Chief Strategy Officer Jobs

About The Position

Requirements

• Graduation from a four-year college or university with a degree in business or public administration, or a field related to DHHS programs, and five years of managerial and/or administrative experience in the public or private sectors involving significant decision-making authority in planning, organizing, and directing an area related to the programs; or an equivalent combination of training and experience.

Nice To Haves

• Experience building collaborative partnerships with executive leadership, government agencies, healthcare organizations, contractors, consultants, and other stakeholders to achieve strategic objectives and improve business outcomes.
• Advanced proficiency leading end-to-end strategic planning and implementation, assessing risks, benefits, opportunities, and operational impacts, monitoring industry and regulatory developments, and developing strategies for long-range goals.
• Documented experience analyzing complex business, financial, operational, and policy issues; interpreting data; evaluating alternatives; exercising sound judgment; and implementing solutions in a complex, rapidly changing environment.
• Demonstrated ability to establish stakeholder trust, foster communication and knowledge sharing across multidisciplinary teams, and lead collaborative efforts that support organizational effectiveness and continuous improvement.
• Advanced verbal and written communication skills, including presenting complex information to diverse audiences, influencing decision-makers, facilitating stakeholder engagement, and providing strategic recommendations.

Responsibilities

• Direct actuarial operations supporting Medicaid managed care, including capitation rate development, pricing strategies, rate negotiations, claim reserving, forecasting, budgeting, and financial analysis.
• Lead development and implementation of actuarial methodologies, financial models, assumptions, and analytical frameworks for program planning, healthcare financing, and policy decisions.
• Oversee analysis of healthcare cost, utilization, and reimbursement trends and develop recommendations for benefit design, reimbursement standards, and payment strategies.
• Direct financial and actuarial analyses related to Medicaid Transformation initiatives, Section 1115 waiver implementation, budget neutrality requirements, and Medicaid expansion populations.
• Establish actuarial standards, analytical processes, and quality controls to support accuracy, consistency, regulatory compliance, and industry best practices.
• Identify, evaluate, and communicate financial risks related to healthcare delivery, policy changes, legislative initiatives, market trends, and program operations, and develop mitigation strategies.
• Oversee predictive modeling, risk adjustment, financial forecasting, and enterprise-wide analytical initiatives.
• Provide executive-level consultation and strategic recommendations to DHB leadership, the DHHS Secretary’s Office, the Governor’s Office, state policymakers, and other stakeholders on actuarial, financial, and healthcare policy matters.
• Manage relationships with federal partners, including CMS, and support negotiations related to waivers, financing arrangements, and program authorities.
• Direct the work of actuarial staff, consultants, contractors, and business partners, promoting collaboration, performance management, continuous improvement, and achievement of division goals.
• Collaborate with healthcare providers, managed care entities, advocacy organizations, legislators, and other stakeholders to evaluate program performance, develop policy solutions, and support effective healthcare delivery systems.
• Prepare and present actuarial findings, financial forecasts, rate recommendations, strategic analyses, and executive reports.
• Monitor healthcare industry trends, emerging actuarial practices, regulatory developments, and analytical approaches to strengthen program performance and support long-term Medicaid program sustainability.
• Support the division’s mission, strategic priorities, and statewide values through leadership, accountability, customer service, teamwork, and data-driven decision-making.
• Perform other related duties and special projects as assigned.

Benefits

• Health insurance options
• Standard and supplemental retirement plans
• NCFlex program with pre-tax benefits
• Paid vacation leave
• Paid sick leave
• Paid community service leave
• Paid parental leave for eligible employees