Senior Director, LTSS and Dual Growth Strategy(Preferred Experience with DSNP, HIDE & FIDE)

Job Summary :

The Senior Director, LTSS and Dual Growth Strategy is responsible for leading and fostering strategic and operational expertise partners to develop and implement solutions to promote duals / LTSS products growth.

Essential Functions :

• Serve as Duals / LTSS products SME and partner liaison for all strategic and operational relationships targeted for product growth partnership programs and models
• Collaborate with executive leadership to establish and deploy an innovative, best- in-class growth model capable of scaling for all markets
• Assist leadership in the design and development of innovation deployment strategy, including project deployment and prioritization
• Lead cross-functional strategies to optimize health plan profitability by managing multiple financial and operational levers, including rate advocacy, risk adjustment, member growth and retention, medical cost management, Star performance, and Medicaid Quality metrics
• Set and drive enterprise-level strategies to increase market share across the region, leveraging competitive intelligence, network optimization, and differentiated service offerings to position the plan as a market leader
• Design and implement comprehensive, market-specific growth strategies and KPIs that align with enterprise objectives, with a focus on long-term sustainability, profitability, and member outcomes
• Direct financial planning and performance management through oversight of monthly and quarterly forecasts, variance analysis, and departmental P&L reviews, ensuring alignment with both short- and long-term financial targets
• Provide executive-level leadership over financial and operational reporting to inform strategic decisions, partnering with Finance, Actuarial, Clinical Operations, and Compliance to identify risks, forecast trends, and ensure accountability to business goals
• Serve as interface between partners and CareSource teams supporting the partnership program including sales, community outreach, care management etc.
• Provide oversight of all teams, internal and external to CareSource, managing the Duals / LTSS programs
• Collaborate with marketing team to develop product materials for distribution to community and provider partners
• Ensure operational readiness through oversight and monitoring for process improvement opportunities
• Oversee collaboration with Enterprise teams, internal and external stakeholders, and community partners to inform and influence the design and development of Duals / LTSS programs
• Build, maintain and improve all structure and processes necessary to assure impeccable regulatory record, achievement of goals and consistency from market-to-market and product-to-product
• Lead efforts with market and product leaders to develop aligned, collaborative processes designed to meet the business requirements and goals of Duals / LTSS in the designated market
• Oversee implementation of all community and retail partnerships solutions
• Monitor, report, and evaluate performance metrics to improve functionality and efficiency
• Travel as needed to conduct meetings and ensure effective administration of the program
• Perform any other job duties as requested

Education and Experience :

Competencies, Knowledge, and Skills :

Li censure and Certification :

Working Conditions :

Compensation Range :

$132,900.00 - $232,700.00 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 : Salary

Competencies :

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 inclusive environment that welcomes and supports individuals of all backgrounds.

#LI-SW2