CareSource
VP, Market Operations(Must Live In Massachusetts, Preferred Experience With Mana
CareSource, Oklahoma City, Oklahoma, United States
VP, Market Operations (Must Live In Massachusetts, Preferred Experience With Managed Care & P&L Strategy) - R10832
Join as the Vice President, Market Operations at CareSource. This role is responsible for developing overall market program strategy, leading collaboration to position CareSource as an industry leader in member and provider engagement, experience, and plan management.
Job Summary The Vice President, Market Operations leads market program strategy and business objectives; translates vision into operational tactics and builds organizational support.
Essential Functions
Develop overall market program strategy and business objectives; lead alignment and collaboration to establish CareSource as industry leader.
Translate business/program vision and strategy into operational tactics, building necessary organizational support and infrastructure.
In new markets, lead program implementation, allocate resources, facilitate ongoing operations, and establish post‑implementation strategy and goals to mitigate program risks.
Oversee day‑to‑day program operations for the market, establishing and overseeing controls to ensure requirements are in place.
Lead regular market business reviews with stakeholders (HR, IT, finance, business partner group, quality improvement, care management) to ensure market requirements are met.
Develop, translate, and execute key strategies or functional/operational requirements for the market.
Facilitate leadership team in establishing organizational goals and priorities.
Ensure market operations achieve short‑ and long‑term strategic priorities with maximum effectiveness and efficiency.
Oversee allocation of staffing resources and responsibilities for market operations.
Initiate and oversee operational plans and initiatives to create cross‑functional capabilities across key functional areas.
Collaborate with corporate compliance to maintain contract compliance and responsiveness; develop and maintain knowledge of regulatory environment and transform procedures into policies and outcomes.
Collaborate with Finance and Data Management to develop internal reporting for ongoing management and external reporting for compliance.
Work with management to oversee departmental finances/budget and sales forecast/budget to meet targets.
Perform any other job duties as requested.
Education & Experience
Bachelor of Science degree in finance, business, or health care field or equivalent work experience is required.
Master’s degree preferred.
Five (5) years of health plan operations (claims, enrollment, provider agreements) experience required.
Five (5) years of leading division and corporate initiatives to drive systemic change and consumer adoption of health insurance and engagement initiatives required.
Five years of management experience in a managed care setting required.
Competencies, Knowledge & Skills
Intermediate proficiency level with Microsoft Office.
Knowledge of full range of product requirements from regulatory, operations, clinical, reporting and compliance.
Critical listening and systematic thinking skills.
Ability to attract, manage and develop team members; inspirational leadership.
Ability to maintain confidentiality and act in the company’s best interest.
Oral, written, and interpersonal communication skills.
Leadership experience and skills.
Energetic, enthusiastic, and politically astute.
Ability to act with diplomacy and sensitivity to cultural diversity.
Responsive to a changing environment.
Health Plan Financial & Administration Management Acumen.
Strategic management skills.
Conflict resolution skills.
Planning, problem identification and resolution skills.
Licensure & Certification Annual proof of Influenza vaccination is required; CareSource provides reasonable accommodations per federal, state, and local regulations.
Working Conditions
General office environment; may be required to sit or stand for extended periods of time.
Ability to travel as required by the needs of the business.
Compensation Range $150,000 – $300,000. CareSource offers a comprehensive total rewards package, including base salary and performance‑based bonus.
Equal Opportunity Employer CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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Job Summary The Vice President, Market Operations leads market program strategy and business objectives; translates vision into operational tactics and builds organizational support.
Essential Functions
Develop overall market program strategy and business objectives; lead alignment and collaboration to establish CareSource as industry leader.
Translate business/program vision and strategy into operational tactics, building necessary organizational support and infrastructure.
In new markets, lead program implementation, allocate resources, facilitate ongoing operations, and establish post‑implementation strategy and goals to mitigate program risks.
Oversee day‑to‑day program operations for the market, establishing and overseeing controls to ensure requirements are in place.
Lead regular market business reviews with stakeholders (HR, IT, finance, business partner group, quality improvement, care management) to ensure market requirements are met.
Develop, translate, and execute key strategies or functional/operational requirements for the market.
Facilitate leadership team in establishing organizational goals and priorities.
Ensure market operations achieve short‑ and long‑term strategic priorities with maximum effectiveness and efficiency.
Oversee allocation of staffing resources and responsibilities for market operations.
Initiate and oversee operational plans and initiatives to create cross‑functional capabilities across key functional areas.
Collaborate with corporate compliance to maintain contract compliance and responsiveness; develop and maintain knowledge of regulatory environment and transform procedures into policies and outcomes.
Collaborate with Finance and Data Management to develop internal reporting for ongoing management and external reporting for compliance.
Work with management to oversee departmental finances/budget and sales forecast/budget to meet targets.
Perform any other job duties as requested.
Education & Experience
Bachelor of Science degree in finance, business, or health care field or equivalent work experience is required.
Master’s degree preferred.
Five (5) years of health plan operations (claims, enrollment, provider agreements) experience required.
Five (5) years of leading division and corporate initiatives to drive systemic change and consumer adoption of health insurance and engagement initiatives required.
Five years of management experience in a managed care setting required.
Competencies, Knowledge & Skills
Intermediate proficiency level with Microsoft Office.
Knowledge of full range of product requirements from regulatory, operations, clinical, reporting and compliance.
Critical listening and systematic thinking skills.
Ability to attract, manage and develop team members; inspirational leadership.
Ability to maintain confidentiality and act in the company’s best interest.
Oral, written, and interpersonal communication skills.
Leadership experience and skills.
Energetic, enthusiastic, and politically astute.
Ability to act with diplomacy and sensitivity to cultural diversity.
Responsive to a changing environment.
Health Plan Financial & Administration Management Acumen.
Strategic management skills.
Conflict resolution skills.
Planning, problem identification and resolution skills.
Licensure & Certification Annual proof of Influenza vaccination is required; CareSource provides reasonable accommodations per federal, state, and local regulations.
Working Conditions
General office environment; may be required to sit or stand for extended periods of time.
Ability to travel as required by the needs of the business.
Compensation Range $150,000 – $300,000. CareSource offers a comprehensive total rewards package, including base salary and performance‑based bonus.
Equal Opportunity Employer CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
#J-18808-Ljbffr