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CareSource

AVP, External Strategy(Must Live In Nevada) - R9740

CareSource, Las Vegas

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AVP, External Strategy(Must Live In Nevada) - R9740

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Job Summary

AVP, External Strategy – Market is responsible for acting as the primary liaison regarding CareSource strategy to external stakeholders including the Medicaid Department, Department of Insurance, Governor’s Office, Legislative Officials, etc.

Essential Functions

  • Develop and lead public and private partnerships with strategic influencers for new business opportunities.
  • Responsible for the development and oversight of the Community Education & Job Connect team and Community Based Social Determinant of Health Strategy Lead.
  • Oversee the market Member Services Team.
  • Coordinate and respond to legislative inquiries promptly.
  • Collaborate with internal teams to ensure accurate and timely reporting for regulatory agencies.
  • Manage site visits by regulatory agencies.
  • Maintain relationships with state and federal regulators and key community stakeholders.
  • Ensure timely communication and implementation of new program requirements.
  • Represent CareSource on external and internal committees concerning legislative and contractual requirements for IN Medicaid.
  • Act as a liaison to compliance staff.
  • Represent CareSource in external meetings with stakeholders such as legislators, trade groups, and advocacy organizations.
  • Identify and develop strategic partnerships to support new business initiatives.
  • Translate business and program strategies into operational tactics, supporting organizational infrastructure.
  • Perform other duties as assigned.

Education and Experience

  • Bachelor’s Degree or equivalent experience required.
  • At least five (5) years of management experience required.
  • Three (3) years of experience in healthcare operations (claims, enrollment, provider agreements) preferred.
  • Experience with Medicaid, Marketplace, and Medicare is preferred.

Competencies, Knowledge, and Skills

  • Knowledge of integrated strategies and product development.
  • Skills in strategic planning, deployment, and management.
  • Strong problem-solving, conflict resolution, and systematic thinking skills.
  • Leadership and team management capabilities.
  • Excellent communication skills and ability to work independently and collaboratively.
  • Understanding of regulatory reporting and compliance.
  • Proficiency in Microsoft Office.

Licensure and Certification

  • Influenza vaccination is required annually during flu season (October 1 – March 31).
  • Ability to obtain accommodations for disabilities or religious beliefs as per regulations.

Working Conditions

  • Office environment with occasional travel (~25%).

Compensation Range

$150,000 - $300,000, with potential bonuses and comprehensive benefits.

Employment Type

Full-time

Job Function

Business Development and Sales

Industries

Insurance

This job is not expired and is actively recruiting.

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