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Blue Cross and Blue Shield of Minnesota

Nonprofit health insurance provider for Minnesota

Manager – Regulatory Change Management

Regulatory Compliance & EthicsConfirmed live in the last 24 hours
Full-time$102.4k - $174.2k /yr

About the Job

Requirements

  • At least five years of progressive compliance experience and at least one year of staff, team lead, or project lead experience.
  • A bachelor's degree is required; in lieu of a degree, an additional two years of relevant experience beyond the listed qualifications may be accepted.
  • Medicare regulatory program expertise and experience supporting Medicaid regulatory programs.
  • Ability to communicate expectations and priorities clearly to team members, listen actively to resolve issues and remove barriers, and drive alignment across teams and stakeholders.
  • Ability to analyze department challenges, guide team decision-making, and collaborate across teams to drive resolution and next steps.
  • Ability to organize team work effectively, balance priorities across projects, and manage time and resources to ensure timely delivery and coordination.
  • Business analysis expertise, regulatory research, and ability to translate regulatory requirements into operations.
  • Ability to interpret and apply applicable federal and state regulations; healthcare or insurance industry experience.
  • Experience with CMS, DOH, and state regulatory filings.
  • Experience drafting responses or presenting to boards, compliance committees, or regulatory bodies.

Responsibilities

  • Manage staff and the process for intake, interpretation, and distribution of laws and regulatory guidance across Medicare, Medicaid/DHS, and Duals/MSHO product lines.
  • Directly manage regulatory change management staff, including workload distribution, quality of analysis, and career development.
  • Serve as the team's Medicare subject matter expert, maintain working knowledge of Medicaid and Duals/MSHO laws and regulatory guidance, and provide consultative support to business partners and leadership.
  • Provide Medicare regulatory subject matter guidance and compliance oversight to the Marketing Materials Review function as needed, including translating new or updated regulatory guidance for team awareness.
  • Monitor implementation activities, including interpretation, impact analyses, and implementation workplans designed by designated owners, to support complete, accurate, and timely execution.
  • Identify and engage responsible stakeholders and designated owners for new laws and regulatory guidance.
  • Participate in or facilitate implementation working sessions with business partners as needed.
  • Collect and document evidence of implementation efforts, and conduct validation checks on implementation outcomes when appropriate.
  • Prepare and deliver reports on implementation progress and compliance status.
  • Communicate updates and insights to the broader compliance team and contribute to risk assessments.
  • Support onboarding, training, and technical mentoring of regulatory change management staff, with particular focus on rebuilding Medicare-specific subject matter depth on the team.
  • Manage the department, including interviewing and hiring in accordance with EEO/Affirmative Action guidelines, conducting performance evaluations, and supporting skill and career development, coaching, and employee relations.
  • Perform additional responsibilities consistent with the scope and level of the role, as assigned.

Desired Qualifications

  • A master's degree in a related field.

About the Company

Blue Cross and Blue Shield of Minnesota

Nonprofit health insurance provider for Minnesota

Blue Cross® and Blue Shield® of Minnesota provides health insurance plans in Minnesota. It is a nonprofit organization that helps people access health services by offering coverage to individuals and groups through a broad provider network. Members pay premiums or receive employer-sponsored benefits, and the company processes claims and coordinates care with healthcare providers. The product works by giving members access to a network of doctors, hospitals, and services, with costs covered according to the plan’s benefits and rules. What sets it apart from competitors is its long history since 1933, its nonprofit status, and its operation as an independent licensee of the Blue Cross Blue Shield Association, which provides a large, nationwide network and scale while focusing on affordable access for Minnesotans. The company's goal is to make a healthy difference in people’s lives by expanding economical, timely access to health services for residents of Minnesota.

Company size
1,001-5,000
Company stage
Not listed
Total funding
$5.7M
Headquarters
Eagan, MN
Founded
1933

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