Job Description
Job Summary:
The Senior Director, LTSS and Dual Growth Strategy is responsible for leading and fostering strategic and operational expertise partners to develop and implement solutions to promote duals/LTSS products growth.
Essential Functions:
Serve as Duals/LTSS products SME and partner liaison for all strategic and operational relationships targeted for product growth partnership programs and models
Collaborate with executive leadership to establish and deploy an innovative, best- in-class growth model capable of scaling for all markets
Assist leadership in the design and development of innovation deployment strategy, including project deployment and prioritization
Lead cross-functional strategies to optimize health plan profitability by managing multiple financial and operational levers, including rate advocacy, risk adjustment, member growth and retention, medical cost management, Star performance, and Medicaid Quality metrics
Set and drive enterprise-level strategies to increase market share across the region, leveraging competitive intelligence, network optimization, and differentiated service offerings to position the plan as a market leader
Design and implement comprehensive, market-specific growth strategies and KPIs that align with enterprise objectives, with a focus on long-term sustainability, profitability, and member outcomes
Direct financial planning and performance management through oversight of monthly and quarterly forecasts, variance analysis, and departmental P&L reviews, ensuring alignment with both short- and long-term financial targets
Provide executive-level leadership over financial and operational reporting to inform strategic decisions, partnering with Finance, Actuarial, Clinical Operations, and Compliance to identify risks, forecast trends, and ensure accountability to business goals
Serve as interface between partners and CareSource teams supporting the partnership program including sales, community outreach, care management etc.
Provide oversight of all teams, internal and external to CareSource, managing the Duals/LTSS programs
Collaborate with marketing team to develop product materials for distribution to community and provider partners
Ensure operational readiness through oversight and monitoring for process improvement opportunities
Oversee collaboration with Enterprise teams, internal and external stakeholders, and community partners to inform and influence the design and development of Duals/LTSS programs
Build, maintain and improve all structure and processes necessary to assure impeccable regulatory record, achievement of goals and consistency from market-to-market and product-to-product
Lead efforts with market and product leaders to develop aligned, collaborative processes designed to meet the business requirements and goals of Duals/LTSS in the designated market
Oversee implementation of all community and retail partnerships solutions
Monitor, report, and evaluate performance metrics to improve functionality and efficiency
Travel as needed to conduct meetings and ensure effective administration of the program
Perform any other job duties as requested
Education and Experience:
Bachelor of Science/Arts (BS/BA) degree in business, communications, marketing, or related field, or equivalent relevant work experience is required
Master of Business Administration (MBA) or Public Health (MPH) is preferred
A minimum of five (5) years of managed care experience is required
A minimum of three (3) years of consumerism experience is required
Previous experience working with community-based and/or retail organizations to develop partnerships is preferred
Competencies, Knowledge, and Skills:
Demonstrated understanding duals/LTSS programs including development and operations required
Ability to manage and prioritize multiple tasks, promote teamwork and fact-based decision making
Business acumen and strategic thinking, yet able to execute tactically
Demonstrated ability to adjust to shifting priorities, multi-task, work under pressure and meet deadlines
Proven ability to recognize opportunity for improvement and lead change
Excellent leadership and communication skills, with ability to effectively manage a high performing team, and provide coaching and development
Strong collaborative skills, working with cross-functional stakeholders and external partners
Ability to represent CareSource in national and community partnership
Licensure and Certification:
None
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Some travel may be required to fulfill the duties of the role
Compensation Range:
$132,900.00 - $232,700.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type:
Salary
Competencies:
- Create an Inclusive Environment
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.
#LI-SW2
CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law.
