Mgr, Ohio Market Contracting- Managed Care- Healthcare-Leadership Experience
Job Overview
Location
Ohio WFH
Job Type
Full-time
Category
HR & Recruiting
Date Posted
March 31, 2026
Full Job Description
đź“‹ Description
- • Lead specialized contracting efforts for CareSource's Ohio market, managing complex negotiations and facilitating contract changes to ensure timely implementation of provider agreements and network adequacy.
- • Track and trend contracting inventory, priorities, and performance metrics; develop reports and PowerPoint presentations for leadership on key accomplishments, issues, and strategic initiatives.
- • Develop and evolve the team’s strategic direction, annual goals, and objectives; recommend process improvements to increase department productivity and operational efficiency.
- • Establish and maintain strong working relationships with internal business partners, including provider relations, finance, and clinical teams, to align contracting strategies with organizational objectives.
- • Lead cross-functional workgroups for special priority contracts, create and manage work plans, identify and remove barriers to implementation, and ensure coordination across departments.
- • Manage day-to-day operations of direct reports, including hiring, performance management, training, staff development, and conducting regular team meetings to establish and execute project plans.
- • Participate in network provider meetings, attend key committees and workgroups as needed, and disseminate data and insights to appropriate departments to support informed decision-making.
- • Ensure proper documentation and adherence to standard operating procedures (SOPs) by staff, maintain accurate records of contract language changes, and uphold compliance with internal and external regulations.
- • Analyze contract data and performance metrics to inform negotiation strategies, assess provider performance, and support network management decisions.
- • Foster a collaborative workplace culture, cultivate partnerships, drive execution, influence others, pursue personal excellence, and demonstrate understanding of the managed care business model.
🎯 Requirements
- • Bachelor’s Degree in Business Administration or related field, or equivalent years of relevant work experience
- • Minimum of three (3) years of progressive experience in healthcare or managed care
- • Experience in provider relations or contracting is required
- • Previous management experience is preferred
- • Post-acute provider experience is preferred
- • Proficient with Microsoft Office Suite (Word, Excel, PowerPoint)
🏖️ Benefits
- • Competitive salary range: $83,000.00 - $132,800.00
- • Annual performance-based bonus tied to company and individual performance
- • Comprehensive total rewards package including health, dental, vision, and wellness benefits
- • Influenza vaccination required as a condition of employment during flu season (October 1 – March 31)
- • Reasonable accommodations provided for qualified individuals with disabilities, medical conditions, or sincerely held religious beliefs
- • Opportunity to work remotely (WFH) with flexibility to support work-life balance
Skills & Technologies
Senior
Onsite
Degree Required
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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