[Hiring] Manager - Medicaid Solutions @SKYGEN

Role Description

The Manager, Medicaid Solutions is responsible for developing and executing cost-effective Medicaid programs to enhance Member engagement, quality, and care coordination. Key responsibilities include:

• Developing and implementing Medicaid Solutions initiatives to improve access, quality, and efficiency of care.
• Building and maintaining strong relationships with Medicaid Clients, state/federal partners, and other stakeholders.
• Acting as SME on SKYGEN Medicaid Solution products including Conditional Benefits and Provider Select Suite.
• Recommending enhancements to Medicaid Solution products to improve functionality.
• Developing and executing engagement strategies unique to targeted Member populations.
• Assisting in developing proposal strategies for Medicaid contracts.
• Collaborating with internal departments to ensure proposals are comprehensive and competitive.
• Staying informed on the latest developments in Medicaid policy and program changes.
• Gathering, analyzing, and compiling data related to Medicaid programs and initiatives.
• Supervising the efforts of Member outreach staff.
• Overseeing the development of reporting specific to each Medicaid Solution initiative.
• Resolving complex requests or escalated issues pertaining to Medicaid Solutions initiatives.
• Hiring, developing, and motivating staff.
• Providing regular updates and presentations to leadership.
• Tracking progress of ongoing projects.

Qualifications

• Bachelor’s degree in Business or related field.
• 5-7 years of experience in a health/dental insurance or health/dental care setting.
• 5-7 years of experience in a management/leadership capacity.
• Strong understanding of Medicaid Programs and regulations.
• Experience in leading cross-functional teams, managing projects, and building relationships.
• Strong presentation skills.
• Ability to design communications and/or trainings for large groups.
• Ability to identify trends within data.
• Ability to analyze large amounts of data and provide succinct synopsis.
• Ability to develop long-term strategies with associated goals for improvement.
• Ability to organize work to meet deadlines.
• Demonstrated use of Microsoft Office products (Word, Excel, and PowerPoint).

Requirements

• Master’s degree in Business or similar field (preferred).
• Experience with dental, medical, and/or physical therapy administration (preferred).
• Knowledge of Enterprise System (preferred).

Benefits

• Compensation Range: $86,594-$129,892.
• Compensation Midpoint: $108,243.