CareSource

Lead vendor lifecycle management including sourcing, performance monitoring, and category management with KPI establishment and regulatory compliance. | Bachelor's degree with 8+ years in vendor management or strategic sourcing including 3 years management; preference for postgraduate degree and healthcare experience. | Job Summary: The Senior Manager, Strategic Sourcing & Vendor Performance is responsible for developing and leading a team of sourcing and vendor managers in an integrated model of sourcing, vendor management and category management. Responsibilities include establishing and maintaining a model of category management through the entire vendor lifecycle from vendor selection through vendor performance of an active contract. Essential Functions: Provide guidance to the business, legal, regulatory, compliance and other stakeholders to ensure requirements of vendor agreements are fully understood Establish and maintain effective relationships with internal stakeholders; become trusted collaborative partner to them in crafting vendor agreements that maximize results for CareSource Keep abreast of market intelligence as it relates vendors services, including, but not limited to cost, KPIs, expected performance, innovations, to drive a best in class category management department Assess, interpret, and incorporate new and revised regulatory, government contract and RFP requirements into service levels and KPIs for vendor agreements; remain current in federal/state laws and regulations, industry standards and best practices of category management Partner with Business Units to develop and implement strategies around vendor performance; assessing the market within and outside spend categories to identify best in class KPIs and ensure inclusion in contracts, and help ensure all vendor performance monitoring is executed Perform and develop the training plan to facilitate the effective application and awareness of vendor performance and category management Perform data analytics and reporting activities; provide and maintain oversight and performance reporting mechanisms, and track and report outcomes from vendor management activities, collect, organize, and distribute reports and documents and recommend enhancements to reporting and audit tools Maintain and administer vendor performance database and/or platform Establish cadence with strategic suppliers and business stakeholders for reviewing supplier performance against contractual obligations Establish KPIs, identify benchmarks and set targets to regularly capture and report on the performance of direct categories/sub-categories Coordinate the sourcing strategy review with business stakeholders Monitor execution of sourcing activities (RFI, RFQ, events, etc.) within category to achieve identified value and outcomes Provide active support to fact-based negotiations with suppliers and facilitate high value proposal evaluation and award decisions with business stakeholders Develop the category plan (e.g. vision, strategy and implementation road map) with sourcing leaders by conducting assessments of current and future business requirements needs Implement the category plan utilizing the category team to take on initiatives such as strategic sourcing and demand management aligned to the category strategy /plan Perform periodical financial and spend reviews to track and review category financial performance using key metrics and actual vs budgeted spend variance Develop, manage and lead the Sourcing team with a focus on spend and performance in a strategic and goal-oriented manner Maintain awareness of operational risks faced by the business from vendor failure/poor performance. Manage, mentor, coach, and develop staff Conduct performance management activities for direct reports including performance appraisals and discipline as appropriate; provide feedback on deliverables to staff on a timely basis Perform any other job duties as requested Education and Experience: Bachelor of Science/Arts degree in Business or in a related medical or business field or equivalent years of relevant work experience is required Master of Health Administration, Business, Management, related Health or Mental Health or J.D. in Law is preferred Minimum of eight (8) years of contracting, vendor oversight/management, strategic sourcing, compliance, account management, process improvement, quality assurance, internal audit or equivalent experience is required Minimum of three (3) years prior management experience is required Previous experience in a Managed Care Organization or other healthcare related field is preferred Competencies, Knowledge and Skills: Advanced capabilities in Microsoft Word, Excel and PowerPoint Skilled in collaborative management of professional staff Knowledge of contracting, standards or controls management, preferably from a Managed Care Organization Comprehensive knowledge of applicable concepts and methodologies such as continuous quality improvement and auditing experience Knowledge of and application of regulatory compliance (Medicare, Medicaid, Health Exchange and/or Duals), quality measures (HEDIS/ STARS) and/or accreditation standards (NCQA/ URAC) Strong project management skills with ability to handle multiple projects within time constraints Proven success in developing and implementing new practices and controls Leadership/management skills Knowledge of health plan environment is preferred Strong analytical and statistical skills and attention to detail Ability to work in a fast-past environment and reprioritize Effective problem solving skills with attention to detail Ability to develop, prioritize and accomplish goals Strong communication skills (both written and verbal) Strong interpersonal skills and high level of professionalism Ability to work independently and within a team environment Effective active listening and critical thinking skills Display a customer service, member-focused orientation Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $94,100.00 - $164,800.00 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 (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture 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 environment of belonging that welcomes and supports individuals of all backgrounds. #LI-EM1 Brand=CareSource The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers. We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day. The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.

