Sr. Director, Member Retention(Managed Care & Operational Experience Preferred)
Job Overview
Location
Remote
Job Type
Full-time
Category
DevOps
Date Posted
June 6, 2026
Full Job Description
đź“‹ Description
- • Lead the development and execution of comprehensive member retention strategies to minimize avoidable loss of MassHealth eligibility and achieve organizational membership goals.
- • Design and oversee cross-functional work plans that align internal departments and external community partners to ensure coordinated member engagement and support.
- • Be accountable for delivering forecasted eligibility loss rates in alignment with membership projections and annual budgets, ensuring financial and operational targets are met.
- • Monitor, analyze, and interpret key retention metrics to identify trends, assess program effectiveness, and implement continuous improvement initiatives.
- • Represent member retention outcomes and operational performance to senior leadership and external stakeholders, including regulators and advocacy groups.
- • Ensure clarity and alignment of provider responsibilities in retention efforts, holding partners accountable to corporate-wide retention objectives.
- • Apply deep knowledge of MassHealth regulations, Medicaid program rules, and Medicare Advantage compliance requirements to guide policy implementation and operational decisions.
- • Operationalize contract terms and regulatory requirements to ensure adherence to state and federal guidelines while optimizing member retention outcomes.
- • Foster a member-centric approach across all initiatives, prioritizing improved member experience and long-term health outcomes.
- • Build and sustain strong internal and external partnerships through influence, collaboration, and strategic relationship management.
- • Drive operational excellence by optimizing processes, eliminating inefficiencies, and delivering measurable results in retention performance.
- • Translate strategic thinking into actionable plans that align with organizational goals and support sustainable growth in membership retention.
- • Perform additional job-related duties as assigned to support evolving business needs and strategic priorities.
🎯 Requirements
- • Bachelor’s degree required; Master’s degree preferred
- • Five (5) years of health plan or policy experience required
- • Ten (10) years of health plan or policy experience preferred
- • Knowledge of MassHealth and/or other Medicaid program regulations
- • Knowledge of Medicare Advantage rules and regulations
- • Experience operationalizing Medicaid/Medicare contracts and ensuring compliance with policy requirements
🏖️ Benefits
- • Base salary range of $135,600.00 - $237,400.00
- • Eligibility for a bonus tied to company and individual performance
- • Comprehensive total rewards package focused on employee well-being
- • Remote work arrangement with no typical travel requirements
Skills & Technologies
Senior
Remote
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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