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: Day

Job Schedule: Full time

Weekly Hours: 40.00

Salary Range: $27.50 - $44.00

Job Summary

Performs complex analytical work of applicable insurance regulations and translates them into operational functions. Provides leadership among colleagues through compiling and analyzing of information relevant to health insurance industry. Assignments typically involve performing policy development, analysis, and review of issues. Work can have significant broad effects. Responsibilities include gathering, organizing, analyzing and verifying information; develops solutions which identify issues and recommend options to operational changes; works with members of multiple disciplines.

Stays up to date on state and federal health insurance regulations and can operationalize the requirements back into the business in an easy-to-understand way. Responsible for managing processes to keep projects moving forward to completion or next review. Creates benefit documents with rigorous change control processes for final document submission for State and Federal product filing approval. Understands regulatory requirements while being able to apply operational know-how to meet the needs of the business.

Facilitates planning and leading cross-functional team meetings to execute policy requirements. Responsible for plan documents, document preparation, information management, file maintenance, and coordination of tasks across multiple areas of understanding. Understands how to achieve a balance between regulatory concerns and product functionality. Much of the position is demanding, fast-paced, dynamically structured, high-stress position in a constantly changing environment.

Must understand all aspects of health insurance products to be able to apply regulations and policies appropriately. Explains regulations, policies and/or procedures in common vernacular for clear understanding among staff. Displays accuracy and attention to detail when working with constantly changing data. Knowledge of effective project management strategies and tactics and ability to plan, organize, monitor, and control projects. 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, Business or Business Law

Benefits

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. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Req Number: R-0198882

Job Function: Legal and Compliance

Featured: No