CareSource

Manage and oversee healthcare quality improvement projects, ensure compliance with regulations, and collaborate with internal teams to enhance healthcare quality metrics. | Requires healthcare or managed care experience, management skills, and knowledge of healthcare quality metrics, with a preference for nursing licensure or healthcare-related advanced degrees. | Job Summary The Manager, Market Quality Improvement manages the day-to-day prioritization of staff activities in collaboration with Director, Quality Improvement. The Manager will be responsible for developing quality documents in compliance with state and federal requirements and work with departments outside of quality to obtain information for reports. Essential Functions • Responsible for Corporate oversight of the HEDIS Medical Record Review Unit as needed for the assigned market • Responsible for development and oversight of Quality Improvement (QI) Projects and Performance Improvement Projects related to HEDIS and pay for performance (P4P) requirements • Ensures compliance with External Quality Review audits/studies, Performance Improvement Projects, and Quality Improvement Projects required by the state, NCQA, and other accreditation bodies • Responsible for the review of QI issues regarding compliance with Federal, State, and Accreditation requirements • Ensure all policies and procedures are aligned with Federal, State, and Accreditation requirements • Responsible for the annual review, program description, program plan, and update of QI Department policies and procedures • Provide education to internal and external customers on quality improvement functions • Respond to questions that pertain to HEDIS and Quality Improvement from providers and internal staff members • Foster relationships with all internal departments and represents CareSource to community-based and state programs • Collaborate with business owners to establish, implement, and develop best practices for P4P quality directives • Implement opportunities for process improvement that impact quality measurements in assigned market • Monitor industry trends as it relates to healthcare and identify areas of opportunity for improvement • Responsible for ensuring business owners successfully complete all deliverables related to performance improvement plans (PIPs) and quality improvement plans (QIPs) within defined timeframes • Conducts analysis, including root cause analyses with support from identified business units and ensure data is presented and used efficiently to meet the quality goals • Follows enterprise standards and procedures for all quality reporting and documentation and communicate areas of strengths as well as needs to the Quality Improvement Committee • Perform all facets of quality management to include the development of detail work plans, setting deadlines, assigning responsibilities and monitoring/summarizing project progress • Establish, monitor and review mechanisms to assess and document each business units level of compliance with each measure and coordinate corrective actions • Attends and participates in market quality committees • Guide and direct successful completion of daily tasks and projects • Interview, select and train new team members • Conduct performance management activities for direct reports, to include monthly one-on-one meetings, annual performance appraisals, and discipline as appropriate • Perform any other job related instructions, as requested Education And Experience • Bachelor’s Degree or equivalent years of relevant work experience is required • Completion of an accredited Registered Nursing degree program or Bachelor’s of Science in Nursing (BSN) is preferred • Master’s Degree in Nursing (MSN), Public Health, or healthcare related field is preferred • A minimum of three (3) years of experience in a healthcare or managed care organization is required • Previous management experience is required • Medicaid and/or Medicare experience preferred • Experience in quality metrics preferred Competencies, Knowledge And Skills • Intermediate proficiency in Microsoft Word, Excel and PowerPoint • Solid leadership skills; able to effectively manage a high performing team, provide coaching and development • Demonstrated ability to adjust and shift priorities, multi-task, work under pressure and meet deadlines • Proven ability to recognize opportunity for improvement and lead change • Data analysis and trending skills • Effective communication skills • Prior supervisory skills • Ability to work independently & in a team environment • Training/teaching skills • Time management skills • Critical listening and thinking skills • Strategic management skills • Decision making/problem solving skills • Customer service oriented Licensure And Certification • Current, unrestricted Registered Nurse (RN) licensure in the state of practice is preferred • Certified Professional in Healthcare Quality (CPHG) is preferred Working Conditions • General office environment; may be required to sit/stand for long periods of time • Some in state travel required (approximately 20% of time) Compensation Range $81,400.00 - $130,200.00 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 Salary 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.

