Experience Strategy Development & Execution
- Lead the development and ongoing evolution of the Medicaid customer experience strategy, aligned with organizational priorities, regulatory requirements, and member needs
- Establish elements of mid-term experience strategies and operational plans for the Medicaid customer experience portfolio
- Own and manage key Medicaid member journeys, identifying moments that matter, pain points, and opportunities to improve engagement, satisfaction, and outcomes
- Translate insights into actionable experience strategies, initiatives, and roadmaps that can be delivered through cross‑functional teams
Personalization, Segmentation & Member Engagement
- Lead the development and application of Medicaid member personas and segmentation frameworks to inform journey design, engagement strategies, and prioritization
- Identify opportunities to personalize experiences across channels and touchpoints based on member needs, behaviors, and life moments
- Partner with Marketing, Communications, Product, and Population Health to ensure experience strategies support engagement, retention, and quality goals
Experience, Service Design & Journey Transformation
- Partner with experience and service designers to define future‑state Medicaid member journeys rooted in member needs, behavioral insights, and operational feasibility
- Support experience transformation efforts by helping define roadmaps that align people, processes, technology, and partners around improved member journeys
- Champion human‑centered, member‑informed design practices across Medicaid initiatives
Insights, Measurement & Analytics
- Collaborate with the Insights and Measurement team to leverage VOC, operational, and behavioral data to identify pain points, prioritize initiatives, and assess impact
- Lead the development of experience metrics and analytical frameworks that connect how members interact with Healthfirst, how they perceive those interactions, and resulting behaviors
- Use insights to continuously refine experience strategies and inform cross‑functional decision‑making
Portfolio & Initiative Management
- Manage a portfolio of Medicaid experience improvement initiatives, engagement programs, and journey redesign efforts
- Partner with cross‑functional teams to define objectives, success metrics, and delivery approaches for experience initiatives
- Track progress, risks, and outcomes; elevate issues as needed and support continuous improvement
Cross‑Functional Collaboration & Stakeholder Engagement
- Partner with Product teams to inform benefit and program design decisions from a member experience perspective
- Collaborate with Digital and IT teams to shape requirements for member‑facing tools, portals, and self‑service capabilities
- Work with Customer Service leadership to align service standards, training priorities, and performance measures with experience goals
- Represent the Medicaid member experience in cross‑functional working groups, planning sessions, and initiative reviews
People Leadership
- Lead and develop a small team of customer experience strategy professionals, providing coaching, feedback, and growth opportunities
- Foster collaboration, accountability, and a shared focus on improving the Medicaid member experience
Minimum Qualifications
- Bachelors degree required
- 812 years of experience in customer experience strategy, member engagement, personalization, marketing strategy, or related roles
- Strong understanding of Medicaid programs, member populations, and regulatory considerations
- Demonstrated success leading cross‑functional initiatives that improved customer or member experience outcomes
- Experience leveraging VOC data and qualitative and quantitative research to inform strategy and prioritization
- Strong journey mapping, persona development, and experience design collaboration skills
- Proven people leadership, communication, and stakeholder management capabilities
Preferred Qualifications
- Masters degree in business, Public Health, Healthcare Administration, or related field
- Experience working within Medicaid managed care organizations or government‑sponsored healthcare programs
- Familiarity with digital‑first engagement, marketing technology, analytics tools, or experience measurement platforms
- Experience influencing outcomes in matrixed organizations without direct authority
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
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