Medicaid & ACA Manager

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. 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 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 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 Bachelor's degree or equivalent in business administration, health care, public health or related 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 Ability to stand or sit for extended periods. Ability to look at a computer screen for prolonged periods. Occasional walking, bending, or reaching within the office environment. Ability to lift and carry up to 15 pounds. Ability to bend, kneel, stoop, or reach. Ability to perform repetitive tasks. Blue Cross and Blue Shield of Kansas 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. All offers presented to candidates are carefully reviewed to ensure fair, equitable 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. To view full details and how to apply, please login or create a Job Seeker account