Implementing strategic sourcing, managing vendor relationships, and negotiating contracts to ensure cost-effective and high-quality procurement. | Extensive experience in strategic sourcing, vendor negotiations, contract management, and familiarity with healthcare industry standards. | Job Summary: The Sourcing Manager II implements the corporate strategic sourcing and vendor relations function and associated processes to ensure the company is strategically sourcing materials, equipment, and services with the highest level of quality and in the most cost effective manner. Essential Functions: Working closely with executive leadership, business owners, and staff throughout the organization to ensure that new requirements are sourced in a timely manner and that existing contractual relationships are closely monitored and managed to ensure that CareSource receives the highest quality of products and contracted services Conduct market research and analysis to identify areas of opportunity for the organization and ensure that current vendors are providing innovative solutions within their specific lines of business In partnership with business owners, identify opportunities for consolidation or bundling of certain organization-wide requirements to help drive standardization and more cost effective and efficient operations Assume lead negotiator role coordinating and directing the negotiation process and tactics with outside suppliers, legal counsel, and business managers Establish and maintain partnerships with internal customers and suppliers for maximum value and policy compliance Collaborate with legal to ensure contracts follow the contract review and approval process per company policy. Analyze vendor contracts and recommend appropriate changes Manage and improve supplier diversity within our vendor base and support local economic development programs Research internal customer needs and identify the best supplier to provide corporate services Develop and implement corporate policies and procedures to guide the entire sourcing and vendor relations process Support business owners with the completion of an Investment Proposal (IP), Return on Investment (ROI), or other financial analysis as required to support new initiatives. In conjunction with Finance, monitor vendor performance versus ROI assumptions identified in the IP Minimize financial risks to CareSource Confer with Treasury regarding capital expenditures by conducting lease versus purchase analyses and recommendations Perform prospective vendor assessments including financial stability and customer reference checks Lead process improvement initiatives within the department Assess vendor contract performance by regularly reviewing contract and vendor performance to assess effectiveness, efficiency and quality Onboard of newly selected vendors according to established guidelines Adhere to vendor conflict of interest and gift policies Perform any other job related instructions, as requested Education and Experience: Bachelor’s degree in business management or related discipline or equivalent years of relevant work experience required Over five (5) years of related strategic sourcing, vendor relations and negotiation experience is required Experienced in the sourcing of numerous product lines including; commodities in support of business operations such as furniture and office supplies, printing services, IT hardware and software, and purchased services in support of medical and operational requirements is preferred Competencies, Knowledge and Skills: Strong Microsoft Office skills Experienced with automated purchase order system and maintenance Knowledge of computers and the equipment involved with upgrades, part orders, etc. Ability to make decisions and work independently Self-starter and ability to lead large, multi-disciplinary teams Knowledge of federal, state and URAC/NCQA guidelines Must have a thorough understanding of the application of strategic sourcing principles including; spend analysis, concept and strategy development, market analysis and research, requirements definition, Statement of Work (SOW) development, Request for Proposal (RFP) development and management, vendor negotiations, contract development, vendor onboarding and management, and contract management Strong vendor relations and negotiation skills are required to ensure that CareSource receives the overall best value and that contract requirements are met on a continuous basis Ability to develop strategic vendor partnerships with select vendors that ensure increased value and long-term benefit to the organization. Excellent customer service skills to effectively communicate with internal and external customers Excellent verbal and written communication skills Ability to interact with both internal and external customers and interface with multiple levels within the Company Excellent organizational skills to manage vendor and contract base Familiarity with the healthcare industry E-based process improvement techniques, training/teaching skills Decision making/problem solving skills Licensure and Certification: Institute of Supply Management (ISM): Certified Professional in Supply Management (CPSM) is preferred Certified Purchasing Manager (CPM) is preferred Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $70,800.00 - $113,200.00 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-SD1 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.

Oversee clinical quality, provider networks, and health system transformation to meet performance and regulatory goals. | Requires a medical degree, clinical practice experience, and quality management expertise, which are not present in your background. | Job Summary: The Vice President, Market Chief Medical Officer is responsible for ensuring the successful implementation and management of local health plan initiatives, with a focus on clinical excellence and quality improvement, ensuring effective inpatient and outpatient utilization, affordability, and health system transformation, including provider network optimization, compliance with regulatory requirements, growth strategies, and other key improvements to meet established goals. Essential Functions: • Primary responsibility and accountability for Total Medical PMPM performance and targets for the health plan, achieved by close collaboration with relevant enterprise stakeholders • Participate in hospital Joint Operations Committee meetings with prioritized providers, data sharing with physicians and physician groups on quality and efficiency improvement opportunities, completing peer to peer communications for quality of care as required, and implementing local and national Health Care Affordability Initiatives in order to achieve inpatient and outpatient utilization and affordability goals • Accountable for analyzing medical expense trends and utilization patterns to inform enterprise strategy and market interventions. • Accountable for managing total medical expenses incurred in delivering care to members including ensuring the quality and effectiveness of direct clinical care delivered by clinicians. • Provides oversight to the HEDIS and CMS Stars data collection process and local performance strategy, CAHPS improvement strategy, and drives Health Plan accreditation activities as well as quality rating improvement initiatives and other clinical interventions for the local health plan • Responsible for achievement of goals for contractually required clinical Quality Performance Indicators and state regulator-driven pay-for-quality initiatives • Oversees market peer review processes including