Director, Medicaid Growth and Retention Strategy

Descripción del Puesto

  Job Summary Own the enterprise Medicaid growth and retention operating model by setting strategy, priorities, and performance expectations across all Medicaid health plans

This role converts enterprise growth strategy into repeatable plays, ensures disciplined execution through consistent operating cadence and escalation, and leads the levers that materially impact Medicaid market share, including retention, redetermination, auto assignment, and provider strategy.

  Responsible for establishing, developing and implementing Medicaid outreach/enrollment/retention organic growth initiatives on a enterprise basis by partnering with and setting performance expectations to Growth & Community Engagement leaders within assigned health plans.

• Develop strategies to assist the leaders in meeting growth targets for the health plan.

• Responsible for creating and implementing a retention/ strategy focused on member redetermination and transitions from Medicaid to the Marketplace and Medicare.

The goal is to increase resulting organic market share and integrate the Medicaid growth and retention strategies within assigned region.

  Researches and develops best practices to develop the “ideal” approach to Medicaid enrollment growth, and outreach and member retention.

Matrix manages with the health plan Growth & Community Engagement leaders to achieve approval of the approach by the appropriate State regulator.

• Develops the Medicaid strategy with local outreach teams, works with the corporate call center to support outreach activities and the member retention call center for within assigned region and achieves projected Medicaid membership within assigned region.

Coordinates with Corporate marketing to deploy direct marketing campaigns to support the enrollment and retention growth efforts needed to reach net Medicaid growth goals.

Habilidades

/Abilities • Own the enterprise Medicaid growth and retention strategy aligned to the Growth & Community Engagement Stan...