VP, Market Operations(Must Live in Georgia) – R9284 Position Available In Fulton, Georgia

Job Description:

Job Summary:

The Vice President, Market Operations is responsiblefor developing the overall market program strategy and businessobjectives; lead the alignment and collaboration to establishCareSource as the industry leader in member and providerengagement, member and provider experience, and plan management inthe market.

Essential Functions:

Develop the overall market program strategy and businessobjectives; lead the alignment and collaboration to establishCareSource as the industry leader in member and providerengagement, member and provider experience, and plan management inthe market Primary responsibility for translating business/program visionand strategy into operational tactics and building the necessaryorganizational support and infrastructure In new markets, lead program implementation, allocateimplementation team resources, and facilitate ongoing operations;establish post-implementation strategy and goals to mitigateprogram risks Ongoing responsibility for day-to-day program operations formarket, including establishing and overseeing controls to ensurerequirements are in place Responsible for leading regular market business reviews withvarious stakeholder groups (including, but not limited to, humanresources, information technology, finance, Business Partner Group,quality improvement, and Care Management) to ensure marketrequirements are being met Develop, translate and execute key strategies orfunctional/operational requirements for market Facilitate leadership team in the establishment oforganizational goals and priorities to align and focus theorganization Ensure market operations achieves its short

• and long-termstrategic priorities with maximum effectiveness and efficiency Oversee allocation of staffing resources and responsibilitiesfor market operations Initiate and oversee operational plans and initiatives tocreate cross-functional capabilities required across key functionalareas In collaboration with corporate compliance, escalate key issuesand work to resolve to maintain contract compliance andresponsiveness, develop and maintain in-depth knowledge of thecompany’s regulatory environment, and assist in transformingregulatory procedures into polices, plan changes, reporting orother operational outcomes Collaborate with Finance and Data Management to developinternal reporting for ongoing management as well as production ofexternal reporting for compliance Work with management to oversee departmental finances/budgetand sales forecast/budget are met Perform any other job duties as requested

Education andExperience:

Bachelor of Science degree in finance, business, or health carefield or equivalent work experience is required Master’s degree is preferred 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 todrive systemic change and consumer adoption of health insurance andengagement initiatives is required Five years of management experience in managed care setting isrequired

Competencies, Knowledge and Skills:

Intermediate proficiency level with Microsoft Office Knowledge of full range of product requirements fromregulatory, 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’sbest interest Oral, written, and interpersonal communication skills Leadership experience and skills Energetic, enthusiastic, and politically astute Ability to act with diplomacy and sensitivity to culturaldiversity Responsive to a changing environment Health Plan Financial & Administration Management Acumen Strategic management skills Conflict resolution skills Planning, problem identification and resolution skills

Licensureand Certification:

To help protect our employees, members, and the communities weserve from acquiring communicable diseases, Influenza vaccinationis a requirement of this position. CareSource requires annual proofof Influenza vaccination for designated positions during Influenzaseason (October 1

• March 31) as a condition of continuedemployment.

Employees hired during Influenza season will havethirty (30) days from their hire date to complete the requiredvaccination and have record of immunization verified. CareSource adheres to all federal, state, and localregulations. CareSource provides reasonable accommodations toqualified individuals with disabilities or medical conditions,sincerely held religious beliefs, or as required by state law toenable the employee to perform the essential functions of theposition. Request for accommodations will be completed through aninteractive review process.

Working Conditions:

General office environment; may be required to sit or stand forextended periods of time Ability to travel as required by the needs of thebusiness

Compensation Range:

$150,000

• $300,000.

CareSource takes into consideration acombination of a candidate’s education, training, and experience aswell as the position’s scope and complexity, the discretion andlatitude required for the role, and other external and internaldata when establishing a salary level. In addition to basecompensation, you may qualify for a bonus tied to company andindividual performance. We are highly invested in every employee’stotal well-being and offer a substantial and comprehensive totalrewards package.

Compensation Type:

SalaryCompetencies:

• Create an Inclusive Environment
• Cultivate Partnerships
• DevelopSelf and Others
• Drive Execution
• Energize and Inspire theOrganization
• Influence Others
• Pursue Personal Excellence-Understand the BusinessThis job description is not all inclusive.

CareSource reserves the right to amend this job description at anytime. CareSource is an Equal Opportunity Employer. We are dedicatedto fostering an inclusive environment that welcomes and supportsindividuals of all backgrounds.#LI-SW2 #J-18808-Ljbffr