Job Summary:

This Sr. Director, Care Management Administration is responsible for providing strategic, operational, and administrative support to the Senior Vice President of Care Management and Department leadership by overseeing key processes that keep the Care Management department functioning smoothly and aligned with enterprise standards. This position will support realignment of teams around the CM strategic vision, streamline operations to enhance efficiency and act as a trusted advisor to shape and execute long term strategies.

Essential Functions:

• Coordinate daily operations and executive workflow.
• Oversee key cross departmental initiatives, timelines, and deliverables.
• Represent CM by participating in enterprise initiatives and support cross-departmental activities.
• Manage internal and external department communication and information flow – facilitating communication, synthesizing information for decision-making and ensuring alignment across CM verticals.
• Develop executive-level decks, briefs, and talking points.
• Manage the execution of administrative processes to ensure efficiency and alignment with enterprise standards including management of development and documentation of operating procedures
• Manage financial processes to support departmental operations.
• Oversee workforce management processes, including staffing and resource allocation.
• Develop and maintain reporting mechanisms to track departmental performance.
• Implement risk oversight measures to mitigate potential issues.
• Coordinate the annual Departmental goal setting strategy and ensure alignment with and performance against corporate objectives.
• Facilitate development and oversee the management of the annual departmental administrative budget activities.
• Work with CM leadership to ensure that departmental financial, budget, growth, medical and administrative cost forecast/budget objectives are met
• Develop and provide oversight of all internal and external Departmental communication forums
• Manage key issues and work to resolve to maintain contract compliance and responsiveness
• Perform any other job related duties as requested.

Education and Experience:

• Bachelor's degree in finance, business, or health care field required
• Master's degree
• Equivalent years of relevant work experience may be accepted in lieu of required education
• Five (5) years of experience leading division and corporate initiatives required
• Five (5) years of management experience in managed care setting required

Competencies, Knowledge and Skills:

• Display a customer service, member-focused orientation
• Strong data analysis and trending skills
• Strong project management skills
• Strong team and staff development skills
• Strong collaboration and conflict resolution skill sets
• Proven leadership with the ability to build relationships/collaborate and influence at all levels
• Strong process and analytical skills with the ability to articulate and define outcome measures that capture key performance metrics
• Ability to develop, prioritize and accomplish goals/time management
• Strong decision making and problem-solving skills
• Exceptional communication skills (both written and verbal) with the ability to present information in a variety of different formats to all levels
• Strong ability to teach best practice, engagement strategies for successful member participation (including motivational interviewing, best practice engagement techniques)
• Executive and Strategic management skills
• Ability to work in a fast-past environment
• Ability to work independently and within a team environment
• Advanced knowledge of Microsoft Word, Excel, PowerPoint and Visio

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time
• Ability to travel as required by the needs of the department.

Compensation Range:

$135,600.00 - $237,400.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

• Fostering a Collaborative Workplace Culture

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business

 

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

#LI-SW2