Director, Medicaid Growth and Retention Strategy

Job Description

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.

Knowledge/Skills/Abilities

• Own the enterprise Medicaid growth and retention strategy aligned to the Growth & Community Engagement Standard Operating Procedures. 

• Co-Develop and implement regional Medicaid outreach and growth activities. 

• Develop and implement retention/transition strategy for assigned region. 

• Coordinate with corporate direct marketing campaigns for Medicaid. 

• Work with call centers to track metrics as appropriate. 

• Identifies and develops system and process solutions to address controllable causes of member disenrollment.

• Direct/Matrix manage the Growth and Community leaders in assigned region to achieve Medicaid targets. 

• Translate enterprise priorities into repeatable plays, annual operating plans, and clear execution expectations for health plans. 

• Report departmental productivity to executive team and provide analysis and/or plans to properly executive and increase membership. 

• Lead enterprise performance management cadence, diagnose Medicaid market share drivers (adds, terms, retention), and escalate risks requiring intervention. 

•Work cross functionally to determine appropriate use of marketing funds to educate and retain members, including members at risk during redetermination, and prospects.

Job Qualifications

Required Education

BA/BS in Business Marketing or related field or equivalent experience. 

Required Experience

• 7-10 years health care sales & marketing experience, member retention. 

• 5-10 years supervisory experience. 

• Previous healthcare marketing and/or grassroots/community outreach experience a plus. 

• Medicaid experience. 

• Product positioning and marketing segmentation.

Preferred Education and Experience

• MBA Preferred.
• Experience in project management or event coordination.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V