Medicaid & ACA Manager

Blue Cross and Blue Shield of Kansas

. Build and manage detailed workplans, timelines, milestones, and accountability structures across the portfolio .

Posted 11/10/2026full-timeRemote • United StatesMid-LevelSenior💰 $101,520 - $120,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing Medicaid programs and ACA operations, with strong analytical skills to synthesize complex information into actionable insights. Proven ability to lead cross-functional teams and prepare executive-level materials while ensuring compliance with regulatory requirements.

Highest-signal resume keywords

Medicaid Program ManagementACA Regulatory ComplianceAnalytical Problem-SolvingExecutive-Level CommunicationCross-Functional Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisPerformance MonitoringRisk AdjustmentCost ManagementRegulatory ReportingProject ManagementStrategic ExecutionMorbidity AnalysisEnrollment Trends AnalysisUtilization Management

Soft Skills

Critical ThinkingAttention to DetailCollaborative LeadershipExecutive PresenceCommunication Skills

Industry Keywords

ACA MarketplaceCMSHealth Plan OperationsFinancial ObjectivesOperational ObjectivesRegulatory AffairsAudit PreparationCorrective Action PlanningDecision SupportHigh-Stakes Environment

About the role

Key responsibilities & impact

Build and manage detailed workplans, timelines, milestones, and accountability structures across the portfolio
Oversee day-to-day execution of initiatives aligned with financial, operational, and regulatory objectives
Monitor and interpret ACA performance indicators, including MLR, risk adjustment/coding capture, enrollment trends, utilization, and cost drivers
Support ACA analyses related to morbidity shifts, affordability, and benefit design
Identify trends, risks, and opportunities and convert insights into actionable recommendations
Lead cross-functional coordination across Actuarial/Finance, Care & UM, Provider Networks, Risk Adjustment, Operations, and Compliance/Regulatory Affairs
Facilitate working sessions, manage dependencies, and track decisions, risks, and deliverables
Support regulatory and compliance readiness, including ACA reporting/submissions, audit preparation, regulatory inquiries, and corrective action planning/tracking
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
Partner with the Director to translate strategy into disciplined execution for Medicaid and ACA programs

Requirements

What you’ll need

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
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
Strong analytical, critical thinking, and problem-solving skills required
Ability to synthesize complex information into clear, actionable insights required
Excellent written and verbal communication skills, including executive-level presentation required
High attention to detail with the ability to connect tactical execution to strategic goals required
Ability to manage competing priorities in a fast-paced, high-stakes environment required
Collaborative leadership style with confidence and executive presence required
Knowledge of government programs, CMS, and ACA Marketplace operations and strategy required
Strong understanding of health plan operations, MLR drivers and cost management levers and ACA regulatory requirements required
Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment
Pre-employment drug screening, criminal conviction check, employment verifications and education verification as part of a conditional offer

Benefits

Comp & perks

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
Paid vacation and sick leave
Paid maternity and paternity leave available immediately upon hire
Ongoing training and development programs
Flexible work environment