Strategy

• Lead GRT's application process to become a Medicaid QE in all operating states where eligible
• Oversee the implementation of SOAR training for designated staff across all operating states
• In partnership with GRT's medical and product leadership, develop, implement, and maintain a standardized medical frailty documentation protocol
• Lead the development and implementation of systems, workflows, and member support strategies designed to help eligible members meet state Medicaid requirements
• Support GRT's Government Affairs team by assisting with tracking federal and state legislation
• Collaborate with the Government Affairs Team in translating policy developments into actionable operational updates
• In partnership with the Product Team, design and maintain an internal tracking system to identify members at risk of losing Medicaid coverage
• In partnership with the Learning and Development Team, develop and deliver training and educational resources for entitlement staff, counselors, and clinical providers on QE processes and SSDI/SSI application assistance
• Develop and maintain a comprehensive evaluation framework that measures coverage retention, redetermination outcomes and reasons for Medicaid disenrollment.

See all jobs on JobTailor

Associate Director – Medicaid Entitlement & Coverage Strategy