9 open positions available
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.
Lead financial planning, budgeting, forecasting, and support for mergers and acquisitions within healthcare finance. | Requires 12+ years accounting/finance experience with 8+ years management, healthcare preferred, CPA preferred, and proficiency in financial analysis and GAAP. | Job Description: • Provides financial oversight, leadership, and support to the market/corporate • Manages the execution of the annual budget/quarterly forecast • Works with senior management and team to implement new business activities and process improvements • Develops strategy supporting the FP&A function • Responsible for budget to actual analysis monthly • Provides support for proforma work related to RFPs, mergers, and acquisitions for new business activities • Responsible for end-to-end planning process including project management oversight • Responsible for contract reviews for administrative costs • Guides and oversees the process for compilation of data and reporting • Provides insight into the risk sensitivity associated with current and future business drivers • Responsible for ensuring budget policy and procedures are in compliance with Model Audit Rule requirements • Participates in various meetings with leadership including strategic planning • Performs ad hoc and trending analysis • Responsible for staffing decisions, management of departmental staff and expense budget Requirements: • Bachelor’s Degree in accounting, finance or related field or equivalent years of relevant work experience • Master of Business Administration (MBA) or equivalent graduate degree is preferred • A minimum of twelve (12) years of experience in accounting/finance, to include a minimum of eight (8) years of management experience • Managed care or healthcare experience is preferred • Familiar with variety of financial analysis concepts, practices, and procedures • Familiar with variety of accounting concepts, practices, and procedures • Extensive knowledge of Generally Accepted Accounting Principles (GAAP) and/or Statutory Accounting Principles (STAT) • Intermediate proficiency level with Microsoft Office • Knowledge of SAP, SAC, BPC and/or business intelligence (BI) tools is preferred but not required • Certified Public Accountant (CPA), Certified Management Account (CMA), Association for Financial Professionals (AFP) FP&A, or related certification is preferred Benefits: • Comprehensive total rewards package • Bonuses tied to company and individual performance • Health insurance • Retirement plans • Paid time off
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
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