What are the responsibilities and job description for the ACA Enrollment & Membership Solutions Consultant-5 position at Realign LLC?
Jefferson City, Missouri 65101 Posted October 7th, 2026
Job Type: Contract
Job Category: IT
Job Description
Role: ACA Enrollment & Membership Solutions Consultant
Location – Jefferson City, MO (On-site)
Contract
Location – Jefferson City, MO (On-site)
Contract
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.
Required Skills
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