Job Summary:
AVP, External Strategy – Market is responsible to act as primary liaison regarding CareSource strategy to external stakeholders including the Medicaid Department, Department of Insurance, Governor’s Officer, 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
Responsible for the oversight of the market Member Services Team
Coordinate and compose time sensitive responses to legislative inquires.
Collaborate with internal business to ensure accurate and timely delivery of reports, prior to submission to regulatory agencies
Liaison with site visits by regulatory agencies.
Develop, maintain, and manage relationship matrix with state and federal regulators as well as key community stakeholders.
Ensure that all new program requirements are communicated and implemented in a timely manner.
Serve on designated external and internal committees to represent legislative and contractual requirements for IN Medicaid.
Act as a liaison to compliance staff
Represent CareSource in external meetings with key stakeholders including legislators, trade organizations, consumer advocacy groups, etc to future CareSource’s strategic objectives.
Identify, engage, and develop strategic partnerships with stakeholders to support new business opportunities.
Assist in translating business/program vision and strategy into operational tactics - collaborating to build the necessary organizational support and infrastructure
Perform any other job duties as requested
Education and Experience:
Bachelor’s Degree or equivalent years of relevant work experience is required
Minimum of five (5) years of prior management experience is required
Minimum of three (3) years of commercial health care operations (claims, enrollment, provider agreements, etc.) knowledge is preferred
Medicaid, Marketplace, and Medicare experience preferred
Competencies, Knowledge and Skills:
Demonstrated knowledge of integrated strategies and product development
Strategic planning, deployment, and management skills
Planning, problem identification and conflict resolution skills
Critical listening and systematic thinking skills
Strategic deployment and management skills
Business process/management skills
Excellent leadership, management and supervisory skills and experience
Ability to attract, manage and develop team members
Ability to maintain confidentiality and act in the company’s best interest
Ability to act with diplomacy and sensitivity to cultural diversity
Ability to work independently and within a team environment
Knowledge of regulatory reporting and compliance requirements
Ability to work with multi-disciplinary departments across the organization
Demonstrated ability to develop, prioritize and accomplish goals
Strong oral, written, and interpersonal communication skills
Energetic, enthusiastic, and politically astute
Responsive to a changing environment
Intermediate proficiency level with Microsoft Office
Licensure and Certification:
To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Occasional travel required for conferences and programs estimated at 25%
Compensation Range:
The information below covers the role requirements, expected candidate experience, and accompanying qualifications.
$150,000 - $300,000. 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- Energize and Inspire the Organization- 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.
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AVP, External Strategy(Must Live In Nevada)