CareSource · 6 hours ago
AVP, LTSS
Florida WFH
Full-time
Hybrid
Senior Level, Lead/Staff
$150K/yr - $300K/yr
8+ years expCareSource is a healthcare organization focused on providing quality services. The Associate Vice President, LTSS is responsible for overseeing the development and execution of the Dual eligible and LTSS model, ensuring compliance and quality goals are met while collaborating with key partners and leadership.
Health CareMedicalNon Profit
Responsibilities
Direct, execute and manage strong relationships with key partners throughout the enterprise to ensure CareSource delivers and meets the specifications of all quality goals/initiatives for products and markets
Develops, performs and promotes interdepartmental integration and collaboration to enhance LTSS/Dual Program service excellence
Knowledgeable of state and/or federal regulations, provider agreements and Models of Care for all products/programs and develops structure and process for alignment
Establish strong operational metrics and auditing to ensure quality and compliance
Collaborate with market and executive leadership to formulate and implement business strategies and operational plans to ensure core functionality, scalability, and ongoing department management to support LTSS (HCBS and NH) model
Primary responsibility for translating business and program vision and strategy into operational tactics - collaborating to build the necessary organizational support and infrastructure
Establish post implementation strategy and goals to mitigate program risks
Evaluates operational process effectiveness for accomplishing market goals and objectives; manage operation process improvement activities in collaboration with market teams
Develop, translate, and execute key strategies for functional/ operational requirements
Provide leadership and support for product expansion
Incorporates industry standard, best practice project management tools and techniques in market initiatives
Recognizes and proactively manages operational dependencies and risks across market operations initiatives portfolio through effective change and risk management controls
Works closely with leadership to establish, communicate, and perpetuate the corporate vision, ensuring appropriate communication to stakeholders
Monitors performance across markets LTSSS/HCBS programs to leverage best practice and knowledge sharing for the purpose of improving outcomes through the standardization of evidence-based practices
Assists the dual eligible President with the monitoring of legislative/governmental activities with the goal of advocating for the full integration LTSS/HCBS standard model, identifying opportunities and issues
Interacts heavily within Dual Eligible, LTSS program business partners, and builds strong working relationships with all markets
Engages stakeholders to ensure alignment
Leads activities ensuring the delivery of high quality, consistent initiatives that result in optimum outcomes for members, providers, and program goals
Recruits, develops, and leads key staff
Perform any other job related duties as requested
Qualification
Required
Bachelor's degree required
Equivalent years of relevant work experience may be accepted in lieu of required education
Eight (8) years of clinical operations/healthcare administration experience required
Seven (7) years of experience driving performance and process improvements, is in the health care insurance industry required
Two (2) years of project management experience required
Able to effectively identify business problems, assess proposed solutions, and understand the needs of business partners and stakeholders
Ability to communicate effectively with all levels of leadership
Develops effective working relationships with business partners and stakeholders
Strong organizational, time management, analysis, and problem-solving skills
Ability to manage a project from start to finish
Strong relationship building skills and leadership qualities
Training and teaching skills/change agent
Ability to think critically and lead with strategy
Comprehensive knowledge base crossing all the following areas: Clinical Operations, Market Groups, Business Development, Network, and Operations
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
Preferred
Three (3) years of experience with Government-regulated (Federal and/or State) health insurance products including Medicaid, Managed Care Waiver, FFS and Medicare
Three (3) years of experience implementing programs with focus on integration
Benefits
You may qualify for a bonus tied to company and individual performance.
Substantial and comprehensive total rewards package.
Company
CareSource
CareSource provides managed care services to Medicaid beneficiaries.
1001-5000 employees
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 StageTotal Funding
unknownKey Investors
FHLB Cincinnati
2026-01-17Grant
Leadership Team
Erhardt Preitauer
President & Chief Executive Officer
Jason Bearden
Market President and CEO, Georgia
Recent News
2026-01-18
Dayton Daily News
2025-12-17
Company data provided by crunchbase