Government Programs Regulatory Reporting Lead - Health Plan

For more information about Total Rewards, visit https://sanfordcareers.com/benefits Sanford Health Sanford Health Government Programs Regulatory Reporting Lead - Health Plan Remote, Minnesota Apply Now Current Employees Apply Here Share this job share to facebook share to twitter share to linkedin share by email Commute (opens in a new tab) Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Your browser does not support the video tag. Health Insurance We offer multiple health plan options allowing you flexibility to choose what fits best for your family. Paid Time Off With our paid time off program we encourage you to take time away to re-charge and re-fresh. Voluntary Benefits A large assortment of voluntary benefits allow you to customize your benefit package. Company Paid Benefits Eligible employees receive base life insurance and disability at no cost to help with financial needs. 401(k) Retirement Savings Plan We provide a generous employer match contribution while you put away money for your retirement. Employee Perks Employees get access to a wide selection of discounts/perks both local and nationwide. Job Details Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Remote MN Location: Remote, MN Address Shift: Varies Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $32.50 - $52.00 Department Details This position can remote or in office. If remote some in-person attendance will be required for training, team meetings, or special projects. These on-site responsibilities will be scheduled in advance. Job Summary The Government Programs Regulatory Reporting Lead will serve as the subject matter expert for regulated reporting and audit readiness of the Government Program products, including Medicare Advantage, ACA, and Medicaid, to ensure we are meeting all State and Federal regulations and time frames, and in accordance with Sanford Health Plans policies. This includes, but is not limited to assisting with questions related to data submissions, internal validations, and other task as assigned. Manages reporting, auditing, and data exchange of the government programs – Medicare Advantage, ACA, and Medicaid, in support of business objectives. Works collaboratively with operational units to ensure the products are accurately defined, communicated and configured; all member communications are compliant and data exchanges and reports are accurate, timely and meet State and Federal requirements. Serves as the main point of contact for all reporting related questions, issues, and interpretation. Leads in the development, implementation, process improvement, and education of the government program products. Leads in ensuring certifications, quality reporting, member materials and website content, and regulatory and statutory standards and requirements are met. Carries out operational policies and procedures that support organizational improvements and comply with Federal and State requirements. Other special projects as assigned. Occasional travel required. Qualifications Bachelor's degree in health care, finance or a related field. Minimum five years of relevant experience required. A background or experience in health care reimbursement or contract negotiations preferred. Benefits Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. Req Number: R-0220555 Job Function: Health Plan Apply Now Current Employees Apply Here Share this job share to facebook share to twitter share to linkedin share by email Current Search Criteria Government Programs Regulatory R... Remote Minnesota Clear All