Director Medicaid Proposal Strategy and Management

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Role Overview

The Director, Medicaid Proposal Strategy and Development leads the enterprise proposal team and is accountable for the overall proposal function, providing strategic and operational leadership for the development and submission of high-quality, compliant, and competitive proposals in support of the Enterprise Growth organization.

This role executes the proposal team’s strategic and tactical plan, working across the Enterprise Growth team and with business units to integrate proposal management, proposal development, production, and knowledge management in support of government-sponsored health care growth, with a strong focus on Medicaid.

The Director leads a team of Proposal Directors, Proposal Managers, Analysts, production professionals, and design/technology resources and partners closely with Enterprise Growth, market, clinical, and operational leadership to align proposal strategy with enterprise and health plan goals. The role requires deep Medicaid proposal experience, demonstrated people-leadership capabilities, and the ability to lead through change and ambiguity while building strong coalitions across business segments.

Responsibilities

People Leadership & Talent Development

• Lead, mentor, and develop a high-performing proposal team (Proposal Directors, Proposal Managers, Analysts, Production, and support staff)
• Set clear performance expectations and quality standards; provide ongoing coaching, feedback, and development planning
• Oversee resource planning and workload balancing to meet fluctuating proposal demand while maintaining team engagement

Proposal Leadership & End-to-End Execution

• Lead proposal development from pre-RFP planning and kickoff through production, submission, and post-submission support
• Serve as proposal lead for high-priority, complex, or high-risk procurements
• Work closely with the Director, Proposal Writing on content, integration, and review cycles
• Direct proposal governance, schedules, compliance matrices, and risk management activities to ensure timely, high-quality, compliant submissions
• Execute proposal strategy in partnership with Enterprise Growth and market leadership
• Ensure strategic alignment and consistency across all proposal sections and supporting materials

Cross-Functional & Market Collaboration

• Partner with state Medicaid markets and cross-functional teams (clinical, quality, behavioral health, pharmacy, IT, network, compliance, finance, legal, operations)
• Ensure proposal commitments are realistic, measurable, and aligned with operational readiness
• Facilitate executive, color team, and readiness reviews; manage escalations to keep pursuits on strategy and on schedule

Compliance, Quality & Risk Management

• Ensure strict compliance with RFP requirements, state and federal Medicaid regulations, and internal policies
• Identify proposal risks, gaps, and dependencies and lead mitigation strategies
• Champion the use of AI, analytics, and knowledge management tools to improve proposal quality and efficiency

Post-Submission & Continuous Improvement

• Support clarifications, orals, negotiations, and state discussions
• Lead proposal debriefs and lessons-learned sessions and convert insights into actionable improvements
• Continuously refine proposal processes, templates, content libraries, and best practices to improve win rates and productivity

Education and Experience

• Bachelor’s Degree (Healthcare Administration, Business, Public Health, or related field)
• At least eight (8)+ years leading Medicaid proposals or government-sponsored health care procurements.

Other Skills

• Proven success managing large, complex state Medicaid RFPs
• Strong understanding of Medicaid policy, procurement processes, and scoring methodologies
• Demonstrated ability to lead cross-functional, matrixed teams in fast-paced, deadline-driven environments
• Excellent executive-level communication, writing, and stakeholder management skills
• Experience in a Medicaid managed care organization or health plan
• Multi-state Medicaid procurement experience
• Strategic thinking and execution
• Compliance rigor and risk ownership
• Executive presence and influence
• Market and stakeholder partnership
• Operational discipline under aggressive timelines
• APMP certification (Practitioner or Professional) preferred

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.