Manager, Government Programs Shared Services

Lakeview Hospital

  • USA
  • Permanent
  • Full-time
  • 6 hours ago
Job Category: Integrity and ComplianceJob Description:HealthPartners is currently hiring for a Manager, Government Programs Shared Services. This pivotal role is responsible for overseeing all regulatory communications and materials related to Medicare and Medicaid. It leads a centralized process for reviewing and submitting plan documents-including marketing materials-ensuring compliance with deadlines and maintaining accurate tracking of communications across both state and federal levels.The manager supports a two-person team, guiding them through cross-functional projects and committee work. They serve as the primary subject matter expert on marketing regulatory guidelines and act as a liaison with external regulators, other health plans, and industry associations.Reporting to the Manager of Medicare and Shared Services, this role is part of a leadership team that includes a program manager and has two direct reports-both coordinators.Required Qualifications:
  • Bachelor's degree in a related field or equivalent work experience
  • Five (5) years of health plan experience and knowledge of Medicare and Medicaid products (including delivery, financing, benefit design, administrative)
  • Demonstrated ability to effectively establish and maintain collaborative working relationships with peers and management at all levels of the organization
  • Regulatory guidance and interpretation experience specific to marketing and required member materials
  • Ability to operate in a high degree of independence in the execution of agreed-upon strategies
  • Excellent coaching and team leadership skills
  • Excellent organizational, problem-solving and communication skills with demonstrated ability to present and explain complex information clearly
  • Working knowledge of state programs, health care reform and health plan operations
  • Ability to oversee projects and manage the work of others
  • Ability to represent product and HealthPartners both effectively and favorably
  • Aptitude for systems and process improvement
  • Proficiency in Microsoft Office suite of products
Preferred Qualifications:
  • Previous supervisory experience is strongly preferred.
  • Experience collaborating with state and/or federal regulators.
  • Experience overseeing/leading projects.
Hours/Location:
  • Monday - Friday; core business hours
  • Works in a hybrid capacity, with a preference for local candidates to support occasional onsite meetings and collaborative workgroup sessions.
Responsibilities:
  • Responsible for the supervision of staff, including having the authority to hire, transfer, lay off, promote, discipline and discharge, train, reward and review performance of employees. Ensures compliance to organizational and departmental policies and procedures.
  • For materials, manage the relationship between business partners and Government Programs as well as defines and execute the process and roles and responsibilities between Medicare and State Public Programs (Medicaid) teams to support materials.
  • For regulatory communications, manage the overall communication process and ensure coordination between Government Programs subject matter experts and business partners, as defined by roles and responsibilities.
  • Responsible for strategic and tactical management of processes within team, department and business partners. Manages to the goals of accurate and timely materials and communications in regulatory compliance.
  • Responsible for expertise with Federal and State material and marketing requirements applicable to HealthPartners product offerings and provide consultation and business support.
  • Serve as link between Medicare and SPP teams and other internal departments with regulatory communications and regulatory reviews of materials.
  • Lead coordinators who provide tactical support for materials and regulatory communications.
  • Ensure documented policies and procedures, work instructions, operating assumptions, project plans and other necessary documentation is created, updated and retained in accordance with the record retention policy.
  • Participate with Government Programs leadership on decision making and policy setting regarding Government Programs products.
  • Provide feedback on proposed federal and state statutes, regulations and agency guidance in partnership with Government Programs leadership and Government Relations.
  • Represent HealthPartners at appropriate external meetings with state and/or federal regulators, trade associations, brokers, advocacy groups, and others.
  • Perform other duties and responsibilities as assigned.
About Us:At HealthPartners we believe in the power of good - good deeds and good people working together. As part of our team, you'll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.We're a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.At HealthPartners, everyone is welcome, included and valued. We're working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.Benefits Designed to Support Your Total Health
As a HealthPartners colleague, we're committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.Join us in our mission to improve the health and well-being of our patients, members, and communities.We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.

Lakeview Hospital