Quality of Care and Quality of Service issues, and leads the Physician Advisory Committee (PAC), Quality Management Committee (QMC) and other associated committees • Effectively engage with external constituents such as consumers/members, physicians, medical and specialty societies, hospitals and hospital associations, federal/state regulators, and market-based collaboratives; act as the outward face to State regulators based upon Contract, and direction of Plan President and CareSource CMO and should provide clinical thought leadership with external entities and the state • Lead the development of a strategy to identify clinical areas where there are disparities in health outcomes across groups, and approach to closing gaps in health outcomes; support the team in maintaining NCQA Multi-Cultural Distinction designation • Drive quality improvement and provider incentive models through identification of appropriate practices; initial contact and target setting, and Implementation, as well as ongoing leadership during monthly JOCs. The Plan CMO is accountable for oversight of the entire clinical model (end to end) within the market, including, but not limited to, CareSource's Accountable Care Platform, clinical practice transformation, patient-centered medical homes, accountable care organizations, creative care management programs, high-performance networks and network optimization, and consumer engagement • Deliver the clinical value proposition focused on quality, affordability and service, in support of growth activities of the local Health Plan; actively promote positive relations with State/local regulatory authorities and Medical Societies • Responsible for identifying opportunities through participation in enterprise and local Market reviews, and healthcare economics analyses; actively participate in various Joint Operating Committees and work collaboratively with Enterprise Clinical Services, Appeals and Grievances, pharmacy or shared services teams • Lead and influence Health Plan employees by fostering teamwork and collaboration, driving employee engagement and leveraging diversity and inclusion • Develop and mentor others while also building awareness to your own strengths and development need; identify and invest in high-potential colleagues; actively manage underperformance • Focus staff on the company's mission; inspire superior performance; ensure understanding of strategic context; set clear performance goals; focus energy on serving the customer; provide ongoing communication to the team; discontinue non-critical efforts • Communicate expectations and present effectively, listen actively and attentively to others, and convey genuine interest • Perform any other job related duties as requested. Education and Experience: • Doctor of Osteopathic Medicine (DO) from an accredited institution is required or • Medical Doctor (MD) from an accredited institution is required • Successful completion of a residency training program, preferably in primary care, is required • Five (5) years of clinical practice experience with strong knowledge of managed care industry and the Medicaid line of business is required • Two (2) years of Quality management experience is required • Familiarity with current medical issues and practices required Competencies, Knowledge and Skills: • Proven ability to execute and drive improvements against stated goals • Strong leadership skills, as demonstrated by continuously improved results, team building, and effectiveness in a highly matrixed organization • Excellent interpersonal communication skills • Superior presentation skills for both clinical and non-clinical audiences • Proven ability to develop relationships with network and community physicians and other providers • Excellent project management skills • Solid data analysis and interpretation skills; ability to focus on key metrics • Strong team player and team building skills • Strategic thinking with proven ability to communicate a vision and drive results • Solid negotiation and conflict management skills • Creative problem-solving skills. • Proficiency with Microsoft Office applications Licensure and Certification: • Current, unrestricted license to practice medicine in state of practice as necessary to meet regulatory requirements required • Board Certification, preferably in primary care specialty is required • Re-certification, as required by specialty board, must be maintained • 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 • May be required to work additional hours and/or outside normal business hours as needed to meet deadlines. • Ability to travel as required by the needs of the department. 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.

Monitor and analyze operational processes, generate reports, and collaborate on process improvements within healthcare operations. | Requires experience in healthcare operations, regulatory compliance, and translating business needs into technical specifications, with proficiency in Microsoft Office and process mapping. | Job Summary: The Operational Excellence Analyst I is responsible for oversight and monitoring of Operations regulatory and accreditation requirements as well as specific HEDIS initiatives. Claims experience is preferred. Essential Functions: • Oversight and monitoring of Operations regulatory requirements • Oversight and monitoring of Operations specific HEDIS initiatives and accreditation requirements • Identify and perform oversight and monitoring of Claims, Provider Appeals, Provider Services (claims processing only), Provider Life Cycle and/or Enrollment processes • Generate monthly reporting, analyze and recommendations based on findings • Conduct monthly quality reviews with the Operations Management team • Work cross-functionally with the Operations Management team to identify process gaps and drive improvements • Perform any other job duties as requested Education and Experience: • Associates of Science/Arts degree in Management Information Systems (MIS) or related field or equivalent year of relevant work experience is required • Minimum of one (1) year of experience working in a business environment is required • Two to five (2 to 5) years of experience in Healthcare Operations is preferred • Two to five (2 to 5) years of experience translating business requirements into technical specifications is preferred Competencies, Knowledge and Skills: • Intermediate proficiency level with Microsoft Office Suite, including Project and Visio • Advanced troubleshooting and problem-solving capabilities • Data analysis and process mapping • Overall knowledge and understanding of Operations-related systems, technical specifications and processes Basic understanding of claims processing • Ability to conduct oversight, monitoring and auditing of operational areas • Ability to understand accreditation and regulatory requirements • Ability to document and maintain business and system requirements including process flows • Ability to analyze processes and produce recommendations for improvements • Excellent written and verbal communication skills • Effective listening and critical thinking skills • Strong interpersonal skills and high level of professionalism • Effective problem solving skills with attention to detail • Ability to work independently and within a team • Ability to develop, prioritize and accomplish goals Working Conditions: • General office environment; may be required to sit or stand for extended periods of time • May be required to travel, estimated at less than 10% Compensation Range: $46,500.00 - $74,500.00 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): Hourly 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-SD1

