Senior Strategy Advancement Professional

The Senior Strategy Advancement Professional provides data-based strategic direction to identify and address business issues and opportunities. Provides business intelligence and strategic planning support for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Strategy Advancement Professional leads initiatives to analyze complex business problems and issues using data from internal and external sources. Brings expertise or identifies subject matter experts in support of multi-functional efforts to identify, interpret, and produce recommendations and plans based on company and external data analysis. Ensures that policies and procedures align with corporate vision. Selects, develops, and evaluates personnel ensuring efficient operation of the function. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.
The Strategy Advancement Professional is responsible for the following:
Manage the development of RFP narrative responses for Provider Network build assigned questions
Project Manage provider network builds for new business opportunities
Support strategies and innovative approaches to evolving Medicaid/LTSS/Duals provider marketplace
Coordinate and collaborate with Medicaid leadership, business partners, and market leadership on network build and adequacy reporting progress
Partner closely with National and Market Contracting teams to anticipate level of resources needed, develop project plan and roadmap to success for network build and provider management
Understand network build requirements and analyze network adequacy in order to help secure strong competitive networks in anticipation/response to RFPs
Define the scope of network builds project and coordinate activities to achieve business objectives within a pre-determined timeframe
Interpret state requirements for RFP network file submissions
Plan, analyze, anticipate and mitigate constraints, risks, and issues; and adjust existing systems, processes, and capabilities to achieve results
Required Qualifications
Bachelor's degree or equivalent or 4+ years of experience
Project management experience
At least one year of experience in the health insurance industry
Experience working with MS Office Suite, specifically Word and Excel
Ability to collaborate effectively with personnel at all levels, from administrative support to subject matter experts to leadership
Strong leadership, organizational planning, prioritization, and time management skills; the ability to multitask and work against strict deadlines(i.e. ? occasional nights and weekends)
Flexibility in the face of rapidly changing circumstances
Strong reading comprehension and writing skills
Strong project management skills with high personal accountability
Must be organized and able to work with accuracy and efficiency on multiple projects with multiple teams simultaneously
Experience in a deadline-driven environment with high attention to detail and compliance
Must be detail-oriented, self-motivated, and possess a quality customer service attitude
Desire to join a high-functioning, collaborative, and supportive team culture
Preferred Qualifications
5+ years of Medicaid experience
5+ years of network development experience
Role will include travel (10-20% of time)
This position reports to the Medicaid Business Development Network Strategy Leader.
Scheduled Weekly Hours

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