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CareSource · 8 hours ago

VP, Market Operations(Must Live In Massachusetts, Preferred Experience With Managed Care & P&L Strategy) - R10832

Massachusetts, United States

Full-time

Onsite

Mid, Senior Level

$150K/yr - $300K/yr

5+ years exp

CareSource is seeking a Vice President of Market Operations to develop overall market program strategy and business objectives. This role involves leading alignment and collaboration to establish CareSource as a leader in member and provider engagement and managing day-to-day market operations.

Health CareMedicalNon Profit

Comp. & Benefits

H1B Sponsor Likely

Responsibilities

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

Qualification

Health Plan OperationsManaged Care ExperienceStrategic ManagementFinancial ManagementRegulatory KnowledgeTeam DevelopmentCultural SensitivityLeadership SkillsCommunication SkillsConflict ResolutionProblem Solving

Required

Bachelor of Science degree in finance, business, or health care field or equivalent work experience is required

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

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

Influenza vaccination is a requirement of this position

Preferred

Master's degree is preferred

Preferred Experience With Managed Care & P&L Strategy

Benefits

You may qualify for a bonus tied to company and individual performance.

Substantial and comprehensive total rewards package.

Company

CareSource

Glassdoor3.8

CareSource provides managed care services to Medicaid beneficiaries.

Founded in 1989

Dayton, Ohio, USA

1001-5000 employees

https://www.caresource.com/

H1B Sponsorship

CareSource has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (30)

2024 (39)

2023 (35)

2022 (21)

2021 (37)

2020 (28)