Lead the development and execution of digital product strategies, manage product lifecycle, and coordinate with stakeholders. | Requires 10+ years in product management, experience in digital solutions, healthcare industry knowledge, and technical evaluation skills. | Job Description: • Drive and align digital product vision, strategy, and development • Align digital product strategy to CareSource prioritized market opportunities • Translate digital product business strategies into roadmaps and manage execution of initiatives to support the overall strategy • Ensure product success from ideation to launch and beyond • Direct involvement in all stages of the product life cycle • Deliver customer-centric experience showing proven success • Effectively prioritize initiatives • Build strong business cases for successful product launches • Define and communicate the vision, business goals, and strategies • Determine metrics to measure progress and advance team performance • Develop the product roadmap • Effectively communicate requirements, epics, and stories • Constantly coordinate with business stakeholders • Create and develop products addressing unmet customer needs • Identify and anticipate new and emerging opportunities • Monitor product backlog and optimize existing processes • Lead teams through design, development, testing, and distribution of major products and features • Proactively identify, manage, and mitigate risks Requirements: • Bachelor of Arts/Science degree in Marketing, IT, Business, Communication, Finance, or health care field, or equivalent years of relevant work experience is required • Minimum of ten (10) years of progressive product management, development, and/or market strategy experience is required • Experience in digital strategy, digital design customer facing solutions (web, mobile) and digital/IT development processes is required • Healthcare insurance industry experience is highly preferred • Familiarity of the healthcare/managed care field and knowledge of government program products is preferred • Proficiency with Microsoft Office products • Demonstrated technical product management skills: discovery, development, delivery, and measurement • Ability to participate in technical evaluations and conduct research & development in emerging technologies Benefits: • Health insurance • Professional development opportunities • Bonus tied to company and individual performance • Comprehensive total rewards package

Drive digital product vision, strategy, and development, manage product lifecycle from ideation to launch, align product initiatives with business goals, and lead cross-functional teams to deliver customer-centric digital solutions. | Minimum 10 years progressive product management experience, proficiency in digital strategy and IT development, preferably healthcare insurance industry experience, strong communication and leadership skills, and a relevant bachelor's degree or equivalent experience. | Job Summary: The Lead Digital Product Manager drives and aligns digital product vision, strategy, and development. This role champions key digital product management initiatives that move the needle for the digital product management team and the company, and requires experience with enterprise architecture, big data technologies, product management skill set, and a roll-up-your-sleeves, entrepreneurial approach. Essential Functions: • Align digital product strategy to CareSource prioritized market opportunities • Translate digital product business strategies into roadmaps and manage execution of initiatives to support the overall strategy • Ensure product success from ideation to launch and beyond • Direct involvement in all stages of the product life cycle to foster a deep understanding of market opportunities and customer needs within the industry • Deliver customer-centric experience showing proven success in ownership, bias for action, and thinking big • Effectively prioritize initiatives, existing versus new customer segments and between features, architectural improvements, and operational excellence • Build strong business cases, managing high-growth, successful product launches, and driving customer success • Define and communicate the vision, business goals, and strategies to effectively align teams • Determine metrics to measure progress and to advance team performance and product success • Develop the product roadmap, working with technical stakeholders to come up with the feature distribution sequence • Effectively communicate requirements, epics, and stories to ensure schedules are followed with considerations for new short-term requirements and their effects on long-term plans • Constantly coordinate with business stakeholders to drive growth in the company’s market share • Create and develop products that not only address unmet customer needs and incorporate market trends, but products users will also love • Identify and anticipate new and emerging opportunities by staying updated with trends, industry standards, and evolving market and customer needs • Monitor product backlog, optimize existing processes, define new processes, and encourage best practices • Lead teams through design, development, testing, and distribution of major products and features • Guide and collaborate with teams through changes and iterations to be made to already distributed products • Proactively identify, manage, and mitigate risks including implementing mitigation strategies and communicating/escalating to key stakeholders • Leverage Human Centered Design and Design Thinking principles to facilitate putting our members and providers at the center of our work • Track individual product performance by offering, market segment, etc., and recommend modifications/enhancements as needed • Execute the activities required to support the development of short and long-term strategic product design plans for Product, Market, Sales, and overall growth and profitability objectives • Assist in the tasks to support the established budgets, timelines (milestones) and task schedules • Assist in development of reports as required by external governing bodies and internal stakeholders • Perform any other job duties as requested Education and Experience: • Bachelor of Arts/Science degree in Marketing, IT, Business, Communication Finance, or health care field, or other related field, or equivalent years of relevant work experience is required • Minimum of ten (10) years of progressive product management, development, and/or market strategy experience is required • Experience in digital strategy, digital design customer facing solutions (web, mobile) and digital/IT development processes is required • Healthcare insurance industry experience is highly preferred • Familiarity of the healthcare/managed care field and knowledge of government program products is preferred Competencies, Knowledge and Skills: • Proficiency with Microsoft Office products • Commitment to the mission and values of the CareSource Family of Companies • Demonstrated technical product management skills: discovery, development, delivery, and measurement • Display a customer service, Customer (Member/Provider) Obsession • Ability to participate in technical evaluations and conduct research & development in emerging technologies • Demonstrated strong analysis, organizational, and analytic skills • Strong interpersonal skills including excellent written and verbal communication skills; listening and critical thinking; presentation skills, facilitation skills • Ability to establish effective working relationships with stakeholders at all different levels • Ability to effectively prioritize and execute tasks while working both independently and in a team-oriented, collaborative environment • Effective planning, negotiating, and influencing skillset • Ability to actively gather appropriate level of participation and input to decision-making and foster it within teams 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: $110,800.00 - $193,800.00 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

