Government Programs Regulatory Reporting Lead - Health Plan

Sanford Health; Minnesota; Remote; Full time

Job summary

Sanford Health seeks a Government Programs Regulatory Reporting Lead to ensure compliance with regulations for Medicare Advantage, ACA, and Medicaid. This remote role involves managing reporting, auditing, and collaborating with operational units to maintain product accuracy and quality standards.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

401(k)

Generous Time Off

Qualifications

• Minimum five years of relevant experience required.

Responsibilities

• Ensure compliance with State and Federal regulations.
• Manage reporting, auditing, and data exchange.
• Lead development and process improvements.

Skills

Healthcare Reimbursement

Contract Negotiations

Education

Bachelor's degree in health care

Bachelor's degree in finance

Job description

Government Programs Regulatory Reporting Lead - Health Plan

Join to apply for the Government Programs Regulatory Reporting Lead - Health Plan role at Sanford Health.

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family, dedicated to health and healing across our broad footprint.

Facility: Remote MN

Location: Remote, MN

Shift: Varies

Job Schedule: Full time

Weekly Hours: 40.00

Salary Range: $32.50 - $52.00

Department Details: This position can be remote or in-office. Some in-person attendance may be required for training, team meetings, or special projects, 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. Responsibilities include ensuring compliance with State and Federal regulations, managing reporting, auditing, data exchange, and collaborating with operational units to ensure product accuracy, compliance, and timely reporting. The role also involves leading development, process improvements, education, and ensuring certifications and quality standards are met. Occasional travel may be required.

Qualifications

• Bachelor's degree in health care, finance, or a related field.
• Minimum five years of relevant experience; healthcare reimbursement or contract negotiations experience preferred.

Benefits

Sanford Health offers an attractive benefits package including health, dental, vision insurance, life insurance, 401(k), work/life balance benefits, and generous time off. For more details, visit https://sanfordcareers.com/benefits.

Sanford is an EEO/AA Employer. Accommodations available upon request. Drug-free workplace; pre-employment screening required.

Req Number: R-0220555

Job Function: Health Plan

Featured: No