Principal Regulatory Strategist - Health Plan - Juris Doctor

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. 

Work Shift:

Varies (United States of America)

Scheduled Weekly Hours:

40

Salary Range: $53.00 - $87.50

Union Position:

No

Department Details

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.

Job Description

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.

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.