Lead strategic HR business partnering at executive level, oversee HR initiatives including talent reviews, succession planning, employee engagement, and organizational design to support growth. | Bachelor's degree with 7-10 years HR experience including 5+ years strategic HR business partner role, 3 years leadership experience, preferred Master's and M&A experience, with strong leadership and communication skills. | Job Summary: The Director of Human Resources plays a pivotal leadership role, providing strategic HR Business Partner guidance at the Executive Leadership Team level. This position is responsible for leading and overseeing HR Business Partners, ensuring a comprehensive, proactive, and strategic approach to HR initiatives. The Director will deeply understand the needs and strategies of various business groups, focusing on driving talent strategies such as talent reviews, succession planning, employee engagement, and strategic organizational design. Additionally, this role will collaborate with internal HR Centers of Excellence (COE) to implement value-added initiatives that prepare the organization for continued growth and success. Essential Functions: • Collaborate with client groups to gain a deep understanding of the business landscape, identify challenges faced by leadership teams and employees, and drive actionable plans to address those challenges effectively. • Cultivate meaningful relationships to provide strategic insights and guidance to business partners and leaders, advancing talent and organizational strategies that align with overall business objectives. • Lead talent review strategy sessions to ensure comprehensive assessments of talent, partnering with leaders to create and execute effective development plans that align with organizational goals. • Collaborate with leaders to develop robust succession plans, ensuring that identified high-potential employees have development plans and growth opportunities to secure future leadership. • Champion the company culture and enhance employee engagement by partnering with Employee Relations and HR Centers of Excellence (COEs) to implement action plans based on engagement survey results. • Partner with the business to assess organizational structures, developing and executing plans that optimize team performance and prepare for future growth opportunities while ensuring appropriate spans of control. • Actively participate in the formulation of departmental goals, objectives, and processes to drive alignment and effectiveness across the organization. • Advocate for HR strategies, including goal planning, performance reviews, and merit processes, while assisting leaders in adopting and executing new programs that enhance organizational effectiveness. • Identify leadership training needs and collaborate with the Talent Development team to provide valuable insights that support the growth of leadership capabilities. • Monitor trends and analyze HR metrics to share with and make strategic recommendations to the business and HR COEs, ensuring data-informed decision-making. • Engage in cross-functional collaboration with HR COEs to recommend impactful, value-added initiatives that benefit employees and leaders alike. • Ensure that CareSource maintains 100% compliance with federal and state employment laws in all practices, safeguarding the organization and its employees. • Perform any other job-related duties as assigned, demonstrating flexibility and a commitment to organizational success. Education and Experience: • Bachelor’s Degree or equivalent in human resources or management or equivalent years of relevant work experience required • Master’s Degree or equivalent years of relevant experience preferred • Seven (7) to ten (10) years of experience in Human Resources with a minimum of (5) years of experience in a strategic HR Business Partner role is required • Three (3) years of leadership experience required • M&A experience strongly preferred Competencies, Knowledge and Skills: • Demonstrated ability to lead and inspire teams, driving organizational success through effective HR strategies. • Exceptional skills in cultivating trust, influence and confidence among senior management and employees, fostering a collaborative organizational culture. • Strong capability to analyze complex issues, make informed decisions, and implement effective solutions. • Ability to engage in active listening and apply critical thinking to understand diverse perspectives and drive strategic initiatives. • Expertise in Word, Excel, and PowerPoint, with a strong preference for candidates with working knowledge of the Workday HR application. • High level of personal and organizational self-awareness, enabling effective leadership and strategic alignment. • Capacity to maintain emotional self-control in challenging situations, ensuring composure and professionalism. • Strong written, oral, and interpersonal communication abilities to convey complex HR concepts clearly and effectively. • Ability to work autonomously while maintaining a keen attention to detail in all tasks. • Proven ability to manage multiple priorities effectively, ensuring timely completion of strategic initiatives. • Up-to-date understanding of employment regulations in all states where CareSource operates, ensuring compliance and risk mitigation. • Skilled in educating and training staff and management on strategic HR processes and methodologies. • Proficient in negotiating solutions and managing conflicts to achieve positive outcomes. • Ability to work in and cultivate an effective team environment, enhancing overall organizational performance. • Commitment to providing exceptional service to internal stakeholders and employees. • Ability to handle sensitive information with discretion and maintain confidentiality. Licensure and Certification: • PHR certification desired, prefer SPHR Working Conditions: • General office environment; may be required to sit or stand for extended periods of time • Availability for travel as required, up to 15%. Compensation Range: $132,900.00 - $232,700.00 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-RW1

