VP, Market Operations(Must Be Open To Relocation To Mississippi)

Job Summary:

The Vice President, Market Operations is responsible for developing 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

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Essential Function

• s:
  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 mar
• ketPrimary responsibility for translating business/program vision and strategy into operational tactics and building the necessary organizational support and infrastruct
• ureIn new markets, lead program implementation, allocate implementation team resources, and facilitate ongoing operations; establish post-implementation strategy and goals to mitigate program ri
• sksOngoing responsibility for day-to-day program operations for market, including establishing and overseeing controls to ensure requirements are in pl
• aceResponsible 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
• metDevelop, translate and execute key strategies or functional/operational requirements for mar
• ketFacilitate leadership team in the establishment of organizational goals and priorities to align and focus the organizat
• ionEnsure market operations achieves its short- and long-term strategic priorities with maximum effectiveness and efficie
• ncyOversee allocation of staffing resources and responsibilities for market operati
• onsInitiate and oversee operational plans and initiatives to create cross-functional capabilities required across key functional ar
• easIn 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 outco
• mesCollaborate with Finance and Data Management to develop internal reporting for ongoing management as well as production of external reporting for complia
• nceWork with management to oversee departmental finances/budget and sales forecast/budget are
• metPerform any other job duties as reques

ted
Education and Experie

• nce:
  Bachelor of Science degree in finance, business, or health care field or equivalent work experience is req
• uiredMaster’s degree is pref
• erredFive (5) years of health plan operations (IE – claims, enrollment, provider agreements, etc.) experience is req
• uiredFive (5) years of leading division and corporate initiatives to drive systemic change and consumer adoption of health insurance and engagement initiatives is req
• uiredFive years of management experience in managed care setting is req

uired
Competencies, Knowledge and S

• kills:
  Intermediate proficiency level with Microsoft
• OfficeKnowledge of full range of product requirements from regulatory, operations, clinical, reporting and com
• plianceCritical listening and systematic thinking
• skillsAbility to attract, manage and develop team members; Inspirational Lea
• dershipAbility to maintain confidentiality and act in the company’s best i
• nterestOral, written, and interpersonal communication
• skillsLeadership experience and
• skillsEnergetic, enthusiastic, and politically
• astuteAbility to act with diplomacy and sensitivity to cultural di
• versityResponsive to a changing envi
• ronmentHealth Plan Financial & Administration Management
• AcumenStrategic management
• skillsConflict resolution
• skillsPlanning, problem identification and resolution

skills
Licensure and Certif

• ication:
  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.CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review