Medicaid & ACA Manager at Blue Cross and Blue Shield of Kansas

This job was posted by https://www.kansasworks.com : For more

information, please see: https://www.kansasworks.com/jobs/13596298 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.

• 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

• 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

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

• Oversee day-to-day execution of initiatives, ensuring alignment to

• Monitor and interpret key ACA performance indicators (e.g., MLR,

cost drivers) and support ACA specific analyses related to morbidity

shifts, affordability, benefit design, etc.

• Develop and maintain dashboards and recurring performance reports to

• Identify trends, risks, and opportunities; convert insights into

• Lead cross-functional coordination across Actuarial/Finance, Care &

• Facilitate working sessions, manage dependencies, track decisions,

initiatives remain aligned with organizational goals

• Support regulatory and compliance readiness (ACA

corrective action planning/tracking)

• Proactively identify and escalate execution gaps and operational

• Prepare executive-rea y materials, performance summaries, and

Knowledge/Skills/Abilities

• Strong analytical, critical thinking, and problem-solving skills
• Ability to synthesize complex information into clear, actionable

• Excellent written and verbal communication skills, including

• High attention to detail with the ability to connect tactical

• Ability to manage competing priorities in a fast-paced, high-stakes

Collaborative leadership style with confidence and executivepresence

• Knowledge of state Medicaid contracts, CMS guidance, and ACA

• Strong understanding of health plan operations, MLR drivers and cost

What you need**

Education And Experience

• 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