Lead and manage information security controls, technologies, and teams to protect business interests and ensure compliance. | Bachelor's degree with 10+ years IT experience including 5+ years leadership in information security, plus relevant certifications preferred. | Job Summary: Responsible for providing direction and planning to implement and maintain information security controls, coordinate the evaluation, deployment and management of current and future security technologies, and communicating operating effectiveness to leadership. Essential Functions: • Develop and maintain assigned information security program that implements processes and controls to protect business interests • Provide direction and planning to implement and maintain information security controls, coordinate the evaluation, deployment and management of current and future security technologies, communicate operating effectiveness to leadership • Remain current in federal/state laws and regulations, industry standards and best practices • Responsible for defining and communicating corporate plans, procedures policies and standards for the organization regarding systems, equipment, software and other technologies • Ensure security requirements are included in the evaluation, selection, implementation and configuration of information technology (hardware, software, applications) • Responsible for administering security including software and tools • Recommend changes or modify solutions as necessary to implement enhancements, resolve issues, or improve operating efficiency/security posture • Responsible for the security awareness and training program to meet compliance requirements and reduce risk in assigned areas (i.e. Cyber Security, Identity and Access Management, etc) • Coordinate and manage vendor relationships and accountability on project involvement and deliverables • Manage IT security threats and vulnerabilities to acceptable risk levels • Assist in developing remediation plans for newly discovered threats and vulnerabilities • Manage communication and reporting of new threats and vulnerability and oversee remediation • Ensure security requirements are included in the evaluation, selection, implementation and configuration of information technology (hardware, software, applications) • Publish metrics regarding the operating effectiveness of information security controls • Responsible for leading, developing, coaching direct reports; in collaboration with HR, conduct performance reviews, and disciplinary action • Hire and train new staff, conduct performance reviews, disciplinary actions, and provide leadership and coaching for direct reports including technical and personal development • Foster relationship management through communication to key stakeholders • Maintain positive relationships with internal and external customers • Perform any other job duties as requested Education and Experience: • Bachelor of Science/Arts degree or equivalent work experience is required. Master’s or JD is preferred. • Ten (10) years of IT related experience preferably in a medium to large technical operating environment, to include five (5) years of experience in assigned specialty (i.e. Cyber Security, Identity and Access Management, etc) • Five (5) years leadership experience in information security or IT risk management is required Competencies, Knowledge and Skills: • Effective oral and written communication skills • Effective problem solving skills • Substantial exposure to data processing, hardware platforms, enterprise software applications, and outsourced systems • Experience with systems design and development from business requirements analysis through to day-to-day management • Experience in planning, organizing, and developing IT security and facility security system technologies • Experience in planning and executing security policies and standards development • Excellent knowledge of technology environments, including information security, building security, and defense solutions • In-depth knowledge of applicable laws and regulations as they relate to security • Ability to set and manage priorities judiciously • Ability to present ideas in business-friendly and user-friendly language • Exceptionally self-motivated and directed • Superior analytical, evaluative, and problem-solving abilities • Exceptional service orientation • Ability to motivate in a team-oriented, collaborative environment Licensure and Certification: • Certifications in Information Security Management, such as CISSP, CRISC, CISA, CISM preferred Working Conditions: • General office environment; may be required to sit or stand for extended periods of time Compensation Range: $135,600.00 - $237,400.00CareSource 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 (hourly/salary): Salary Organization Level Competencies • Fostering a Collaborative Workplace Culture • 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 environment of belonging that welcomes and supports individuals of all backgrounds. #LI-RW1 Brand=CareSource

Lead Voice of the Customer and Customer Experience programs to drive innovation and efficiency in the call center, defining AI roadmap and translating speech analytics into actionable insights. | Bachelor's degree with 5 years healthcare payer customer service and 3 years leadership experience, proficiency in Excel and PowerPoint, preferably journey mapping and AI trends experience. | Job Summary: The Manager, Speech Analytics and Insights collaborates with the Service Excellence team to continuously improve the experience for our customers (Member & Provider), driving innovation and efficiencies within the call center. They will play a key role in exploring and applying AI capabilities to improve how we collect, analyze, and act on customer insights. Essential Functions: Evolve our enterprise Voice of the Customer (VoC) and Customer Experience (CX) programs across all lines of business. Explore and experiment with new methods, tools and automation for gathering Member, Provider and Specialist sentiment to deliver actionable insights and optimize efficiencies. Collaborate with cross-functional teams to ensure that insights are translated into actionable improvement initiatives. Define and prioritize the AI roadmap, in partnership with our Service Excellence leaders, for call center initiatives. Define success metrics, measure outcomes, and track AI initiative impact over time. Stay up to date on AI trends and emerging best practices for customer research, insight mining, and agent-based workflows. Manage call center analysis efforts, to identify current capabilities and opportunities for improvement, that drives measurement, prioritization and implementation of identified opportunities. Outline a strategy for aggregating complex data to create compelling visual stories, taking into consideration market-specific nuances, using PowerPoint charts, dashboards and presentations with clear and actionable insights that influence executive decision-making. Prepare stakeholder briefing materials, demos, and use case summaries. Act as the liaison, and manage the relationship, with our call monitoring vendor to ensure we’re receiving the maximum benefits from the tool. Lead and mentor Voice of the Customer Insights Analysts. Perform any other job related duties as requested. Education and Experience: Bachelor's degree in Marketing, Business, Communications, a health care field, or other related field required Equivalent years of relevant work experience may be accepted in lieu of required education Five (5) years Customer service experience related to healthcare payer dealing with both members and providers required Three (3) years Leadership experience required Competencies, Knowledge and Skills: Proficiency in Microsoft Excel and PowerPoint is required Critical thinking, creative problem-solving, knowledge and experience with journey mapping and storytelling (personas, journey mapping), strongly preferred Excellent communication and stakeholder engagement skills Strong ability to communicate and collaborate with stakeholders across different levels Familiarity with creating agentic experiences that proactively anticipate user needs, adapt in real time, and deliver personalized healthcare solutions, strongly preferred Ability to analyze processes and produce recommendations for improvements Ability to develop, prioritize, accomplish goals and the capability to work independently Ability to keep current on technologies through self-directed learning Excellent written and verbal communication skills, with a high level of attention to detail Strong leadership, interpersonal and active listening skills Proven ability to coach and inspire direct reports to achieve required goals and key performance indicators Licensure and Certification: None 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: $83,000.00 - $132,800.00 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 (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture 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 environment of belonging that welcomes and supports individuals of all backgrounds. #LI-KM1 Brand=CareSource The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers. We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day. The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.