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Principal Regulatory Strategist - Health Plan - Juris Doctor

Remote, NE
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Commute links off-site

Job Details

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: Remote NE (Mountain Time)
Location: Remote, NE
Address:
Shift: Varies
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $53.00 - $87.50

Job Summary

Responsible for evaluating regulatory, legal, and operational risks associated with new and existing products, sales strategies, and benefit structures. Serves as a key partner to Sales, Operations, Legal, and Public Policy, providing expert guidance on federal and state regulations - including ERISA, ACA, Medicare Advantage, Medicaid, and commercial plan requirements - and assessing the potential impact of regulatory changes on business strategy. Analyze and assess regulatory and legal requirements across government and commercial health plan products including ACA, Medicare Advantage, Medicaid, DSNP, and self-funded/ERISA plans. Develop regulatory risk matrices and decision frameworks to support leadership in evaluating strategic opportunities. Translate federal and state regulations into practical, operational guidance for sales, operations, and product teams. Represent the organization in external policy discussions, industry workgroups, and regulatory engagement efforts as needed.

Qualifications

Juris Doctor (JD) degree required (active bar licensure not required)

Minimum of 8+ years of experience in health policy, regulatory strategy, or legal/regulatory roles within a health plan, law firm, consulting firm, or regulatory agency.

Extensive experience with ACA, Medicare Advantage, Medicaid, DSNP, and commercial plan regulations, including self-funded/ERISA Frameworks.

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-0220556
Job Function: Health Plan
Featured: No

Apply NowCurrent Employees Apply Here

Equal Employment Opportunity

Sanford and its affiliate brands have consistently operated under the principle of equal treatment for all persons; all qualified applicants will receive consideration for employment without regard to race, color, creed, religion, national origin, gender, gender identity, age, sexual orientation, genetic information, marital status, disability, military or veteran status, in regard to public assistance or any other basis prohibited by applicable federal, state or local law.

SAFE: Sanford Accountability for Excellence

As caregivers, we commit to the safety of those we serve and each other by creating a psychologically safe environment where everyone is included and safe to learn, contribute and raise concerns without fear of negative consequences. When people come to us, they rely on us to keep them safe from harm, do all we can to heal them, and treat them with empathy and compassion – all while embracing our connection to each other. Safety is part of our culture and defines the care we provide, and how we deliver on our universal commitment to a higher level of service and exceptional care.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call (877) 673-0854 or send an email to hrhelp@sanfordhealth.org.

In compliance with federal law requiring employers to verify new employees' U.S. employment eligibility, Sanford participates in E-Verify. To learn more about your right to work: English Version or Spanish Version.

Important Notice

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If you have questions about the legitimacy of an employment offer from Sanford Health, contact hrhelp@sanfordhealth.org.