Integrated Care Program Operations Manager

CareSource•Dayton, OH

4d•$94,100 - $164,800•Hybrid

About The Position

The Integrated Care Program Operations Manager assists the Duals team with open projects and progress towards completion, program enhancements, development, and execution activities related to implementation and ongoing design and standardization for the Dual eligible and LTSS model.

Requirements

High School or GED required
Four (4) years of clinical operations/healthcare administration experience required
Four (4) years of experience driving performance and process improvements, is in the health care insurance industry 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

Nice To Haves

Bachelor's degree preferred
Three (3) years Experience with Government-regulated (Federal and/or State) health insurance products including Medicaid, Managed Care Waiver, FFS and Medicare preferred
Three (3) years Experience implementing programs with focus on integration preferred
Three (3) years Project management experience preferred

Responsibilities

Collaborate with markets to implement business strategies and operational plans to ensure core functionality, scalability, and ongoing department management to support LTSS (HCBS and NH) model
Support the translation of business and program vision and strategy into operational tactics - collaborating to build the necessary organizational support and infrastructure
Support post implementation strategy and goals to mitigate program risks
Support the evaluation of operational process effectiveness for accomplishing market goals and objectives; manage operation process improvement activities in collaboration with market teams
Coordinate, 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
Perform any other job related duties as requested.