ACA Enrollment & Membership Solutions Consultant-5

Realign Llc; Jefferson City (MO); Presencial; USD 140 000 - 190 000; Tempo integral

Resumo da oferta

Realign LLC is seeking an ACA Enrollment & Membership Solutions Consultant to lead end-to-end ACA eligibility, enrollment, and membership processes on-site in Jefferson City, MO. You will shape product direction, collaborate with stakeholders, and drive integration with marketplace systems.

The role requires 10–15+ years in ACA healthcare software and 8+ years in product/ownership roles, with strong API integration capability and experience with marketplace products.

Qualificações

• 10–15+ years of ACA healthcare software product development.
• 8+ years in Product Management, Senior Business Analysis, Product Ownership, or Solution Architecture.
• Proven experience building or enhancing commercial healthcare software products.
• Strong understanding of end-to-end ACA eligibility, enrollment, and membership administration.

Responsabilidades

• Conceive and lead ACA enrollment and membership solutions for complex healthcare programs.
• Collaborate with cross-functional teams to integrate with payer systems and marketplaces.
• Define product roadmaps and ensure alignment with regulatory requirements.

Conhecimentos

ACA Eligibility

Enrollment

Marketplace Products

Open Enrollment

Cost Sharing Reduction

Membership Lifecycle

Plan Administration

Broker Enrollment

Premium Billing

Member Services

AJD/EDI Knowledge

REST APIs

270/271 Eligibility

834 Enrollment

820 Premium Payment

999/277 Acknowledgements

Formação académica

Bachelor's degree in CS/IS/Healthcare/Business

Ferramentas

REST APIs

EDI

Descrição da oferta de emprego

Jefferson City, Missouri 65101 Posted October 7th, 2026Job Type: ContractJob Category: ITJob DescriptionRole: ACA Enrollment & Membership Solutions ConsultantLocation – Jefferson City, MO (On-site)ContractRequired Experience:· 10–15+ years of experience in ACA healthcare software product development.· 8+ years in Product Management, Senior Business Analysis, Product Ownership, or Solution Architecture.· Proven experience building or enhancing commercial healthcare software products (not implementation-only experience).· Strong understanding of end-to-end ACA eligibility, enrollment, and membership administration processes.Functional Expertise:Candidates should demonstrate expertise in:· ACA Eligibility & Enrollment· Individual & Family Marketplace Products· Small Group Enrollment· Federal Marketplace· State-Based Marketplaces· Enhanced Direct Enrollment· Open Enrollment & Special Enrollment Periods· Qualified Health Plans· APTC & Cost Sharing Reduction· Membership Lifecycle Management· Plan Administration· Broker & Agency Enrollment· Premium Billing Integration· Member ServicesIntegration & EDI KnowledgeStrong understanding of healthcare integrations including:· 834 Enrollment· 820 Premium Payment· 270/271 Eligibility Verification· 999/277 Acknowledgements· REST APIs and modern integration patternsPreferred Qualifications:· Bachelor's degree in Computer Science, Information Systems, Healthcare Administration, Business, or a related field.· Experience working with ACA health plans, regional Blues, Medicaid Managed Care Organizations, or national payers.· Familiarity with cloud-native, API-first product architectures and AI-driven healthcare solutions.Required SkillsGraphic Design Consultant Web Development & Analytics Consultant