Jobs › Sanford Health

Medicare and ACA Implementation Manager- Health Plans

Sanford Health · WI · Remote available · $32.50–$52.00 an hour · Full time

Posted Sep 28, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a time you led an implementation where the business teams disagreed about priorities.

What they are checking: Whether they can bring departments together and settle conflicts without formal authority over them.

This role is remote and collaborates across the organization. How do you keep people engaged and accountable when you don't see them in person?

What they are checking: Whether they have concrete habits for running cross-team work remotely.

Tell me about a time you had to explain a complex regulatory requirement to people who weren't experts.

What they are checking: Whether they can translate rules into plain actions for operations and business teams.

What would you do

Halfway through a project, CMS releases guidance that changes a requirement. How do you handle it?

What they are checking: Whether they can absorb regulatory change by reassessing scope, risk and timeline instead of panicking or ignoring it.

A launch is two weeks out and testing finds that claims for a new benefit are paying wrong. What do you do?

What they are checking: Whether they weigh the risk to members and compliance and escalate clearly rather than hoping it gets fixed after launch.

The posting calls this a highly visible role. How do you report status to executives when a project is at risk?

What they are checking: Whether they report bad news early and honestly, with options, rather than hiding risk until it is too late.

About the work

Walk me through how you'd take a new Medicare Advantage or ACA plan product from design to launch.

What they are checking: Whether they understand the full sequence of filings, systems setup, testing and member readiness behind a product launch.

What regulatory deadlines drive the timeline for a Medicare or ACA product each year?

What they are checking: Whether they know bid, filing and open enrollment dates shape every plan year and cannot slip.

How do you build a project plan that covers claims, enrollment, member materials and provider networks all at once?

What they are checking: Whether they can manage dependencies across many operational areas in one plan.

How do you measure whether an implementation was successful after go-live?

What they are checking: Whether they think past launch day to member experience, operational errors and business goals.

Practice this interview out loud.

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The full job description

As published by Sanford Health.

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. 

 Work Shift: 8 Hours - Day Shifts (United States of America)

 Scheduled Weekly Hours: 40

 Compensation: Salary Range: $32.50 - $52.00



 Union Position: No

 Department Details Drive healthcare innovation from strategy to implementation. Join a team where your leadership, problem-solving skills, and ability to bring people together will directly shape the future of health plan products and member experiences. This is a high Impact and highly visible role. Work remotely while collaborating with departments across the organization. Continue to build expertise in regulatory, operational, and strategic aspects of health insurance. Summary The Implementation Manager will play a critical role in bringing products and services from design to market. This individual will serve as the leader for the successful implementation of key Health Plan initiatives and product execution. The Implementation Manager will develop and manage implementation strategies, understands internal and external requirements, develops and manage project plans to enable end-to-end implementation of products and initiatives in collaboration with business and technology teams. This individual will lead cross-functional implementation activities, execution, and alignment/synergies, and understands business and technical details of execution according to stringent deadlines. The Implementation Manager must be able to indirectly lead cross-functional teams and is responsible for fostering a culture of service excellence and continuous improvement. Job Description Translates product documentation into business requirements that ensure products and services meet the needs of the market. Leads cross-functional teams to create Implementation plans and appropriate documentation for product or project rollouts. Collaborates with all departments to assist in supporting tactical tasks, implementation, and administration for government program product lines. Communicates project and initiative implementation status, key objectives, success metrics and any risks/issues effectively throughout the organization. Assesses project issues and leads the team to develop resolutions to meet goals and objectives. Maintains current knowledge of the regulatory environment that impacts existing and new products to ensure compliance with external state and federal regulators. Manages complex concurrent projects and vendor relations to support and accomplish the goals and objectives of the organization. Coordinates with government programs to submit product filings and applicable product reporting to governmental agencies. Understands business requirements and identifies internal resources needed to respond to government agency requests, implement new guidance and/or assist in developing or streamlining internal processes. Serves as the conduit between applicable governmental agencies, internal departments, and subcontracted agencies to ensure timely and accurate dissemination of product requirements and lead their implementation. Coordinates and/or monitors timely required reporting and filings to meet contract requirements. Applies knowledge and experience of Medicare Advantage, Affordable Care Act (ACA), and commercial health insurance products to support daily operations and business objectives. Qualifications Bachelor’s Degree in Business, Marketing, or Healthcare related field 3 years experience in health insurance industry or related field required. Experience working within Health Plan and/or project management experience, preferred. Certified Associate in Project Management (CAPM), preferred. 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 1-877-949-5678 or send an email to talent@sanfordhealth.org.

Apply at Sanford Health