Capture Director, Medicaid Proposals

CVS HealthCarapichaima, TX
$100,000 - $231,540

About The Position

Aetna’s Medicaid Lead Director Capture Management leads strategy and capture planning activities in support of business development that targets new markets, existing health plan reprocurement, and RFx proposal development. Works as a liaison between the Business Development and Proposal Development teams. Works with cross-functional and cross-segment stakeholders to develop the capture plan that supports proposal solutions, proposal quality and improves win probability.

Requirements

  • 7+ years of experience with Medicaid managed care proposals.
  • Strong written and verbal communication skills.
  • Strong presentation design skills.
  • Ability to work independently to produce high quality results that meet needs of internal and external customer expectations under tight timeframes
  • Strong team collaboration skills
  • Ability to adapt to rapidly changing priorities through the identification and execution on creative solutions
  • Able to work evenings and weekends as proposal schedule requires
  • Ability to travel 25%

Nice To Haves

  • Previous P&L and/or business development experience and project management experience in a Medicaid managed care setting.
  • Experience leading capture and proposal activities for significant opportunities ($1B+).
  • Experience in a capture function or executive leadership function for a managed care-based product for state Medicaid agencies.
  • Association of Proposal Management Professionals (APMP) certification(s).
  • State Medicaid agency experience or federal agency experience with CMS.
  • Experience using a variety of electronic collaboration tools.
  • Experience developing competitive analyses.
  • Developing executive presentation decks.
  • Managed care operations experience.

Responsibilities

  • Partners with Business Development, Health Plan Leaders, and subject matter experts to develop proposal-to-win strategies.
  • Leads cross functional team discussions to identify gaps, mitigate risks, and develop solutions and strategies prior to RFP release.
  • Researches and assesses state customers, populations served, and competitive landscape.
  • Manages intelligence collection and analysis, including competitive and customer intelligence.
  • Obtains market intelligence on competitor programs, weaknesses, innovations, and performance.
  • Collaborates with Business Development and health plan leaders to understand current and emerging customer needs and requirements unique to the state’s population, health inequities, SDOH concerns, and other emerging issues.
  • Manages the internal analysis of Aetna strengths and weaknesses to help align proposal-to-win develop strategies.
  • Leads a cross-functional team of growth partners, subject matter experts, health plan leaders, division presidents, and product to develop winning strategies (differentiators and innovations) as well as identify risks and opportunities.
  • Identifies branding and positioning opportunities to enhance or differentiate Aetna programs.
  • Participates in all levels of proposal development draft reviews, providing active feedback and recommendations for improvement.
  • Participates in proposal development kickoff meeting, strategy discussions and Pink and Red Team draft reviews, providing feedback and recommendations for improvement.

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
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