Foster consultative partnerships to help clients grow, retain and compete. Deliver impactful client experiences and create organizational value by providing Medicaid/Marketplace consultation that improves quality performance and guides stakeholders through complex government regulations.• Develop tailored strategies with stakeholders that address quality improvement, network and regulatory opportunities. Provide insights related to best practices.• Communicate industry perspectives, particularly from workgroup discussions and conferences.o Ensure alignment with state and national trade associations (i.e. AHIP, PCMA, MHPA) to help influence and drive policy change.• Provide direction and support to align teams with Medicaid goals and strategies.• Gather and utilize market level data to understand competitive environment and identify attractive growth and regulatory opportunities.• Work collaboratively with Legal, Sales, Operations, Clinical Product, Finance and Marketing to identify, create and track effective growth, quality and compliance focused initiatives.• Communicate complex material succinctly to a variety of audiences.• Responsible for compliance guidance which includes Medicaid program contract reviews, audit support, legislation/regulatory interpretation and implementation consultation.• Recognized as SME related to Medicaid drug coverage, programs, along with state and federal regulations.• Contribute to strategic and financial objectives for the Regulated Markets division and the enterprise as a whole.

Responsible for strategy, business case presentation, design, development and launch of new products and product enhancements.• Worked cross functionally to design, develop and drive successful deployment of new and enhanced programs and services.• Interpreted competitive intelligence, industry and market trends along with customer feedback to develop strategies for product development opportunities.• Supported the development of market and sales strategies and value propositions.• Managed cross-segment projects and initiatives that required problem solving, relationship building, influencing and analyzing.• Worked with leadership to determine appropriate success metrics in which products would be evaluated.

Responsible for development and maintenance of portfolios with a high volume of products for small and mid-sized employer groups. Built competitive portfolios in a complex regulatory environment.• Worked with markets to understand local goals/challenges and recommend product portfolios to manage costs while achieving revenue and membership goals.o Successfully managed risk while growing membership (100K+).• Served as a consultant to the Sales Leadership Team related to portfolio performance, market dynamics and product strategy.• Utilized mastery-level understanding of product performance key drivers (pricing, sales, distribution, marketing and business processes).• Conducted market analysis. Tracked and analyzed consumer trends and competitive data.• Developed/provided presentations to leadership related to competitive product offerings that met customer needs and organizational goals in order to drive decisions.• Partnered with key functional areas to ensure compliance and successful product deployment.• Identified impacts of new legislation and collaborated with Sales, Legal, Actuarial Compliance and Operations to successfully deliver compliant portfolios on time.• Developed and provided product training to internal and external audiences.• Recognized by management as Product Strategy SME.

Developed and enhanced programs to ensure product line remained competitive and responsible to community needs.• Developed annual sales strategy and marketing plan and oversaw execution of the plan.• Provided forecasting and product performance reporting.• Identified market and product opportunities through assessment of market demand and trends.• Developed and coordinated member communications.

Responsible for research, analysis and development of new and existing products and services.• Collaborated with Marketing Division staff, management and other key areas in planning, developing and implementing new products and services. – Successfully developed and launched new products. – Completed annual benefit changes to meet market demand and grow enrollment in existing products.• Presented marketing strategy plans and developed market requirements to support new offerings.• Developed plans to enable brokers and businesses to easily move through the value proposition of new product offerings by providing education and support tools.• Provided internal and external training related to new or enhanced products.• Led cross functional teams to identify and implement improvements in process, customer experience and product/service packaging.• Recognized for understanding customer needs as well as sales team issues and challenges.