make 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 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 Manager, Medicaid & ACA 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.

Work Location:

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.
  • Identify trends, risks, and opportunities; convert insights into actionable recommendations and execution support
  • Lead cross-functional coordination across Actuarial/Finance, Care & UM, Provider Networks, Risk Adjustment, 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

What you'll need

Education
  • High school diploma or equivalent required
  • Bachelor's degree or equivalent in business administration, health care, public health or related field preferred
  • Master's degree (MBA, MPH, MHA, or equivalent) preferred
  • In lieu of degree, an additional 5 years of relevant experience required

Experience
  • Minimum 5 years' experience working with Medicaid programs and/or ACA/Individual Marketplace required
  • Minimum 3 years' experience supervising individuals preferred
  • Previous experience supporting executive leadership and preparing materials for senior leadership or boards preferred

Travel
  • No travel

Knowledge, Skills and Abilities
  • Strong analytical, critical thinking, and problem-solving skills required.

Numbers & Facts

LocationTopeka, Kansas

Skills

  • Actuarial Skillsunmatched
  • Analysis Skillsunmatched
  • Business Administrationunmatched
  • Corrective Actionunmatched
  • Cross-Functionalunmatched
  • Decision Supportunmatched
  • Dental Insuranceunmatched
  • Executive Assistant Skills unmatched
  • Financeunmatched
  • Financial Operationsunmatched
  • Fitnessunmatched
  • High School Diplomaunmatched
  • Incentive Programsunmatched
  • Leadershipunmatched
  • Medicaidunmatched
  • Operational Auditunmatched
  • Operational Strategyunmatched
  • People Managementunmatched
  • Performance Analysisunmatched
  • Performance Metricsunmatched
  • Progress Reportsunmatched
  • Public Healthunmatched
  • Regulationsunmatched
  • Regulatory Complianceunmatched
  • Riskunmatched
  • Risk Analysisunmatched
  • Team Playerunmatched
  • Training Programunmatched
  • Training/Teachingunmatched
  • Trend Analysisunmatched
  • Vision Planunmatched

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