Government Programs Regulatory Reporting Lead - Health Plan

Sanford Health; North Dakota; Remote; Full time

Job summary

A leading health system is seeking a Government Programs Regulatory Reporting Lead to ensure compliance with regulations and manage reporting for Medicare Advantage, ACA, and Medicaid. This role involves collaboration, auditing, and leading process improvements. The position offers flexibility with remote work options and a comprehensive benefits package.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

401(k)

Generous Time Off

Qualifications

• Minimum five years of relevant experience.
• Experience in healthcare reimbursement or contract negotiations preferred.

Responsibilities

• Serve as subject matter expert for regulated reporting and audit readiness.
• Ensure compliance with State and Federal regulations.
• Lead process improvements and quality reporting.

Skills

Healthcare

Finance

Regulatory Compliance

Education

Bachelor's degree in healthcare, finance, or related field

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 ND (Central Time)

Location: Remote, ND

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 will 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, assisting with data submissions, internal validations, managing reporting, auditing, and data exchange, and collaborating with operational units for accurate product definition, communication, and configuration. The role also involves leading process improvements, education, certification, quality reporting, and ensuring compliance with regulatory standards. Occasional travel may be required.

Qualifications

• Bachelor's degree in healthcare, finance, or related field
• Minimum five years of relevant experience
• Experience in healthcare reimbursement or contract negotiations 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 information, visit https://sanfordcareers.com/benefits.

Sanford is an EEO/AA Employer. Accommodations are available for applicants with disabilities. Pre-employment drug screening and background checks are required.

Req Number: R-0220555

Job Function: Health Plan

Featured: No