CareSource · 15 hours ago
AVP, Dual Products - R11807
Florida, United States
Full-time
Onsite
Senior Level, Lead/Staff
$150K/yr - $300K/yr
10+ years expCareSource is a healthcare organization focused on improving the quality of care for its members. The Associate Vice President, Dual Products will collaborate with Market and Corporate Leadership to ensure effective care delivery for complex populations across multiple markets, while also overseeing care management activities and promoting the organization's culture.
Health CareMedicalNon Profit
Responsibilities
Accountable for collaborating with Market and Corporate Leadership to support the strategy and operations of dual product care management within multiple high volume and/or complex population markets, and to ensure alignment with organizational/business programs and processes in the markets
Responsible for providing direction and oversight of dual product care management activities across the continuum and coordination of care
Ensure programs and operational processes within regional markets are properly developed and aligned with the corporate Care Management model
Assign appropriate priorities according to the overall business plan
Lead, implement, develop, and support programs, systems, and processes to ensure consistent, effective, and efficient delivery of care to CareSource complex and dual product members while meeting state regulations and market financial objectives
Cultivate and promote the CareSource culture to improve the health outcomes of our members
Develop, implement, and monitor an accountability system and succession planning strategies
Monitor CQI activities and process improvement in accordance with regulatory requirements, URAC, HEDIS, NCQA, and future business needs related standards
Foster external and internal relationships with hospitals, physicians, community agencies, and key vendors
Budget responsibility related to clinical care, direct actions to control targeted costs for inpatient and outpatient services in conjunction with market Medical Directors and corporate clinical and analytics leadership
Review periodic reports (financial/utilization/services) to analyze trends, implement timely corrective action plans, and ensure consistent, accurate data according to established policies and procedures
Perform any other job related duties as requested
Qualification
Required
Bachelor's degree in Business, health care or other related field
Equivalent years of relevant work experience may be accepted in lieu of required education
Ten (10) years of clinical operations leadership and/or case management, disease management, medical management, quality improvement, related experience
Five (5) years of senior level management experience
Five (5) years of Managed Care experience in a multi-market organization
Microsoft Office proficiency
Clinical data analysis and trending skills
Knowledge of trends in healthcare, managed care, Medicaid/Medicare, long term-care, case/medical management, and quality improvement
Strong knowledge of healthcare regulations, quality improvement methodologies, and population health management
Excellent analytical, problem-solving, and decision-making skills
Commitment to the mission and values of the CareSource Family of Companies
Strong oral, written and interpersonal communication skills
Knowledge of regulatory reporting and compliance requirements
Excellent leadership skills
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
Preferred
Master's degree
Experience in a collaborative matrix environment
Case Management or Managed Care certification
Certification in Healthcare Quality
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