Medicaid Market Development Advisor

Profile

Description

The Market Development Advisor will work side-by-side with the Medicaid COO and team to ensure that the health plan is meeting or exceeding corporate Medicaid performance benchmarks. Helps advise executives in developing functional strategies on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Responsibilities

The Market Advisor develops strategy for project planning and facilitates coordination and communication between owners and other teams responsible for execution and production. Key responsibilities include:


Working with cross functional teams across the Enterprise, including Member and Provider Call Center, Claims, Provider/Network Operations, etc.
Operating as a problem solver, highly self-motivated, organized, detail-oriented, and will exhibit a high level of initiative.
Serving as an essential member of the Market Operations team leading multiple projects of varying levels of complexity.
Communicating responsibilities, assignments, and deliverables to teams, and at key points throughout projects.
Leading meetings with stakeholders to ensure accountability and timely delivery of Market Operations campaigns
Having good planning skills and the ability to anticipate problems and develop a plan of action to prevent delays in projects and/or the department's workflow


Reporting Relationship:

This position will be report directly to the Medicaid RVP, Operations.

Required Qualifications


Bachelor's Degree required; Master's preferred
Minimum 3 years with health plan operations experience, preferably Medicare/Medicaid
Minimum 3-5 years managing large scale, strategic projects and cross functional teams
Success in developing working relationships within a highly matrix-ed business environment
Ability to analyze data and make informed recommendations
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Experience using Visio to develop and manage project plans
Advanced Excel skills (Pivot Tables)
Strong, demonstrated organizational and interpersonal skills
Clear and concise oral and written communication skills
Must reside in OH
WAH requirements: Must have the ability to provide a high speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required.


Preferred Qualifications


Project management qualification (PMP) or equivalent preferred


Scheduled Weekly Hours

40

Company info

Sign Up Now - MiamiCrossing.com