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Health Plan Policy Specialist - Sioux Falls, SD

Sioux Falls, SD
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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: 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.

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-0225449
Job Function: Legal and Compliance
Featured: No

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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.