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ACA Enrollment & Membership Solutions Product consultant

Remote • Posted 1 day ago • Updated 1 day ago

Contract Corp To Corp

Contract W2

6 Months

No Travel Required

Remote

Depends on Experience

Fitment

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Job Details

Skills

Product Development
Health Care
Health Care Administration
Electronic Data Interchange
Medicaid Managed Care
Product Management
Product Ownership
ACA health plans
ACA

Summary

Required Experience

10–15+ years of experience in ACA healthcare software product development.
8+ years in Product Management, Senior Business Analysis, Product Ownership, or Solution Architecture.
Proven experience building or enhancing commercial healthcare software products (not implementation-only experience).
Strong understanding of end-to-end ACA eligibility, enrollment, and membership administration processes.

Functional Expertise

Candidates should demonstrate expertise in:

ACA Eligibility & Enrollment
Individual & Family Marketplace Products
Small Group Enrollment
Federal Marketplace
State-Based Marketplaces
Enhanced Direct Enrollment
Open Enrollment & Special Enrollment Periods
Qualified Health Plans
APTC & Cost Sharing Reduction
Membership Lifecycle Management
Plan Administration
Broker & Agency Enrollment
Premium Billing Integration
Member Services

Integration & EDI Knowledge

Strong understanding of healthcare integrations including:

834 Enrollment
820 Premium Payment
270/271 Eligibility Verification
999/277 Acknowledgements
REST APIs and modern integration patterns

Preferred Qualifications:

Bachelor's degree in Computer Science, Information Systems, Healthcare Administration, Business, or a related field.
Experience working with ACA health plans, regional Blues, Medicaid Managed Care Organizations, or national payers.
Familiarity with cloud-native, API-first product architectures and AI-driven healthcare solutions.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 91099677
Position Id: 9095154
Posted 1 day ago

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Srinath Deekonda

Delivery Manager - Recruitment @ Talent Groups

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