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Supports market assessment activities to identify and develop opportunities for growth and expansion. Researches opportunities for new and emerging business. Assesses the competitive landscape and market entry considerations to drive growth decisions. Analyzes clinical and operational results of the company and supports integration of performance metrics into RFP responses.
Gathers and analyzes economic, political, financial and industry data to assess health plan growth opportunities in targeted geographies with particular focus on Medicaid programs (e.g. Temporary Assistance for Needy Families (TANF), State Children's Health Insurance Program (S-CHIP), Aged Blind and Disabled (ABD), Managed Long-term Care program (MLTC), waivers, diversions, etc.) as well as Medicare, Dual SNPs and Healthcare reform opportunities.
May engage with and manage relationships and communications (both remotely and face-to-face) with key external stakeholders including; government representatives, state and federal agencies, business partners, and influencers.
Drafts and maintains market scorecards to provide on-going business development status and assessment information for senior leadership including supporting all levels of Stage Gate reviews (1-4).
Drafts, proofs and edits formal reports summarizing individual growth opportunities based on assessment activities indicating the nature of the opportunity, potential threats and keys to success.
For approved opportunities, continues proactive relationship and market development activities.
Works closely and collaboratively with business leaders including P&L owners, Government Affairs, Public Policy, Product, Program Implementations, Network Development, Legal and others in planning, management and support throughout the growth and business development lifecycle.
Attends national and state conferences and/or meetings as required
Performs other duties as assigned.
Additional Responsibilities:Candidate Education:
Required A Bachelor's Degree in a related field
Preferred A Master's Degree in a related field
Required 4 years of experience in analyzing and reporting on key health care industry and individual company performance metrics
Required 2 years of experience in working with government programs, preferably in the healthcare and/or managed care arena
Intermediate Demonstrated analytical skills
Intermediate Demonstrated organizational skills
Intermediate Demonstrated leadership skills
Intermediate Ability to drive multiple projects
Intermediate Ability to work in a fast paced environment with changing priorities
Intermediate Demonstrated negotiation skills
Intermediate Other Ability to work both strategically and tactical to accomplish objectives
Intermediate Other Strong strategic planning skills
Intermediate Other Strong planning and consulting skills
Intermediate Other Excellent knowledge of legislative and political landscape
Intermediate Ability to lead/manage others in a matrixed environment
Intermediate Ability to influence internal and external constituents
Intermediate Ability to represent the company with external constituents
Intermediate Ability to proof large bodies of materials
Licenses and Certifications: A license in one of the following is required: Technical Skills: