Manager, Integrated Care Strategic Partnerships

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $83k - $132.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Account Manager

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CareSource

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 30+ years

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• Design, implement, and continuously enhance enterprise vendor governance frameworks, policies, procedures, controls, and operating standards • Lead Integrated Care vendor strategy across Dual Eligible, D-SNP, LTSS, and integrated care operations • Build and maintain an integrated vendor partnership portfolio view covering contracts, implementation, capacity, cost, service levels, quality, risks, and ownership • Partner with cross-functional leaders to translate business needs into scalable vendor solutions and governance requirements • Lead governance committees and vendor review operations, including agendas, decision materials, outcomes, action tracking, and escalations • Identify contracts, risks, performance trends, capacity constraints, and opportunities requiring governance review or executive action • Establish and maintain vendor performance scorecards and management routines • Lead vendor demand, capacity, and resource planning for Integrated Care Programs • Coordinate vendor onboarding and operational readiness across contracting, staffing, equipment, access, training, workflows, data exchange, reporting, and go-live activities • Develop and maintain governance playbooks for vendor selection, implementation, performance management, escalation, remediation, transition, renewal, expansion, and offboarding • Track and escalate contract execution or vendor engagement outside established processes and drive remediation • Own and maintain the Vendor Governance charter • Assess business processes, identify gaps, and lead future-state process design • Apply process improvement and project management methodologies to analyze root causes, implement changes, and monitor outcomes • Drive continuous improvement of vendor partnership processes, tools, data, reporting, and metrics • Operationalize regulatory, accreditation, contractual, and policy changes affecting vendors and Integrated Care Programs • Maintain playbooks for new business, mergers, acquisitions, and market implementation vendor readiness • Coordinate cross-functional workstreams, dependencies, timelines, and accountability • Lead vendor and process implementation activities outside the centralized project management office • Support regulatory submission activities through documentation, evidence, reviews, and approvals • Lead the operational business Vendor Workstream within the Vendor Disability Advocacy Council • Represent Integrated Care Vendor Governance and Strategy in forums and enterprise committees • Prepare executive reporting, recommendations, decision materials, and escalation summaries • Perform other job-related duties as requested

🎯 Requirements

• Bachelor's Degree in business administration, healthcare administration, supply chain, project management, operations, or a related field required • Equivalent years of relevant work experience may be accepted in lieu of required education • Five (5) years of experience in vendor management, vendor governance, business process improvement, healthcare operations, program management, strategic sourcing, or a related discipline required • Experience leading cross-functional initiatives, vendor implementations, governance forums, performance improvement, and executive reporting required • Experience supporting Medicaid, Medicare, Dual Eligible, D-SNP, LTSS, managed care, or other government-regulated healthcare programs preferred • Experience interpreting and operationalizing regulatory, contractual, accreditation, or compliance requirements preferred • Strong knowledge of vendor governance, third-party risk, contract lifecycle, performance management, and operational controls • Knowledge of Integrated Dual Eligible programs, D-SNP, Medicaid, Medicare, LTSS, managed care operations, and member-centered integrated care models • Advanced business process analysis, root-cause analysis, workflow design, continuous improvement, and change management skills • Strong project and program management skills, including planning, risk and dependency management, governance, implementation, and sustainment • Ability to analyze vendor performance, cost, capacity, quality, compliance, and operational data and translate findings into actionable recommendations • Excellent executive communication, facilitation, negotiation, stakeholder management, and relationship-building skills • Ability to influence without direct authority and drive accountability across internal teams and external partners • Strong organizational skills with the ability to manage multiple priorities, urgent escalations, and complex cross-functional dependencies • High proficiency with Microsoft Office applications and enterprise tools used for project, workflow, contract, reporting, and vendor management • Project Management Professional (PMP), Lean Six Sigma, Certified Professional in Supply Management (CPSM), or comparable certification preferred • Ability to work additional hours and/or outside normal business hours as needed • Ability to work flexible hours, including possible evenings and/or weekends • Ability to travel up to 15% as needed

🏖️ Benefits

• Bonus tied to company and individual performance may be available • Comprehensive total rewards package • Flexible hours • Potential travel opportunities • Equal opportunity and belonging-focused workplace