Lead market program strategy, oversee operations, and drive systemic change in a managed care environment. | Extensive experience in health plan operations, management, and systemic change leadership, with a relevant educational background. | Job Summary: The Vice President, Market Operations is responsible for developing the overall market program strategy and business objectives; lead the alignment and collaboration to establish CareSource as the industry leader in member and provider engagement, member and provider experience, and plan management in the market. Essential Functions: • Develop the overall market program strategy and business objectives; lead the alignment and collaboration to establish CareSource as the industry leader in member and provider engagement, member and provider experience, and plan management in the market • Primary responsibility for translating business/program vision and strategy into operational tactics and building the necessary organizational support and infrastructure • In new markets, lead program implementation, allocate implementation team resources, and facilitate ongoing operations; establish post-implementation strategy and goals to mitigate program risks • Ongoing responsibility for day-to-day program operations for market, including establishing and overseeing controls to ensure requirements are in place • Responsible for leading regular market business reviews with various stakeholder groups (including, but not limited to, human resources, information technology, finance, Business Partner Group, quality improvement, and Care Management) to ensure market requirements are being met • Develop, translate and execute key strategies or functional/operational requirements for market • Facilitate leadership team in the establishment of organizational goals and priorities to align and focus the organization • Ensure market operations achieves its 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 required across key functional areas • In collaboration with corporate compliance, escalate key issues and work to resolve to maintain contract compliance and responsiveness, develop and maintain in-depth knowledge of the company’s regulatory environment, and assist in transforming regulatory procedures into polices, plan changes, reporting or other operational outcomes • Collaborate with Finance and Data Management to develop internal reporting for ongoing management as well as production of external reporting for compliance • Work with management to oversee departmental finances/budget and sales forecast/budget are met • Perform any other job duties as requested Education and Experience: • Bachelor of Science degree in finance, business, or health care field or equivalent work experience is required • Master’s degree is preferred • Five (5) years of health plan operations (IE – claims, enrollment, provider agreements, etc.) experience is required • Five (5) years of leading division and corporate initiatives to drive systemic change and consumer adoption of health insurance and engagement initiatives is required • Five years of management experience in managed care setting is required Competencies, Knowledge and 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 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 • Ability to travel as required by the needs of the business Compensation range $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 (hourly/salary): Salary Organization Level Competencies • Fostering a Collaborative Workplace Culture • 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 environment of belonging that welcomes and supports individuals of all backgrounds. #LI-SW2

Lead design and implementation of enterprise cloud-native solutions ensuring scalability, security, and compliance. | 10+ years IT experience including 7+ years diverse architecture, 3+ years healthcare payer IT, and preferred cloud architect certifications. | Job Summary: The Solution Architect III is responsible for the design, oversight, and implementation of enterprise-level technical solutions. This role collaborates with development and cloud infrastructure teams to ensure solutions align with business requirements, cloud architectures, system architectures, and industry standards. The Architect leads technical analysis of complex systems, driving cloud innovation and modernization across the enterprise. Essential Functions: • Lead the design and analysis for cohesive, cloud focused, solution architectures • Develop comprehensive plans to migrate on-prem applications to the cloud using cloud-native technologies • Evaluate new cloud technologies and recommend adoption strategies that align with strategic goals • Oversee technical design of complex cloud systems, ensuring they are safe, scalable, and industry compliant • Develop and document system architectures focusing on containerization, cloud-native technologies, and microservices • Create strategies for optimizing cloud resource utilization and cost management • Develop and enforce architecture standards and best practices • Document all solution architecture work, focusing on system integrations • Create detailed technical specifications, including data models, API designs, integration points, and security protocols • Support critical development phases, including code reviews and troubleshooting • Design and implement cloud native proof-of-concepts (POCs) to evaluate new technologies • Lead integration of third-party services and tools • Lead design and implementation of cloud and hybrid security architectures • Translate business requirements into technical solutions • Facilitate technical discussions and workshops • Act as a consultant on a range of technologies and platforms • Build technology roadmaps for best-in-class services • Architect and implement solutions using cloud platforms (Azure, AWS, GCP) • Ensure cloud solutions comply with security, regulatory, and organizational policies • Identify and address technical debt within existing systems • Collaborate with the infrastructure team for on-premises and cloud-based needs • Perform any other job duties as requested Education and Experience: • Bachelor’s degree or equivalent years of relevant work experience is required • Minimum of ten (10) years of experience in IT including seven (7) years of direct experience in developing and implementing technically diverse application and infrastructure architectures for companies • Minimum of three (3) years of HealthCare Payer IT experience required • Minimum of five (5) years of Solutions Architecture experience preferred • Possesses wide base of experience in many disciplines of information technology including: operating systems, capacity planning, messaging software, business intelligence, web technologies, e-business enabling technologies, storage, directory services, hardware, virtualization, IT service management, development languages, and database technologies Competencies, Knowledge and Skills: • Expertise designing and building cloud native solutions • Highly skilled in software development and architecture, emphasizing cloud technologies, microservices, and DevOps • Proficiency in delivering presentations to senior executives and technical audiences • Strong prioritization and task execution skills • Expertise in designing and implementing large-scale systems • Familiarity with multiple programming languages (e.g., Java, C#, Python) and frameworks (e.g., .NET, Spring, Angular) • Understanding of cloud platforms (Azure, AWS, GCP) and services (e.g., Kubernetes, Docker, Terraform) • Knowledge of with performance tuning, security best practices, and regulatory compliance • Ability to lead technical assessments of vendor solutions • Skilled in incident response and root cause analysis • Ability to support business development during pre-sales and post-sales activities • Strong interpersonal skills, including communication, listening, critical thinking, and presentation skills • Ability to estimate financial impact of architectural solutions • Effective problem-solving skills with attention to detail • Knowledge of Azure and/or AWS cloud platforms • Knowledge of system integration principles and best practices Licensure and Certification: • Azure Solutions Architect Expert and/or AWS Certified Solutions Architect – Professional highly preferred Working Conditions: • General office environment; may be required to sit or stand for extended periods of time Compensation Range: $132,900.00 - $232,700.00 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-GM1

