Position Summary: Responsible for leading, researching, designing, developing, and recommending a strategic plan/program(s) to ensure the organization's "readiness to launch" a comprehensive and competitive response to government program initiatives including Medicaid, Medicare Advantage, and the (State) Children's Health Insurance Programs (CHIP).

Essential Duties:

• Works with the executive team to formulate a business plan and strategy to implement government program capabilities for Delta Dental of Rhode Island and Altus Dental,
• Ensures all current state of readiness gaps in processing capabilities, staffing, and compliance are identified and sufficiently addressed prior to launch,
• Researches and specifies all federal and state regulatory reporting requirements and ensures reports are accurate and delivered within specified timeframes,
• Monitors all contractual specifications and ensures compliance,
• Prepares accurate reports for leadership review and ensures submission within specified timeframes,
• Works with the executive and sales teams to develop partnership strategies and identify opportunities and areas of concern with each relationship,
• Represents the company on relevant association and government related committees such as DDPA, MSDA, and others,
• Creates initial and ongoing landscape threat analysis,
• Monitors competitors and identifies potential collaborators,
• Assesses both commercial and government retiree market potential and strategy to address this population,
• Analyzes and summarizes relevant research in clear and concise formats with accompanying recommendations,
• Initiates external contacts required to foster collaboration and partnerships; Develops and delivers professional presentations to internal and external stakeholders,
• Serves as the organization's internal subject matter expert in government programs and stays abreast of new requirements and developments in the this space;  Works with the executive team and external firms to continuously monitor legislative and regulatory activity and provide summarized analysis of research performed,
• Works with the Professional Relations team(s) on development of proper contracting and credentialing procedures.

Qualifications:

• 4-year degree in relevant field of study
• 10 or more year's experience in the insurance sector
• 5 or more years leading government programs in the insurance sector
• Solid knowledge of insurance principles
• Proven tract record of strategic, multi-disciplinary thinking