Senior Director, Product Performance & Operations jobs in United States
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CareSource · 5 hours ago

Senior Director, Product Performance & Operations

positionUnited States
timeFull-time
remoteRemote
seniorityMid, Senior Level
money$136K/yr - $237K/yr
date7+ years exp

CareSource is a health care management organization, and they are seeking a Senior Director, Marketplace Performance and Strategy to lead the development of the Marketplace program strategy across the enterprise. This role involves executing complex performance analysis and monitoring to enhance business operations and revenue within current or future markets.

Health CareMedicalNon Profit
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Comp. & Benefits
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H1B Sponsor Likelynote

Responsibilities

Responsible for the development of the overall Marketplace Program Strategy, working with Enterprise functional areas and the Markets to align program strategy and goals for each market
Lead the development and execution of enterprise strategies to improve market/business performance and/or achieve long term strategic goals
Establish and strengthen trusted advisor relationships with Enterprise functional business leaders and Market leadership including the Plan President, Market CFO and Market Operations leader
Achieve a strong understanding of the Marketplace program elements that drive performance such as risk adjustment, forecasting, sales channels or member acquisition strategies and QAI tactics related to appropriate plan utilization
Partner with stakeholders to develop Marketplace program KPIs and metrics supporting the Marketplace Enterprise and Market strategy
Evaluate administrative spend for the Marketplace program and work with the business to identify and complete admin savings initiatives that align spend to Marketplace program goals
Execute Enterprise strategic initiatives as it relates to performance / process improvements
Partner with the Consumer Experience team to identify and execute enterprise / market-level consumer improvement initiatives to improve member retention and/or member satisfaction
Ensure performance improvements are shifted into implementation process with EPMO and market implementation teams
Accountable for hiring, training, coaching, professional development, succession planning, performance appraisals and disciplinary actions, and motivating collaboration and performance
Develop budget for area of responsibility
Perform any other job related duties as requested

Qualification

Marketplace program strategyPerformance analysisHealth care insurance experienceLeadershipMicrosoft Office proficiencyGovernment-regulated health productsProject Management methodologiesFlexibility in changeCollaboration skillsCritical thinkingDecision-making skillsCommunication skills

Required

Bachelor's degree in related field required
Seven (7) years of experience driving performance and process improvements in the health care insurance industry required
Five (5) years of leadership and management experience required
Experience in cross-functional health care insurance operations such as the following: Finance/Actuarial, sales/marketing, consumer experience/call center, grievance and appeals, population health management, including behavioral health, wellness, pharmacy and ancillary benefits, provider contracting, credentialing, enrollment, pricing, services and data maintenance, enrollment and revenue cycle operations, claims and encounters, and member and benefits configuration required
Experience with Government-regulated (Federal and/or State) health insurance products including Medicaid, Medicare and Marketplace required
Ability to lead direct reports and matrixed teams to successfully deliver complex initiatives within budget and against immovable deadlines
Extensive knowledge of Project Management methodologies
Exceptional collaboration, relationship building, and influencing skillset
Flexibility in leading organizational change
Exceptional planning and time management skills
Excellent listening and critical thinking skills
Excellent decision-making and problem-solving skills
Ability to effectively interact at all levels within the organization
Excellent written and verbal communication skills
Hands on proficiency in Microsoft Office tools, including Project, Outlook, Word, PowerPoint and Excel
Business acumen and politically astute ability to act with diplomacy and sensitivity to cultural diversity
Ability to work independently and within a team environment

Preferred

Master's in a related field preferred
Certified Six Sigma Black Belt preferred
Program Management Professional® preferred

Benefits

You may qualify for a bonus tied to company and individual performance.
Substantial and comprehensive total rewards package.

Company

CareSource

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CareSource provides managed care services to Medicaid beneficiaries.
dateFounded in 1989
location
Dayton, Ohio, USA
people-size1001-5000 employees
web-link
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)

Funding

Current Stage
Late Stage
Total Funding
unknown
Key Investors
FHLB Cincinnati
2026-01-17Grant

Leadership Team

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Erhardt Preitauer
President & Chief Executive Officer
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Jason Bearden
Market President and CEO, Georgia
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Recent News

Dayton Daily News
CareSource, Huntington Bank awarded $6.9M to go toward affordable housing programs
2026-01-18
PR Newswire
CareSource Promotes Jason Bearden to Regional Market President and Names New Georgia Market President to Support Continued Growth
2026-01-15
Dayton Daily News
Ohio tax break approved for 167 new CareSource jobs in Dayton
2025-12-17
Company data provided by crunchbase