The largest health insurer in the state of Kansas. As a mutual insurance company, BCBSKS is owned by its policyholders. Its board of directors consists of Kansans from different areas of the state, 16 policyholders who bring to the table practical experience in business, medicine, hospital administration and education. Day-to-day operations are directed by a nine-person steering committee under the guidance of the company’s president/CEO. Customers and health care professionals have a voice in company activities through numerous advisory and liaison committees, as well as focus groups and surveys.

BCBSKS is a financially secure, billion dollar company that contributes to the Kansas economy in several ways. The company surpasses $1 billion in annual claims payments to health care providers and members and contributes more than $140 million a year to the economy through payroll and taxes.

The company's headquarters are located in Topeka, KS. Nearly 1,400 employees work in the company's various office locations in Topeka. In addition, about 110 employees work in offices in Dodge City, Garden City, Hays, Hutchinson, Independence, Lawrence, Manhattan, Pittsburg, Salina and Wichita.

BCBSKS is a member of the Blue Cross Blue Shield Association headquartered in Chicago. There are 36 Blue Cross and Blue Shield Plans throughout the United States. Each Plan is separate and independent but all Plans cooperate with other Blue Cross and Blue Shield Plans in the exchange of ideas, processing of claims and providing inter-plan services to customers.

For current job openings, please visit: www.bcbsks.com/careers

Industry: Insurance
Company Size: 1,001-5,000 employees

Blue Cross and Blue Shield of Kansas

Savvy Admin PROD

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

information, please see: https://www.kansasworks.com/jobs/13573530 **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

Rewards package

-  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

**Job Summary**

The Medicaid & ACA Manager supports the strategic and operational

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

accountability structures across the portfolio

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

financial, operational, and regulatory objectives

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

risk adjustment/coding capture, enrollment trends, utilization and

cost drivers) and support ACA specific analyses related to morbidity

shifts, affordability, benefit design, etc.

-  Develop and maintain dashboards and recurring performance reports to

support leadership decision-making

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

actionable recommendations and execution support

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

UM, Provider Networks, Operations, and Compliance/Regulatory Affairs

-  Facilitate working sessions, manage dependencies, track decisions,

risks, and deliverables to drive accountability and ensure

initiatives remain aligned with organizational goals

-  Support regulatory and compliance readiness (ACA

reporting/submissions, audit prep, regulatory inquiries, and

corrective action planning/tracking)

-  Proactively identify and escalate execution gaps and operational

risks, track remediation plans, outcomes, and progress reporting

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

decision-support analyses for senior leaders

**Knowledge/Skills/Abilities**

-  Strong analytical, critical thinking, and problem-solving skills

-  Ability to synthesize complex information into clear, actionable

insights

-  Excellent written and verbal communication skills, including

executive-level presentation

-  High attention to detail with the ability to connect tactical

execution to strategic goals

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

environment

-  Collaborative leadership style with confidence and executive

presence

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

Marketplace operations

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

management levers and Medicaid and ACA regulatory requirements

**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

Medicaid & ACA Manager

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