Manager, Integrated Care Strategic Partnerships

atCareSourceRemoteUS flagUnited StatesFull-timeAccount ManagerMid-levelSenior$83k – $132.8k/year

Posted 3 days ago

This is a fully remote position, open to applicants in United States.

📋 Description

• Design, implement, and continually enhance governance frameworks, policies, procedures, controls, and operational standards for enterprise vendors.

• Lead the vendor strategy for Integrated Care across Dual Eligible, D-SNP, LTSS, and integrated care operations.

• Build and sustain an integrated view of vendor partnerships, encompassing contracts, implementation, capacity, costs, service levels, quality, risks, and ownership.

• Collaborate with cross-functional leaders to convert business needs into scalable vendor solutions and governance requirements.

• Manage governance committees and vendor review operations, including setting agendas, preparing decision materials, tracking outcomes, actions, and escalations.

• Identify contracts, risks, performance trends, capacity constraints, and opportunities necessitating governance review or executive action.

• Establish and uphold vendor performance scorecards and management routines.

• Oversee vendor demand, capacity, and resource planning for Integrated Care Programs.

• Coordinate vendor onboarding and operational readiness, covering contracting, staffing, equipment, access, training, workflows, data exchange, reporting, and go-live activities.

• Develop and maintain governance playbooks for vendor selection, implementation, performance management, escalation, remediation, transition, renewal, expansion, and offboarding.

• Monitor and escalate contract execution or vendor engagement that deviates from established processes and drive necessary remediation.

• Own and maintain the Vendor Governance charter.

• Evaluate business processes, identify gaps, and spearhead future-state process design.

• Utilize process improvement and project management methodologies to analyze root causes, implement changes, and track outcomes.

• Propel continuous improvement of vendor partnership processes, tools, data, reporting, and metrics.

• Operationalize regulatory, accreditation, contractual, and policy changes impacting vendors and Integrated Care Programs.

• Maintain playbooks for new business, mergers, acquisitions, and vendor readiness for market implementation.

• Coordinate cross-functional workstreams, dependencies, timelines, and accountability.

• Lead vendor and process implementation activities beyond the centralized project management office.

• Assist in regulatory submission activities through documentation, evidence gathering, reviews, and approvals.

• Manage the operational business Vendor Workstream within the Vendor Disability Advocacy Council.

• Represent Integrated Care Vendor Governance and Strategy in forums and enterprise committees.

• Prepare executive reports, recommendations, decision materials, and summaries for escalations.

• Perform other job-related responsibilities as assigned.


⛳️ Requirements

• A Bachelor's Degree in business administration, healthcare administration, supply chain, project management, operations, or a related field is required.

• Equivalent years of relevant work experience may be accepted in lieu of the required education.

• A minimum of five (5) years of experience in vendor management, vendor governance, business process improvement, healthcare operations, program management, strategic sourcing, or a related discipline is required.

• Proven experience leading cross-functional initiatives, vendor implementations, governance forums, performance improvement, and executive reporting is required.

• Experience supporting Medicaid, Medicare, Dual Eligible, D-SNP, LTSS, managed care, or other government-regulated healthcare programs is preferred.

• Familiarity with interpreting and operationalizing regulatory, contractual, accreditation, or compliance requirements is preferred.

• Strong understanding 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.

• Advanced skills in business process analysis, root-cause analysis, workflow design, continuous improvement, and change management.

• Strong project and program management skills, encompassing planning, risk and dependency management, governance, implementation, and sustainment.

• Ability to analyze vendor performance, costs, capacity, quality, compliance, and operational data, and translate findings into actionable recommendations.

• Exceptional executive communication, facilitation, negotiation, stakeholder management, and relationship-building skills.

• Capacity to influence without direct authority and instill 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 in Microsoft Office applications and enterprise tools utilized for project, workflow, contract, reporting, and vendor management.

• Certifications such as Project Management Professional (PMP), Lean Six Sigma, Certified Professional in Supply Management (CPSM), or comparable certification are preferred.

• Willingness to work additional hours and/or outside of normal business hours as required.

• Flexibility to work varying hours, including possible evenings and/or weekends.

• Ability to travel up to 15% as necessary.


🏝️ Benefits

• Bonus opportunities linked to company and individual performance may be available.

• Comprehensive total rewards package.

• Flexible working hours.

• Potential travel opportunities.

• An equal opportunity and belonging-focused workplace.

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