ACA Enrollment & Membership Solutions Consultant-3

Jefferson City, Missouri 65101 Posted October 2nd, 2026Job Type: ContractJob Category: ITJob DescriptionRole: ACA Enrollment & Membership Solutions ConsultantLocation – Jefferson City, MO (On-site)ContractRequired 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 ServicesIntegration & EDI KnowledgeStrong understanding of healthcare integrations including:· 834 Enrollment· 820 Premium Payment· 270/271 Eligibility Verification· 999/277 Acknowledgements· REST APIs and modern integration patternsPreferred 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.Required SkillsGraphic Design Consultant Web Development & Analytics Consultant
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