Manager, Medicaid Strategic Initiatives

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

Minimum Qualifications:

• 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 plan of action, communicate effectively, and execute
• Strong analytic, strategic and planning skills; must be able to successfully facilitate sound business objectives within highly regulated industry
• Strong public speaking and oral and written communication skills
• Microsoft Word, PowerPoint, Excel proficiency

Preferred Qualifications:

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

WE ARE AN EQUAL OPPORTUNITY EMPLOYER.  HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services,  LLC.

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