[Hiring] Manager, Integrated Care Strategic Partnerships @CareSource

Role Description

The Manager, Integrated Care Strategic Partnerships leads the business-level vendor optimization, business process governance, and program-specific partnership strategy to enable compliant, high-performing third-party partnerships across the organization. This role designs and advances governance frameworks, policies, controls, workflows, and performance management capabilities; translates Integrated Dual Eligible and Long-Term Services and Supports (LTSS) program needs into coordinated vendor strategies; and partners with cross-functional leaders to support operational performance, new business, market growth, and regulatory readiness. The position drives continuous improvement, strengthens accountability, reduces operational and compliance risk, and improves vendor, program, and member outcomes.

• Design, implement, and continuously enhance enterprise vendor governance frameworks, policies, procedures, controls, and operating standards aligned with Managed Care Organization regulatory and contractual requirements.
• Lead the development and execution of Integrated Care vendor strategy across Dual Eligible, D-SNP, LTSS, and integrated care operations.
• Build and maintain an integrated vendor partnership portfolio view for Integrated Care Programs.
• Partner with various leaders to translate business needs into scalable vendor solutions and governance requirements.
• Lead governance committee and vendor review operations.
• Collaborate with enterprise Strategic Sourcing and Vendor Performance.
• Establish and maintain vendor performance scorecards and management routines.
• Lead vendor demand, capacity, and resource planning for Integrated Care Programs.
• Coordinate vendor onboarding and operational readiness.
• Develop and maintain governance playbooks for vendor selection support.
• Identify, track, and escalate contract execution or vendor engagement outside established processes.
• Own and maintain the Vendor Governance charter.
• Assess current-state business processes and lead future-state process design.
• Use structured process improvement and project management methodologies.
• Drive continuous improvement of vendor partnerships processes, tools, data, reporting, and performance metrics.
• Monitor and operationalize regulatory, accreditation, contractual, and policy changes.
• Maintain and mature new business, merger, acquisition, and market implementation playbooks.
• Drive completion of playbook deliverables within defined timelines.
• Provide project leadership for vendor and process implementation activities.
• Provide coverage and support for regulatory submission activities.
• Provide leadership for the operational business Vendor Workstream.
• Represent Integrated Care Vendor Governance and Integrated Care Vendor Strategy in routine forums and enterprise committees.
• Prepare concise executive-level reporting, recommendations, decision materials, and escalation summaries.
• Perform any other job related duties as requested.

Qualifications

• Bachelor's Degree in business administration, healthcare administration, supply chain, project management, operations, or a related field required.
• Equivalent years of relevant work experience may be accepted in lieu of required education.
• Five (5) years experience in vendor management, vendor governance, business process improvement, healthcare operations, program management, strategic sourcing, or a related discipline required.
• Demonstrated experience leading cross-functional initiatives, vendor implementations, governance forums, performance improvement, and executive reporting required.
• Experience supporting Medicaid, Medicare, Dual Eligible, D-SNP, LTSS, managed care, or other government-regulated healthcare programs preferred.
• Experience interpreting and operationalizing regulatory, contractual, accreditation, or compliance requirements preferred.

Requirements

• Strong knowledge of vendor governance, third-party risk, contract lifecycle, performance management, and operational controls.
• Knowledge of Integrated Dual Eligible programs, D-SNP, Medicaid, Medicare, LTSS, managed care operations, and member-centered integrated care models.
• Demonstrated ability to connect enterprise vendor strategy with market-specific operational, regulatory, clinical, and member needs.
• Advanced business process analysis, root-cause analysis, workflow design, continuous improvement, and change management skills.
• Strong project and program management skills, including planning, risk and dependency management, governance, implementation, and sustainment.
• Ability to analyze vendor performance, cost, capacity, quality, compliance, and operational data and translate findings into actionable recommendations.
• Excellent executive communication, facilitation, negotiation, stakeholder management, and relationship-building skills.
• Ability to influence without direct authority and drive accountability across internal teams and external partners.
• Strong organizational skills with the ability to manage multiple priorities, urgent escalations, and complex cross-functional dependencies.
• High proficiency with Microsoft Office applications and enterprise tools used for project, workflow, contract, reporting, and vendor management.

Benefits

• Compensation Range: $83,000.00 - $132,800.00.
• 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.

Working Conditions

• General office environment; may be required to sit or stand for extended periods of time.
• May be required to work additional hours and/or outside normal business hours as needed to meet deadlines.
• Flexible hours, including possible evenings and/or weekends as needed.
• Potential travel, as needed, up to 15% (occasional) travel based on the needs of the department may be required.