Anthem Medicaid Growth Director - Business Development Leader -Any Anthem Location or Remote 134295 in Dearborn, Michigan
/Your Talent. Our Vision./At Anthem, Inc.,it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we willdrive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve atone of America's leading health benefits companies and a Fortune Top 50 Company.
This position is responsible for national growth of an assigned business segment, including plan design, creation, management, and strategic planning in coordination and collaboration with multiple matrix partners. Leads the Medicaid business development local market execution strategy in alignment with the overall Medicaid Business Unit and Anthem corporate priorities. This includes assessment of current market conditions to determine feasibility of adding new member populations/programs and identifying new market opportunities aligned to overall growth strategy across multiple existing and/or new state markets.
Primary duties to include, but are not limited to: * Oversees, creates, identifies, and leads profit and growth initiatives that yield positive membership growth and positive operating gains as measured in the annual goals. * Drives operational and strategic decision making including brand, bidding entity, model, and other key elements. * Identifies operational and/or capability gaps and works collaboratively with key SMEs/business owners to close gaps and develop solutions. * Serves as day-to-day business owner in collaboration with Regional or State Presidents and plan leadership. Leads the enterprise Medicaid team to understand state-specific needs and dynamics and develop new products, services, and models to meet those needs. * Responsible for understanding local market dynamics, build relationships, and supports the development and execution of stakeholder engagement strategies, community relations activities and investments, and development of partnerships with local organizations and agencies. * Responsible for shaping the bid strategy, designing differentiated solutions, defining win themes, and ensuring development of a high quality proposal that meets state-specific needs in concert with the Proposal Team. Reviews proposal in detail and provides significant input on strategy, messaging, content, and solutions throughout team reviews. * Responsible for product strategy as it pertains to the line and region of business. * Leads governance of opportunity in concert with Business Development leadership and aids in the preparation and facilitation of regular go/no-go checkpoints. * Works with Finance and business owners to develop pro forma and membership projections and refine/evaluate the opportunity with increasing accuracy as more information becomes available. * Collaborates and coordinates work with other departments within the business unit, and many matrix partners within the company, including but not limited to Finance, Actuarial, IT, and HCM. * Development, execution and coordination of comprehensive go-to-market plans for all new products/markets, to include competitor and environmental analysis initiatives to support the go-to-market plan. * Accountable for administrative expense budget. Monitor performance against budget and plan, understanding variances and adjusting to changes that may occur throughout the year. * Develop and manage a method to predict financial SG&A needs. * Coordination and creation of alliances and partnerships with key community organizations and advocacy groups to create essential knowledge about the state, identifying and cultivating local influencers and supporters, and strengthening proposal insights and value propositions to ensure success. * Reports various results through various venues as well as to the leadership team. Additional Specific Responsibilities for this role: Extra Duties specific to this opening:
Develop and lead a comprehensive strategy to position Anthem for success in assigned Medicaid pipeline opportunities including new market procurements, existing market procurements, or other program expansions identified as priorities in Anthem’s overall growth strategy, ultimately yielding positive membership growth and operating gains.o Monitor pipeline opportunities within assigned markets (typically a portfolio of 5-8 states) o Maintain ongoing and regular communications with Medicaid market Presidents, Regional Presidents, and Government Relations leads regarding regulatory environment, legislative changes, or other updates that impact pipeline opportunities within assigned markets o Work in conjunction with Strategy & Program Development Director to identify opportunities to influence program and policy design, and ensure that Anthem's formal submissions to state partners strategically communicate preferred policy recommendations and influence sound program design and implementation to position Anthem for success o Drive operational and strategic decision making including brand, bidding entity, model, bid strategy, win themes, and other key elements for a successful bid/proposal o Identify operational or capability gaps and works collaboratively across the organization to mitigate or develop solutions o In collaboration with broader Medicaid Business Development team, develop comprehensive project plan detailing action items necessary to execute bid strategy and preparation 9-12 months in advance of RFP release o Understand local market dynamics, build relationships, and support the development and execution of stakeholder engagement strategies, community relationships activities and investments, and development of partnerships with local organizations and agencies o Lead governance of opportunity in collaboration with Business Development leadership and aids in the preparation and facilitation of regular go/no-go executive checkpoints o Works with finance and business owners to develop pro forma, membership projections, and to refine and evaluate the opportunity with increasing accuracy as more information becomes available o Work collaboratively across the broader Medicaid Business Development team including Growth Directors, Book Bosses, Strategic Content Directors, Stakeholder Outreach and Engagement Directors, and other key SMEs throughout the capture and proposal development processes
* Upon RFP release, leads the development of high quality proposal that meets state specific needs in concert with the assigned Proposal Director and Proposal Development teamo Participates in all critical Proposal Development meetings and governance activities o Provides input and guidance for individual functional area strategy sessions o Reviews each draft of the proposal (pink, red, and executive) in detail to provide significant input on strategy, messaging, content, and solutions o Maintain ongoing communication with Proposal Director regarding any concerns, issues, or decisions that need to be escalated
* Assess current market conditions and regulatory activity “white space” on an ongoing basis to determine feasibility of pursuing additional opportunities within a market including new member populations, benefit carve-ins, or other program expansionso Collaborate with health plan or regional leadership to develop necessary program recommendations or other policy related documents needed to support white space development o Develop strategies with health plan and regional leadership to bring white space opportunities to fruition
* Maintain strong understanding and familiarity with trends in Medicaid Policy and best practices across Anthem’s Medicaid Managed Care business in order to serve as a consultant to Health Plans throughout the opportunity development life-cycle
* Requires a BA/BS degree in a related field * 10-15 years of leadership/management experience in health care management, marketing products, and managing significant business results; or any combination of education and experience, which would provide an equivalent background. * Managed Care experience required/ Medicaid experience highly preferred. * MBA preferred. * Previous P&L and/or project management experience in health care setting preferred. * Excellent quantitative, marketing, financial, and strategic skills required. * Travel required.
/Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran./
Job Business Development/Planning
Equal Employment Opportunity Statement Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.
Title: Medicaid Growth Director - Business Development Leader -Any Anthem Location or Remote 134295
Requisition ID: 134295