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Job Description
Aetna Better Health Medicaid plans have a proven record as trusted managed care organization partners for 30 years, currently serving approximately 2.8 million members in 16 states. Aetna Inc.’s acquisition by CVS Health (a Fortune 4 company and the nation’s largest retail pharmacy) in 2018 resulted in the creation of a company characterized by innovation with a strong community-based footprint, market reach, financial resources, and name recognition to expand delivery of Medicaid managed care services.
Aetna Inc.’s health insurance plans and services include medical, pharmacy, and dental plans;
Medicare plans;
Medicaid services;
Duals programs; behavioral health programs; and programs tailored for foster youth, individuals with serious emotional disturbance, and the justice-involved. We are seeking to hire a Head of the Medicaid Proposal Development team will lead all activities related to the management of RFP responses. These responsibilities include designing and leading an innovative and efficient Proposal Development team that collaborates with subject matter experts across the organization to produce and submit innovative and winning Medicaid proposals.
This is a fantastic opportunity to be a part of growth focused Medicaid division passionate about healthcare innovation and integration between CVS and Aetna. Full accountability for directing the development, production, and submission of large, highly complex responses to state Medicaid Requests for Proposals (RFP) where revenue and membership growth is generated by winning and retaining strategic contracts through the competitive RFP process.
Works collaboratively with State CEOs, Medical Management, Legal, Compliance, Operations, Actuary, Network, Finance and Implementation to ensure strategic procurement solutions meet Aetna Medicaid’s model of care, are cost-effective, and compliant. Directs end-to-end continuum of the procurement process, following professionally recognized business processes, to determine gaps, develop solutions, draft the proposal, and obtain executive approval. Works with Finance and Actuary to submit competitive rates, produce final proposals, and conduct a thorough quality review to ensure submitted proposals are completed with all necessary information required in order to not be disqualified.
Establishes and manages relationships with Senior leaders across the enterprise and with outside consultants.
The Role ED, Head of the Medicaid Proposal Development Builds an effective proposal team and process through transformational leadership skills and compelling leadership capabilities. Recruits, develops, and motivates staff. Initiates and communicates a variety of personnel actions, including employment, termination, performance reviews, salary reviews, and disciplinary actions. Performs other duties as required.
REMOTE – working East Coast hours
Pay Range The typical pay range for this role is:
Minimum: 131,500
Maximum: 289,300
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications Strong knowledge of Medicaid and the public procurement process Experience managing a proposal (RFP) team will be highly valued but not required Possess a strategic mindset with an understanding of what it takes to win and the ability to develop and execute a plan Strong operational mind, compliance management, strong project management skills
Ability to lead a team to support strategy development, competitive positioning, and differentiation within proposals to drive winning business Excellent writing and communication skills Strong problem solving, management skills, leadership skills Knowledge best practice of RFP database and process will be valued Familiarity with industry standards and nomenclature for proposal management such as Shipley or other similar training will be valued
Ability to respond to rapidly changing direction and priorities across multiple projects while overseeing team efforts Align with the Heart at Work Behaviors of CVS Health – Put people first;
Join forces;
Inspire Trust;
Rise to the Challenge;
Create Preferred
Qualifications Advanced Degree
Education Bachelor’s Degree Business Overview Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose:
Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand – with heart at its center – our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose.
We want everyone who works at CVS Health to feel em the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care…