Director, Medicaid Growth and Retention

Community Health Choice; Houston (TX); On-site; USD 130,000 - 190,000; Full time

Job summary

Community Health Choice, a Texas nonprofit managed care organization, seeks a Director of Medicaid Growth & Retention to lead strategies that expand Medicaid membership, improve retention, and build partnerships across Texas.

You will collaborate with senior leadership, product development, sales, providers, and community organizations to translate market opportunities into measurable growth, with a focus on underserved Texans.

Qualifications

• Bachelor's degree in Business, Marketing, or a related field.
• Professional experience within the managed care industry is required, including knowledge of Medicaid health plan operations, membership growth, retention, or related business functions.
• Ten (10) years of managed care experience or seven (7) years of marketing or product sales experience within a managed care environment.
• Seven (7) years of progressive leadership or management experience in healthcare products or services.
• Demonstrated ability to develop and execute growth strategies, lead teams, and build strategic partnerships.
• Strong understanding of Medicaid managed care, member engagement, and healthcare market dynamics.
• Excellent strategic planning, communication, negotiation, and stakeholder relationship‑management skills.
• Experience using Microsoft Office, CRM platforms, and call center operations.

Responsibilities

• Develop and execute comprehensive strategies to increase Medicaid membership, improve retention, and increase market share.
• Identify opportunities for organic membership growth through member engagement, provider relationships, and community partnerships.
• Establish measurable growth and retention goals, monitor performance, and adjust strategies based on market trends and results.
• Oversee Medicaid product performance and support initiatives aligned with organizational priorities.
• Collaborate with Product Development, Sales, Marketing, and other internal teams to align growth initiatives with business objectives.

Skills

Medicaid managed care

Member engagement

Healthcare market dynamics

Strategic planning

Communication

Negotiation

Stakeholder management

Microsoft Office

CRM platforms

Call center operations

Education

Bachelor's degree in Business, Marketing, or related field

Master's degree in Business, Healthcare Administration, Marketing, or related field

Tools

Microsoft Office

CRM platforms

Call center systems

Job description

Location: Texas | Candidates Must Reside in Texas

Purpose in Practice. Lead Growth That Makes a Difference.

At Community Health Choice, we're more than a health plan. We're a local, nonprofit managed care organization dedicated to improving Texans' health and well-being, especially in underserved communities.

We're seeking an experienced Director, Medicaid Growth & Retention to lead strategies that expand Medicaid membership, strengthen member retention, and build meaningful partnerships throughout Texas.

This leadership position requires managed care industry experience

In this role, you'll develop and execute strategies that drive sustainable membership growth, improve retention, and increase market share. You'll collaborate with senior leadership, sales, product development, providers, and community organizations to identify opportunities, strengthen relationships, and connect more Texans with the healthcare coverage and services they need.

If you're a strategic leader who understands Medicaid managed care and can translate market opportunities into measurable growth, we want to hear from you.

Responsibilities include:

• Develop and execute comprehensive strategies to increase Medicaid membership, improve retention, and increase market share.
• Identify opportunities for organic membership growth through member engagement, provider relationships, and community partnerships.
• Establish measurable growth and retention goals, monitor performance, and adjust strategies based on market trends and results.
• Oversee Medicaid product performance and support initiatives aligned with organizational priorities.
• Collaborate with Product Development, Sales, Marketing, and other internal teams to align growth initiatives with business objectives.

Build Strategic Partnerships

• Develop and maintain relationships with healthcare providers, community organizations, nonprofits, business partners, and agencies serving low‑income and underserved populations.
• Establish partnership programs that strengthen Community Health Choice's presence and support Medicaid membership growth and retention.
• Identify opportunities to expand community engagement and improve awareness of available healthcare coverage.
• Position Community Health Choice as a trusted health plan partner within the communities we serve.
• Collaborate with sales teams to identify and develop qualified leads for Marketplace and Medicare Dual Eligible Special Needs Plan (D‑SNP) products.
• Identify opportunities to connect eligible individuals with appropriate coverage options across Community Health Choice's lines of business.
• Work with internal stakeholders to develop coordinated outreach, engagement, and growth initiatives.

Drive Performance & Organizational Leadership

• Lead and motivate teams through strategic initiatives, operational improvements, and organizational change.
• Partner with senior leadership to advance programs that improve healthcare access, quality, member outcomes, and overall value.
• Oversee cross‑functional projects, align stakeholders, and ensure effective implementation of growth and retention initiatives.
• Use performance metrics, market intelligence, and member insights to guide decisions and identify improvement opportunities.
• Support departmental goals, annual business plans, and continuous process improvement initiatives.

Required Qualifications:

• Bachelor's degree in Business, Marketing, or a related field.
• Professional experience within the managed care industry is required, including knowledge of Medicaid health plan operations, membership growth, retention, or related business functions.
• Ten (10) years of managed care experience or seven (7) years of marketing or product sales experience within a managed care environment.
• Seven (7) years of progressive leadership or management experience in healthcare products or services.
• Demonstrated ability to develop and execute growth strategies, lead teams, and build strategic partnerships.
• Strong understanding of Medicaid managed care, member engagement, and healthcare market dynamics.
• Excellent strategic planning, communication, negotiation, and stakeholder relationship‑management skills.
• Experience using Microsoft Office, CRM platforms, and call center operations.

Preferred Qualifications:

• Master's degree in Business, Healthcare Administration, Marketing, or a related field.
• Experience developing Medicaid membership growth and retention strategies within a managed care organization.
• Knowledge of Texas Medicaid programs and the state's healthcare marketplace.
• Experience collaborating with community organizations, providers, and government‑related stakeholders.
• Familiarity with Medicare D‑SNP and ACA Marketplace products.

Built to Care. Driven to Improve Lives.

At Community Health Choice, growth is about more than numbers. It's about reaching more Texans, strengthening access to healthcare, and helping individuals and families receive the coverage and support they need.

As our Director of Medicaid Growth & Retention, you'll shape strategies, build partnerships, and lead initiatives that support organizational success and healthier communities.

Purpose in Practice.

Bring your managed care expertise, strategic vision, and passion for improving healthcare access to Community Health Choice.

Applicants must reside in the State of Texas.

Community employees' benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and options to meet your specific needs.

Community is an Equal Opportunity Employer.

Harris Health's benefits program is designed to provide you with greater flexibility and more choices to meet your specific needs. Harris Health's benefits program allows you to protect your income in case of illness, death, and disability, and to help you save for retirement.