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RFP Development Director, Medicaid Clinical Strategies

Elevance Health
Indianapolis, IN Full Time
POSTED ON 4/7/2025 CLOSED ON 4/25/2025

What are the responsibilities and job description for the RFP Development Director, Medicaid Clinical Strategies position at Elevance Health?

The Medicaid Growth Office is looking to hire a Request for Proposal (RFP) Development Director to align to our Clinical Strategies and Solutions for all new and renewing Medicaid state RFPs. This RFP Development Director is a pivotal role designed to lead and innovate the clinical strategy for Medicaid procurement opportunities, especially within the sphere of physical health. This role demands a strategic visionary who will collaborate across various clinical teams to craft compelling and impactful proposal responses. By leveraging deep expertise and insights in physical health challenges, such as the reduction of diabetes incidents, the RFP Development Director will craft exceptional and tailored responses that address state-specific priorities and program goals. Working closely with the Business Development Lead, growth partners, and subject matter experts, this role is critical in ensuring solutions are not only competitive but effectively demonstrate clinical capabilities that drive successful Medicaid RFP outcomes. This position will work a hybrid model (remote and office) from any US Elevance Health corporate work location.

How You Will Make An Impact

  • Strategy Development and Collaboration: Lead the development of innovative physical health clinical strategies and solutions tailored to win high-priority Medicaid procurement opportunities. Partner with physical health clinical teams and SMEs across the organization to formulate robust responses that align with state priorities.
  • Comprehensive Capture Plan Creation: Responsible for developing deep insights-driven functional area market capture plans that illustrate competitive solutions meeting state-specific needs and goals. Utilize strategic intelligence to craft state-of-the-art clinical solutions within proposal responses.
  • Cross-Functional Coordination: Collaborate cross-functionally with growth partners such as health plan leadership, and leaders in various functional areas, including Medicaid operations, quality, claims, payments, data analytics, and clinical SMEs, to execute a cohesive and responsive proposal capture plan.
  • Proposal Development: Work closely with the Business Development Leader and growth partners to build and promote agreement on bid strategy, ensuring compelling and accurate representation of strategic vision in proposal sections. Gather and synthesize clinical use cases and proof points for proposal content, enhancing the persuasiveness of the responses within each RFP.
  • Risk Management and Delivery Facilitation: Monitor, evaluate, and escalate risks and strategy delivery concerns, ensuring robust execution of the capture plan. Provide significant input throughout executive team reviews to shape content, solutions, and messaging that resonate with proposal evaluators.

Requires a BA/BS degree in business, public health, nursing, medicine, health care delivery, or a related field and a minimum of 7 years work related experience in Medicaid business and a minimum of 5 years of experience leading cross functional teams; or any combination of education and experience, which would provide an equivalent background.

Highly Preferred Skills And Experiences

  • Physical health clinical care expertise. Experience creating clinical solutions and clinical strategies, population health and whole health clinical approaches and experiences.
  • Medicaid Managed Care business development experience such as proposal strategy, RFP strategy, and/or capture strategy.
  • Experience working inside a Medicaid Health Plan, a corporate Medicaid growth team, or a clinical team supporting the growth and business development functions for Medicaid plans.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
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