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Company :

United Concordia Dental

Job Description :

JOB SUMMARY

The Government Strategy & Programs role is responsible for the overall leadership, strategic direction, and execution of United Concordia's government relations and contracting efforts. This encompasses a broad portfolio including Medicaid, TRICARE Dental Program (TDP), and Active Duty Program (ADDP) contracts. This role requires a deep understanding of the government and military landscape, strong leadership skills, and the ability to build and maintain strong relationships with key stakeholders, including government officials, military personnel, and internal teams. This role will lead and mentor a team of professionals, managing significant budgets and ensuring successful contract performance and compliance across all government programs. A key focus will be on expanding United Concordia's footprint and market share within the Medicaid market.

ESSENTIAL RESPONSIBILITIES

+ **Strategic Planning & Development:** Develop and implement a comprehensive government strategy aligned with United Concordia's overall business objectives. This includes identifying and prioritizing new business opportunities in Medicaid, TDP, and ADDP, performing market analysis, and developing winning proposals for government contracts. Specifically, this includes developing and executing a robust strategy to expand Medicaid market penetration and revenue generation, identifying new state Medicaid opportunities, and navigating the complexities of state-level regulations and contracting processes.

+ **Medicaid Strategy & Execution:** Lead the development and implementation of all Medicaid-related strategies, including market research, competitor analysis, proposal development, contract negotiation, and ongoing contract management. Actively monitor changes in state-level Medicaid programs and adapt strategies accordingly. Build and cultivate strong relationships with key state Medicaid officials and stakeholders.

+ **Contract Management & Compliance:** Oversee the administration and compliance of existing government contracts across Medicaid, TDP, and ADDP, working collaboratively with Operations leadership in the execution. Ensure adherence to all contractual obligations, regulatory requirements, and company policies. Effectively manage financial performance, quality control, and risk mitigation for all contracts under management.

+ **Relationship Management:** Build and maintain strong relationships with key government stakeholders, including military personnel, congressional representatives, regulatory agencies (at both the federal and state levels), and other relevant parties. This includes effective communication, negotiation, and representation of United Concordia's interests.

+ **Team Leadership & Mentorship:** Lead, mentor, and develop a high-performing team of professionals responsible for all aspects of government programs. Provide coaching, training, and performance management to direct reports. Foster a collaborative and positive work environment.

+ **Financial Management:** Manage significant budgets, monitor financial performance, and ensure efficient and effective resource allocation across all government programs. Develop and manage budgets specific to Medicaid expansion initiatives.

+ **Reporting & Communication:** Prepare regular reports and presentations to Executive Leadership on the status of government programs, contract performance, and key strategic initiatives, including detailed reporting on Medicaid program performance and growth. Effectively communicate information to stakeholders across all levels of the organization.

+ **Compliance & Risk Management:** Maintain awareness of all applicable federal, state, and local laws, regulations, and company policies. Implement robust risk management processes to ensure compliance and mitigate potential issues across all government programs, with a particular focus on the complexities of Medicaid compliance requirements.

EXPERIENCE

Required

+ 10+ years of experience in a leadership role overseeing government contracts, preferably in the healthcare industry, with a significant portion dedicated to Medicaid program management.

+ Demonstrated success in developing and implementing government strategies and securing new business in Medicaid and other government programs.

+ Proven experience in managing teams, budgets, and complex projects.

+ Direct experience working with the Department of Defense (DoD), state Medicaid agencies, and other government agencies is highly desirable.

Preferred

+ Prior experience in a similar role within the dental or healthcare industry.

+ Experience working with government healthcare programs.

+ Proven track record of successful contract negotiations and renewals in Medicaid and other government contracts.

+ Familiarity with relevant legislative and regulatory frameworks at both the federal and state levels.

+ Experience with market analysis and competitor assessments in the Medicaid space.

SKILLS

+ Strong leadership, communication, and interpersonal skills.

+ Strategic thinking and planning abilities.

+ Excellent negotiation and relationship-building skills.

+ Deep understanding of government contracting procedures and regulations, particularly within the Medicaid landscape.

+ Proficiency in financial management, budget development, and performance monitoring.

+ Ability to work effectively under pressure and manage multiple priorities.

+ Strong understanding of healthcare reimbursement models.

EDUCATION

Required

+ Bachelor's degree

Preferred

+ Master's degree (MBA, MPA, or related field)

LICENSES or CERTIFICATIONS

Required

+ None

Preferred

+ None

Language (Other than English):

None

Travel Required:

0-25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type (enter from JDQ)

Office-Based or Remote Position

Physical work site required

Occasionally

**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._

**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._

_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._

_Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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Req ID: J263914