Director, Market Strategic Initiatives and Vendor Performance

CareSource Management Group Company

Job Overview

Location

Massachusetts WFH

Job Type

Full-time

Full Job Description

📋 Description

• Lead strategic initiatives to enhance member interactions with plan services and benefits, focusing on improving the overall member experience.
• Ensure alignment of products and services with member needs, prioritizing equity, accessibility, and quality in service delivery.
• Monitor and evaluate the end-to-end service experience for DME (durable medical equipment), home modifications, and wheelchair repair to identify improvement opportunities and escalate issues as needed.
• Manage vendor relationships for DME providers, ensuring high-quality service delivery and strict adherence to contractual obligations and service level agreements (SLAs).
• Establish, monitor, and enforce SLAs for timely delivery of medical equipment, home modifications, and wheelchair repair services.
• Oversee the development, implementation, and continuous improvement of policies and procedures related to DME procurement, repair, replacement, home modifications, and wheelchair repair services.
• Serve as the primary point of contact for vendor and partner relationships, managing communication, performance, and risk escalation.
• Collaborate with internal stakeholders including operations, compliance, and clinical teams to ensure initiative execution aligns with organizational goals and regulatory requirements.
• Provide day-to-day leadership, coaching, and performance support to provider network process leads.
• Coordinate with external stakeholders such as vendors and regulatory partners to maintain compliance and operational continuity.
• Apply working knowledge of Medicare Advantage and MassHealth (or other Medicaid program) regulations to guide vendor management and service delivery decisions.
• Drive operational effectiveness by implementing process improvements that yield measurable results in service quality and timeliness.
• Foster a member-centric focus across all initiatives, ensuring services support safe community living for members.
• Demonstrate strategic thinking by contributing to organizational plans that advance market initiatives and vendor performance outcomes.
• Build and maintain effective working relationships across internal departments and external vendors to support seamless service delivery.
• Perform additional job-related duties as assigned to support organizational priorities.

🎯 Requirements

• Bachelor’s degree in healthcare management, business, or a related field required
• Seven (7) years of experience in healthcare operations, member services, or product experience roles required
• Experience supporting vendor management and service delivery improvement initiatives required
• Working knowledge of DME services, healthcare regulations, and compliance requirements required
• Master’s degree or MBA in healthcare management, business, or a related field preferred
• Knowledge of Medicare Advantage rules and regulations required

🏖️ Benefits

• Base salary range of $113,000.00 - $197,700.00
• Eligibility for a bonus tied to company and individual performance
• Comprehensive total rewards package including well-being investments
• Work-from-home flexibility with location in Massachusetts
• General office environment with potential for extended sitting or standing periods
• Occasional need to work additional hours or outside normal business hours to meet deadlines

Skills & Technologies

Onsite

Degree Required

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CareSource Management Group Company

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About CareSource Management Group Company

CareSource is a nonprofit, multi-state managed care organization headquartered in Dayton, Ohio. Founded in 1989, it administers Medicaid, Medicare Advantage, and Marketplace health plans serving over two million members in Ohio, Kentucky, Indiana, West Virginia, and Georgia. The company focuses on improving health outcomes for low-income and vulnerable populations through integrated care management, behavioral health services, and social determinants programs.

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