Manage daily staff activities, oversee contract processing, enforce policies, supervise and train staff, and maintain workflow and reporting. | Requires associate degree or equivalent experience, 2+ years in healthcare/HMO setting, supervisory experience preferred, intermediate MS Office skills, and Facets system knowledge preferred. | Description: • Direct day-to-day staff activities to ensure service and performance objectives are achieved • Manage and maintain workflow/assignments to ensure timely processing of new contracts and maintenance • Document process changes and new procedures to promote consistency in contracts operations • Monitor level of inventory; notify management of levels outside of established thresholds • Create, review, revise and enforce company and department policies and procedures • Responsible for direct supervision of staff including quality review, performance feedback, disciplinary issues and merit/bonus appraisal review • Create and update ongoing staffing plan to address issues that may impact service or provider/internal customer satisfaction • Oversee orientation and training of new Contract Analysts • Analyze staff’s ability to utilize systems and reference materials and make recommendations for improving performance as appropriate • Tracking and reporting of staff production and quality; review in monthly 1:1s • Maintain time sheets for non-exempt employees • Participate in managing external vendor relationships • Perform any other job related instructions, as requested Requirements: • Associates Degree or equivalent years of relevant work experience is required • A minimum of two (2) years of experience in an HMO or health care setting is required • Previous supervisory/leadership experience or completion of the Caresource IC Leadership program is highly preferred • Intermediate level skills in Microsoft Word, Excel and Outlook • Facets system knowledge preferred Benefits: • Health insurance • Retirement plans • Paid time off • Comprehensive total rewards package

Lead complex health strategy and policy team to develop advocacy strategies, monitor regulatory changes, engage stakeholders, and oversee policy integration into business plans. | Bachelor’s degree with 5+ years planning and strategy experience, 3+ years leadership and Medicaid/Medicare policy expertise, strong legislative knowledge, and preferred certifications in Lean/Six Sigma or Project Management. | Job Summary: The Director, Complex Health Strategy and Policy is responsible for leading the complex health strategy and policy team thoroughly analyzing industry trends, best practice, State and Federal policy initiatives to identify actionable business/pilot opportunities for CareSource. Essential Functions: • Oversee and lead key business strategy efforts around complex health and equity including child welfare, disability inclusion, SUD, criminal justice, tribal strategy, social drivers of health, housing etc. • Develop, implement, and lead strategic approaches to advocacy efforts and coordinate, facilitate and advance business and policy priorities across existing state markets and emerging markets • Serve as a liaison between Complex Health Strategy and Policy team and the enterprise. • Act as a key subject matter expert for CareSource on complex populations from a macro perspective • Lead a team to monitor emerging industry policy, regulatory and compliance changes at state or national level for analysis and integration into the corporate business plan • Engage with key stakeholders on a national level to discuss the CareSource value. Examples include national associations, think tanks, advisory groups and trade associations. • Participate in the development of key partnerships with external agencies, associations and consumer advocacy coalitions and other external stakeholders • Develop and implement advocacy strategies in conjunction with the marketing and community services staff, to support and advance corporate strategic goals • Develop white papers, policy briefs and other educational/awareness materials • As applicable, provide strategic oversight of contract lobbyists and perform oversight of administrative functions as necessary • Perform any other job duties as requested Education and Experience: • Bachelor’s degree or other related discipline or equivalent work experience is required • Master’s degree or other related discipline is preferred • Minimum of five (5) years planning and strategy development experience is required • Minimum of three (3) years of experience with Medicaid & Medicare policy/programs and other public health care programs is required • Minimum of three (3) years of leadership experience is required Competencies, Knowledge and Skills: • Thorough understanding of legislative processes at local, state, and federal levels with a primary concentration in policy legislative issues • Strong working knowledge of Medicaid, Medicare and managed care laws, regulations, and financing models • Intermediate proficiency level with Microsoft Office • Broad internet research skills • Technical writing skills • Excellent written and oral communications skills Legislative advocacy skills • Understanding of the public policy process • Strategic thinker with negotiation skills • Strong analytic, research and organizational skills • Knowledge and experience with publicly funded health care programs Licensure and Certification: • Lean or Six Sigma certification is preferred • Project Management Certification is preferred 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: $132,900.00 - $232,700.00 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 • Create an Inclusive Environment • 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 inclusive environment that welcomes and supports individuals of all backgrounds. #LI-SW2

Manage readiness preparation and implementation of new health insurance products and markets by collaborating with cross-functional teams and ensuring regulatory and operational compliance. | Bachelor's degree or equivalent, 5 years in healthcare/managed care with experience in health insurance product implementation, knowledge of Medicaid, Medicare, Marketplace products, project management expertise, and strong communication and collaboration skills. | Description: The Market Implementation Manager partners with Business Development, Market and Product leaders, EPMO, IT, vendors, business owners, and other key stakeholders across the company to support the preparation and launch of new lines of business, new markets, market expansions, plan renewals, and mergers and acquisitions.The role focuses on readiness preparation and assessments, implementations, and a smooth transition of new product lines into the business.Influence the development and implementation of overarching plans designed to achieve the business objectives defined by executive leaders for readiness activities and market implementationsCollaborate with EPMO, IT, external vendors, and cross-functional resources to cascade those overarching plans into cohesive sets of actionable and trackable tasksBring a holistic view to implementations and readiness activities including, but not limited to, State/Federal reviews and both pre and post go-live activities, considering the impact on the enterprise and market, and on members, providers, and regulatorsConsider upstream and downstream impacts of decisions and assumptions being made, including financial implicationsWork to enhance communication and visibility with key stakeholders as neededActively participate in preparation sessions, mock audits, and other readiness initiativesCoordinate and facilitate meetings