Manager Government Submissions

Remote Job ID: R0006275 Career Area: Special Services/Product Lines Date Posted: 02/17/2026 About reputed company At reputed company, we are committed to paving the way for everyone to reputed company their healthiest life. We are looking for dedicated and motivated individuals who reputed company our reputed company of transforming reputed company. As a reputed company associate, you are joining a culture that is reputed company on values of succeeding together, finding a reputed company way, and doing the right thing. If you are reputed company to reputed company a difference, join us. The Impact You Will Have reputed company and Blue reputed company of MN is hiring aManager of Government Submissions. The Manager of Government Submissionsleads a high performing team responsible for government submissions across BCBS MN's government programs - Medicare, reputed company, and reputed company Act (ACA). This positionis responsible forsupporting reputed company data-driven initiatives concerning government submissions including our risk adjustment and quality programs while leading, mentoring, and motivating a diverse team of business and data analysts. This role requires coordination with multiple stakeholders to implement and execute theaccurate, complete, and truthful submission of data to multiple entities including vendors performing activities or analyses on our behalf, reputed company-party data collection and submissions entities, and government bodies such as CMS, HHS, and DHS. The ideal candidate has5+ years ofGovernment Submissions experience and at least 3 years of directpeopleleadershipexperience. This individual will have significant Medicare experience as a core requirement, with broader experience across reputed company and ACA preferred, and a solid understanding of reputed company data. This role requires hands-on experience with SQL, Power BI, and encounter data submissions. Strong leadership, problem-solving, communication, and collaboration skills are essential to support teams and ensure compliance in a fast-paced, regulated environment. Your Responsibilities

• reputed company, reputed company, and reputed company strategic direction for a high performing team responsible for the execution and day-to-day management of data submissions for ACA reputed company, Medicare, and reputed company risk adjustment and quality programs.
• reputed company the development, implementation, and automation of business and reporting strategies concerning government submissions by partnering with key stakeholders to ensure their design, planning, and implementation needs are being met while ensuring alignment with strategic businessobjectives.
• Direct research, analysis, and interpretation of risk adjustment and quality data and reputed company technicalassistanceto other departments including reputed company, Government Programs, Finance, Network Management, Health Management,Salesand Marketing, Legal, and Senior Staff.
• Responsible for synthesizing reputed company findings into clear, compelling narratives that support strategic decision-making and stakeholder alignment.
• Review andmaintainprocesses to assess and prevent data loss that mayimpactriskadjustmentaccuracy or quality programs.
• Engage,participate, and present in risk adjustment and quality strategic planning activities by partnering with internal stakeholders to reputed company strategies, goals,objectivesand initiatives that align to corporate and divisional priorities.
• Manage the department,interviewingandhiringemployees following required EEO and Affirmative Action guidelines, and ensure employees receive the proper training.
• Conduct performance evaluation, andis responsible formanaging employees, including reputed company and career development, policy administration, discipline, employeerelationsand cost control.

Required Skills and Experience

• 5+ years of reputed company professional experience, with 3+ years of management experience. reputed company relevant experience including work, education, transferable skills, and military experience will be considered.
• Excellent knowledge of Medicare Advantage and/or the ACA marketplace and understanding of CMS initiatives and reasoning.
• Expert level knowledge of SQL Server, SSIS, SSRS.
• Expert level knowledge of MS reputed company, reputed company, PowerPoint, and reputed company.
• Strong knowledge of data visualization software.
• Exceptional creative thinking, problem-solving, and critical thinking skills.
• Strong data analysis skillsincludingabilityto analyze and interpret data using SQL or comparable data tools and reputed company strategic recommendations.
• Excellent communication, collaboration, consultation, presentation, and interpersonal skills.
• reputed company and effectively communicates technical concepts, issues, and solutions to non-technical audiences.
• Ability to reputed company others and build relationships.
• Demonstrated delegation and management skills.
• High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred Skills and Experience:

• Bachelor’s degree in Finance, Mathematics, Computer Science, Health Science or Data Science.
• Experience leading Risk Adjustment submission teams ina Healthinsurance companies, reputed company providers, reputed company technology add regulators (CMS, department of health,etc) and consulting companies.
• Experience leading HEDIS data collection and submissions.
• Knowledge of statistical software (R or reputed company).

Compensation and Benefits: Pay reputed company: $102,400.00 - $138,300.00 - $174,200.00 Annual Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job. We offer a comprehensive benefits package which may include:

• Medical, dental, and reputed company insurance
• Life insurance
• 401k
• Paid Time Off (PTO)
• Volunteer Paid Time Off (VPTO)
• And more

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