VP, Strategic Care Management Execution and LTSS Integration

Job Summary:

The Vice President of Strategic Care Management Execution & LTSS Integration is responsible for driving the operational execution of enterprise care management strategies, with a strong focus on the implementation, integration, and expansion of care management operational and programmatic capabilities to support the Long-Term Services and Supports (LTSS) product. This role translates strategic priorities into structured, repeatable, and compliant operations within care management and across diverse markets and populations.

Essential Functions:

• Lead the execution of care management strategic priorities across markets, lines of business, and populations, ensuring timely and sustainable implementation of workflows, systems, and teams
• Drive cross-functional coordination to translate vision into action, connecting product, clinical, and operational goals with frontline execution
• Support rapid-cycle performance improvement efforts to close gaps in quality, compliance, or operational delivery
• Lead urgent or complex special projects that span departments or functions, including time-sensitive initiatives, remediation efforts, and executive-sponsored pilots
• Identify and address performance risks, accelerate strategic initiatives, and drive effective decision-making across the organization
• Provide scalable leadership support during periods of rapid growth, organizational redesign, or geographic expansion
• Oversee operational planning and implementation of care management capabilities for new LTSS programs and acquisitions, including readiness assessments, resource planning, and system integration
• Collaborate closely with the LTSS Product Owner and Integrated Care Teams to align operational delivery with product design, care model expectations, and population needs
• Serve as the operational lead for new LTSS market entries and expansions, ensuring compliant and effective launch and execution
• Oversee the implementation of workforce management models and staffing strategies that align with caseload requirements, service levels, and acuity-based needs-particularly for complex and high-touch populations
• Partner with training and clinical leadership to ensure staff are equipped and prepared to execute across diverse populations and regulatory frameworks
• Ensure LTSS and other care management operations align with federal, state, and contractual requirements, including HCBS guidelines and NCQA standards
• Lead cross-functional root cause analysis, corrective action planning, and enterprise coordination during compliance or audit-related escalations
• Perform any other job duties as requested

Education and Experience:

• Bachelor's degree in business, healthcare or related field or equivalent years of relevant work experience is required
• Master's degree is preferred
• Minimum of ten (10) years of clinical operations leadership and/or case management, disease management, medical management, quality improvement experience is required,
• Minimum of five (5) years of senior level management experience is required
• Minimum of five (5) years of Managed Care experience in a multi-market organization
• Experience in a collaborative matrix environment preferred

Competencies, Knowledge and Skills:

• Microsoft Office proficiency
• Clinical data analysis and trending skills
• Knowledge of trends in healthcare, managed care, Medicaid/Medicare, long term-care, case/medical management, and quality improvement
• Strong knowledge of healthcare regulations, quality improvement methodologies, and population health management
• Excellent analytical, problem-solving, and decision-making skills
• Commitment to the mission and values of the CareSource Family of Companies
• Strong oral, written and interpersonal communication skills
• Knowledge of regulatory reporting and compliance requirements
• Excellent leadership skills

Licensure and Certification:

• Case Management or Managed Care certification and Certification in Healthcare Quality is 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:

• General office environment; may be required to sit or stand for extended periods of time
• May be required to travel as needed to perform job duties

Compensation Range:
$150,000 - $300,000. 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:
Salary

Competencies:
- Create an Inclusive Environment
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Energize and Inspire the Organization
- Influence Others
- Pursue Personal Excellence
- Understand the Business

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.

#LI-SW2