AVP, Duals Market Enablement (REMOTE)

Leadership Role In Medicare Integrated Duals Segment

Provides leadership to the Medicare Duals team and plays a critical role in advancing the Medicare Integrated Duals segment strategic priorities. Develops and executes Medicare strategies, including state-specific and product-specific growth initiatives. Leads high-priority projects across the Medicare Business Unit, from ideation through implementation. In addition, the role is instrumental in generating local market insights and fostering innovation to support business growth and transformation. Facilitates frequent engagement with the executive leadership team, offering a unique opportunity to influence strategic decision-making at the highest levels of the organization.

Job Duties

Develop and execute comprehensive Medicare strategies aligned with enterprise goals and regulatory requirements.

Design and implement state-specific and product-specific growth initiatives to expand market presence and improve member acquisition and retention.

Analyze market trends, competitive intelligence, and regulatory changes to inform strategic decisions.

Lead high-priority, cross-functional projects across the Medicare Business Unit from concept through execution, ensuring timely delivery and measurable impact.

Collaborate with internal stakeholders to identify strategic opportunities and translate them into actionable plans.

Generate and synthesize local market insights to inform strategic decisions and support competitive positioning.

Drive innovation by identifying emerging trends, piloting innovative ideas, and supporting the development of differentiated Medicare offerings.

Monitor performance metrics and adjust strategies to optimize outcomes and ensure alignment with business objectives.

Collaborate with cross-functional teams including Product, Sales, Compliance, Finance, and Clinical Operations to align strategy with execution.

Identify and evaluate new market opportunities, including geographic expansion, product innovation, and strategic partnerships.

Monitor performance metrics and KPIs to assess the effectiveness of strategic initiatives with the ability to frame strategic challenges with research and synthesis to draw out solutions and create action plans.

Develop processes for efficient and effective monitoring of regulatory regulations and ensuring regulations are implemented effectively.

Identifies and supports duals training needs across the enterprise and health plans.

Leads team to support business development opportunities, public policy positions in collaboration with enterprise partners.

Partners with applicable teams on integrated duals annual material through input, review, and subject matter expertise.

Job Qualifications

Required Qualifications

At least 10 years of experience in strategic management or equivalent combination of relevant education and experience

Medicare and / or Medicaid Managed Care experience

Quantitative aptitude

Strong leadership in a matrixed environment

Strong project management skills and ability to manage multiple, competing priorities and projects simultaneously.

Excellent communication and people skills, including ability to effectively collaborate with business unit leaders, subject matter experts, and external resources.

Preferred Qualifications

Integrated products (Medicaid-Medicare) experience

Experience in regulatory regulations and monitoring contractual requirements.