Manager, Medicaid Strategic Initiatives

HealthFirst•Hybrid - NY, NY

8d•$88,700 - $149,430•Hybrid

About The Position

The Mgr Medicaid Growth & Retention’s primary focus will be to work cross functionally to develop, execute, support, and continuously improve on strategies and operations related to retention, growth, and financial performance that contribute to profitable growth in the PHSP product portfolio. This role is also responsible for in-depth research, thorough analysis, and accurate summarization of market research, external market, current membership, and new and existing legal and regulatory guidelines. Identify key member cohorts and opportunities for achieving short- and long-term membership retention improvement strategies Assist in the development of a member retention strategy through the use of segmentation modeling, member profiling, propensity scoring and targeted channel communication Work collaboratively across lines of businesses, including product management, finance analysis, sales, and marketing, to develop and execute market retention plans to achieve membership objectives Participates in product driven workgroups to provide input to product designs/enhancements and implementation plans. Works closely with cross functional teams such as Retention, Enrollment & Billing, Claims, Member Services, Compliance, Sales, Finance, Enterprise Analytics, Marketing, and senior management in implementing new products, product enhancements, business implementations, end to end process improvements, and improvements in the membership experience. Provide daily insight and reporting to Sales and Product teams on efficacy of sales sites, membership growth, and performance at a manager/rep level. Plans, schedules, monitors, and reports on activities related to a project or assignment. Keeps all areas of the corporation informed through written and oral reports. Ensures communication to all areas impacted. Serves as the subject matter expert on product requirements to other business units. Must be able to perform additional duties as assigned

Requirements

Bachelor's degree from an accredited institution
Strong understanding of the healthcare industry marketplace with a focus on integrated products
Ability to identify areas of opportunity, develop a plan of action, communicate effectively, and execute
Strong analytic, strategic, and planning skills
Must be able to successfully facilitate sound business objectives within a highly regulated industry
Strong public speaking and oral and written communication skills
Microsoft Word, PowerPoint, Excel proficiency

Nice To Haves

Graduate degree in public health, public policy, or business administration from a top university
Demonstrated success in managing and delivering large, complex, and multifaceted projects with minimal supervision

Responsibilities

Develop, execute, support, and continuously improve strategies and operations related to retention, growth, and financial performance for the PHSP product portfolio.
Conduct in-depth research, analysis, and summarization of market research, external market data, current membership, and legal/regulatory guidelines.
Identify key member cohorts and opportunities for membership retention improvement.
Assist in developing member retention strategies using segmentation modeling, member profiling, propensity scoring, and targeted communication.
Collaborate with product management, finance, sales, and marketing to develop and execute market retention plans.
Participate in workgroups to provide input on product designs, enhancements, and implementation plans.
Work with cross-functional teams (Retention, Enrollment & Billing, Claims, Member Services, Compliance, Sales, Finance, Enterprise Analytics, Marketing, senior management) to implement new products, enhancements, business initiatives, process improvements, and enhance the member experience.
Provide daily insights and reporting to Sales and Product teams on sales site efficacy, membership growth, and performance.
Plan, schedule, monitor, and report on project activities.
Keep all areas of the corporation informed through written and oral reports.
Ensure communication to all impacted areas.
Serve as the subject matter expert on product requirements to other business units.
Perform additional duties as assigned.