Manager, LTSS Program Operations

Job Summary

The Manager, LTSS Program Operations 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.

• 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.

• High School or GED required
• Bachelor's degree preferred
• 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
• 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

• 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

• None

• General office environment; may be required to sit or stand for extended periods of time
• Up to 15% (occasional) travel based on the needs of the department may be required

Compensation Range: $94,100.00 - $

Care Source takes into consideration a combination of a candidate’s education, training, and…