Capture Director, Medicaid Proposals at CVS Health

City of Albany, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

05 Jul, 26

Salary

231540.0

Posted On

06 Apr, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medicaid managed care, Capture planning, Proposal development, Business development, Strategic planning, Market intelligence, Competitive analysis, Cross-functional leadership, Risk mitigation, Executive presentation, Stakeholder management, Data synthesis, Communication skills, Project management, Health plan operations

Industry

Hospitals and Health Care

Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. At Aetna®, part of CVS Health, we proudly serve more than 26 million medical members through our broad range of health plan offerings. We're committed to delivering a simpler, more meaningful, and personal health care experience to each of them. As a Capture Director, Medicaid Proposals, you will play a critical role in supporting our Aetna members and our business by leading strategy and capture planning activities in support of business development that targets new markets, existing health plan reprocurement, and RFx proposal development. Works as a liaison between the Business Development and Proposal Development teams. You will work with cross-functional and cross-segment stakeholders to develop the capture plan that supports proposal solutions, proposal quality and improves win probability. Key Responsibilities: Partner with Business Development, Health Plan Leaders, and subject matter experts to develop proposal-to-win strategies. Leads cross functional team discussions to identify gaps, mitigate risks, and develop solutions and strategies prior to RFP release. Research, assess state customers, populations served, and competitive landscape. Manage intelligence collection and analysis, including competitive and customer intelligence. Obtains market intelligence on competitor programs, weaknesses, innovations, and performance. Collaborate with Business Development and health plan leaders to understand current and Collaborates with Business Develop and Health Plan Leaders to understand competitor programs, weaknesses, innovations, and performance as well as current and emerging customer needs and requirements unique to the state’s population, health inequities, SDOH concerns, and other emerging issues. Manage the internal analysis of Aetna strengths and weaknesses to help align proposal-to-win development strategies. Lead a cross-functional team of growth partners, subject matter experts, health plan leaders, division presidents, and product to develop winning strategies (differentiators and innovations) as well as identify risks and opportunities. Identifies branding and positioning opportunities to enhance or differentiate Aetna programs. Participate in all levels of proposal development draft reviews, providing active feedback and recommendations for improvement. in proposal development kickoff meeting, strategy discussions and Pink and Red Team draft reviews, providing feedback and recommendations for improvement. Research and synthesize data to clear, actionable insights that inform strategies and solutions, ensuring even complex information is understood by diverse stakeholders. Build and sustain relationships with fellow colleagues from the executive suite to individual contributors. Use effective communication approach, presentation, writing, and influence skills that inform and align team members around a common vision. Ownership of capture plan development. Required Qualifications: 7+ years of experience with Medicaid managed care proposals. Strong written and verbal communication skills. Experience designing executive‑ready presentations. Experience working independently to produce high‑quality deliverables that meet defined internal and external customer requirements, while consistently meeting tight timelines, deadlines, or service‑level agreements. Experience collaborating effectively within cross‑functional teams, contributing to shared objectives through clear communication, coordination, and timely completion of responsibilities. Experience adapting to rapidly changing priorities, including identifying risks and opportunities, developing creative and practical solutions, and executing adjustments that maintain delivery expectations and business outcomes. Ability to work nights and weekends during active proposal development timeframes as proposal schedules require to meet deadlines. Ability to travel 25%. Preferred Qualifications: Experience leading capture and proposal activities for significant opportunities ($1B+). Experience in a capture function or executive leadership function for a managed care-based product for state Medicaid agencies. Association of Proposal Management Professionals (APMP) certification(s). State Medicaid agency experience or federal agency experience with CMS Experience developing competitive analysis. Managed care operations experience. Experience using a variety of electronic collaboration tools. . Education: Bachelor’s degree or equivalent work experience Pay Range The typical pay range for this role is: $100,000.00 - $231,540.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 04/09/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Responsibilities

The Capture Director leads strategy and capture planning activities for Medicaid proposals, acting as a liaison between business development and proposal teams. They are responsible for identifying market opportunities, managing competitive intelligence, and coordinating cross-functional teams to improve proposal win probability.