Job Summary:
The Manager, Health Partnerships oversees and encourages the collaboration with key Health Partners in the development of specific strategies for enhanced engagement. Health Partner engagement shall be measured by confidence in CareSource’s ability to fulfill promises, integrity to make things right when problems occur, pride in working with CareSource and their passion about CareSource being a vital member of the care team.
Essential Functions:
- Assists with the development and evolution of the team’s strategic direction, annual goals and objectives, recommends new processes and changes for increased department productivity
- Provide proactive, high-level account development and support in order to drive the overall satisfaction and engagement of key Health Partners
- Develop and implement the team business plan objectives, both in creating new plans and in identifying and responding to customer needs
- Establish and maintain strong working relationships with key internal business partners
- Ensure Provider Engagement team members are resolving complex or non-routine questions, issues, and problems within 30 days or less and provide direction as needed
- Develop and report on key accomplishments and issues to upper management
- Oversee the achievement of customer specific performance guarantees to include operations, clinical, pharmacy, behavioral
- Set targets and priorities in order to contribute towards meeting overall CareSource Network Strategy
- Implement local strategic plans in order to effectively influence providers, provider affairs and service centers
- Ensure that retention rates and positive negotiations meet and regularly exceed network targets
- Contribute to the training and development of associates in provider engagement
- Manage multiple projects, collect and analyze data and disseminate to appropriate departments as necessary
- Outwardly support and be able to communicate the CareSource mission, goals of senior leadership and other stakeholders to the Health Partner community as well to the Provider Engagement team
- Ensure appropriate documentation of interactions and projects by all team members
- Perform any other job related duties as assigned
Education and Experience:
- Bachelor’s Degree in Business Administration, or related field or equivalent years of relevant experience is required
- Master’s degree is preferred
- Seven (7) years of progressive experience in health care, account management, sales, customer service or related field is required
- Three to five (3 to 5) years of experience in provider relations or related field/position is required
Competencies, Knowledge and Skills:
- Proficient with Microsoft Office to include Word, Excel and PowerPoint
- Excellent written and verbal communications skills
- Ability to develop, prioritize and accomplish goals
- Detail oriented
- Strong interpersonal skills and high level of professionalism
- Effective listening and critical thinking skills
- Effective problem solving skills with attention to detail
- Ability to work independently and within a team
- Strong negotiation skills
- Excellent leadership skills
- Ability to create and maintain excellent working relationships
Licensure and Certification:
- Employment in this position is conditional pending successful clearance of a driver’s license record check. If the driver’s license record results are unacceptable, the offer will be withdrawn or, if you have started employment in this position, your employment in this position will be terminated
- Six Sigma Certification or Project Management certification preferred
- To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
- CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.
Working Conditions:
- This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.
- Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need
- May be required to travel greater than 50% of time to perform work duties.
- Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer
- Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members
Compensation Range:
$81,400.00 - $130,200.00
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
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.
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