Health Plan Policy Specialist - Sioux Falls, SD

Careers With Purpose

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

Facility : GSS National Campus

Location : Sioux Falls, SD

Address : 4800 W 57th St, Sioux Falls, SD 57108, USA

Shift : 8 Hours - Day Shifts

Job Schedule : Full time

Weekly Hours : 40.00

Salary Range : $24.00 - $38.50

Department Details

Key role in project managing the regulatory analysis and reviews for Medicare and non-Medicare products in an exciting growth time.

Job Summary

Provides support by acquiring, compiling, and analyzing information relevant to industry policies. Will stay abreast of policy issues relating to state and federal industry regulations and provide impact analysis of legislation to maintain compliance and improve the operations of the organization. In coordination with legal counsel, also creates and maintains required legal documents and submits documents for State and Federal product filings. Follows laws and regulations to implement basic administrative support for operations. Facilitation of planning meetings and lead cross-functional teams to execute compliance plans is also required. Provides education, training events, conducts public speaking, and create communication pieces for staff and any other identifiable or industry-specific work group or stakeholders. Reviews and ensures relevant documents and other necessary files are in accordance with HIPAA. Displays accuracy and attention to detail when working with constantly changing forms. Ability to seek out, read, and understand research. Works in conjuncture with compliance team and legal counsel and others as needed. Will also undertake special projects as assigned.

Qualifications

Bachelor's degree. Experience in one of the following is preferred : Public Policy, Health Policy, Political Science or Journalism.

Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work / life balance benefits, and a generous time off package to maintain a healthy home-work balance.