To ensure compliance, I would establish a robust regulatory monitoring system, collaborating closely with legal and compliance teams. Regular audits, staff training, and staying updated on policy changes would be key. I would also foster relationships with state and federal agencies to proactively address regulatory shifts, ensuring our Medicaid product remains compliant while meeting member needs.

I would prioritize understanding member pain points through surveys, focus groups, and data analysis. By leveraging this feedback, I would enhance product features, streamline access to care, and improve communication channels. Partnering with providers to ensure quality care and addressing social determinants of health would also be critical to driving satisfaction and better health outcomes.

In my previous roles, I successfully led cross-functional teams, including operations, IT, and clinical teams, to launch and optimize Medicaid products. I fostered collaboration through clear communication, shared goals, and regular progress updates. By aligning team efforts with organizational objectives, I ensured timely delivery of high-quality products that met regulatory and member needs.

I prioritize initiatives based on their impact on member outcomes, regulatory requirements, and organizational goals. Using tools like project management software, I create detailed timelines and allocate resources effectively. Regular stakeholder communication ensures alignment, while flexibility allows me to adapt to shifting priorities without compromising quality or timelines.

Key metrics include member enrollment and retention rates, utilization of services, member satisfaction scores, and health outcomes like preventive care rates. I would also monitor compliance with state and federal regulations, cost-effectiveness, and provider network adequacy. These metrics provide a comprehensive view of the product’s performance and guide continuous improvement efforts.