as needed to address roadblocks, make decisions, and gain key stakeholder buy-inStrive for consistency and scalability of solutions across the enterprise when able, with flexibility to tailor tactics to a market or plan’s unique needs, when neededEnsure market requirements will be met as completely, effectively, and efficiently as possible upon go-live, minimizing member, provider, and regulator abrasionIdentify and assist with the rapid resolution or escalation of issues, blockers, and hindrancesDevelop knowledge of plan requirements to review and approve documentation for implementation and readiness submissionsPerform any other job duties as requested Requirements: Bachelor’s degree in business, healthcare, a related field or equivalent years of relevant work experience is requiredFive (5) years of experience in healthcare or managed care industry with experience implementing new health insurance products or markets is requiredBroad working knowledge of government-regulated health insurance products including Medicaid, Medicare, and MarketplaceKnowledge of full range of product requirements from regulatory, operations, clinical, reporting and complianceAble to work independently and in a matrixed team environment, across all levels of the organizationExtensive knowledge of project management processes and terminologyStrong collaboration, relationship building and influencing skillsetProficient with Microsoft Office, including Word, Excel, PowerPoint, and Project, as well as virtual meeting platforms such as Microsoft TeamsCritical listening and systematic thinking skillsStrong oral, written, and interpersonal communication skillsLeadership knowledge and skillsFlexible and responsive to a changing environmentPlanning, problem identification and resolution skillsAbility to maintain confidentiality and act in the company’s best interestConflict resolution skillsAttention to detail as appropriateAbility to identify and communicate opportunities to synthesize and integrate work efforts across teams Benefits: We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Lead and oversee financial data architecture, analytics, governance, and reporting to drive operational efficiency and decision-making. | 10+ years in data solutions architecture with financial data marts experience in healthcare, 5+ years management, advanced Azure and data visualization skills, and strong leadership. | Description: • Set the strategic vision and direction for the organization’s financial data architecture and analytics capabilities • Lead the design, development, and implementation of comprehensive financial data solutions to drive operational efficiency and enhance decision-making across the enterprise • Collaborate with executive leadership and cross-functional teams to ensure financial data initiatives align with organizational goals and regulatory requirements • Build and maintain strong relationships with finance, clinical operations, IT, and market leadership to identify analytical needs and drive successful implementation • Oversee the design and development of advanced financial data models, predictive analytics, and reporting tools to enhance financial performance • Establish and enforce data governance frameworks and policies to ensure data integrity, quality, and compliance • Define and monitor KPIs to evaluate effectiveness and impact of financial data solutions • Prepare and present comprehensive reports to executive leadership and the Board • Advocate for necessary changes in business processes and systems to improve data capture and overall data quality • Identify potential risks related to financial data management and governance and develop mitigation strategies • Perform other job-related duties as requested Requirements: • Bachelor’s degree in Business, Computer Science, Information Management, a related field, or equivalent years of relevant work experience is required • Master’s degree is preferred • Minimum of ten (10) years of experience in data solutions architecture, data governance, or related fields, with specific experience in building financial data marts in a Managed Care Organization (MCO) required • Minimum of five (5) years of management experience is required • Proven experience in healthcare data management, analytics, and financial processes required • Advanced proficiency in Microsoft Azure, Databricks, and data visualization tools such as Power BI or Tableau • In-depth understanding of data warehousing methodologies (e.g., Kimball, Inmon, Data Vault) and best practices in data governance • Exceptional analytical, problem-solving, and critical thinking skills, with the ability to translate business requirements into technical specifications • Outstanding verbal and written communication skills, with the ability to effectively present complex concepts to diverse audiences • Strong leadership and project management skills, with the ability to manage multiple projects simultaneously in a fast-paced environment • Ability to build and maintain effective relationships with stakeholders at all levels of the organization, influencing and driving change effectively • Licensure and Certification: None Benefits: • In addition to base compensation, you may qualify for a bonus tied to company and individual performance. • Substantial and comprehensive total rewards package.

Manage daily operations of customer care team, oversee staffing and scheduling, compile reports, participate in strategic planning, and maintain positive customer relationships. | Bachelor's degree or equivalent experience, minimum 3 years management experience preferred, healthcare or HMO experience preferred, proficiency in Microsoft Office, knowledge of Medicaid, strong leadership and communication skills. | Job Summary: The Manager, Customer Care is responsible to guide Team Leads and staff relative to daily operational issues. Essential Functions: • Ensure quantitative and qualitative objectives are used to meet performance objectives • Manage staffing and scheduling functions • Compile reports and departmental communications • Participate in strategic planning and recommendation of action plans • Interface with team leaders on effective people management strategies such as staffing, coaching and mentoring • Lead/participate in strategic department/company projects • Recommend process improvements • Maintain positive relationship with internal and external customers • Perform any other job duties as requested Education and Experience: • Bachelor Degree in business related field or equivalent years of experience required • Minimum of three (3) years of previous management/leadership experience preferred • Previous experience in an HMO environment or related industry preferred Competencies, Knowledge and Skills: • Proficient in Microsoft Word, Excel, and PowerPoint • Knowledge of Medicaid • Familiarity of healthcare field • Strong management skills • Strong collaboration and conflict resolution skill sets • Proven leadership with the ability to build relationships, collaborate and influence at all levels • Ability to work in a fast-past environment • Attention to detail • Ability to develop, prioritize and accomplish goals/time management • Strong decision making and problem solving skills • Exceptional written and verbal communication skills • 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: $81,400.00 - $130,200.00 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 • Create an Inclusive Environment • 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 inclusive environment that welcomes and supports individuals of all backgrounds. #LI-KM1