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Manager, Health Partnerships

CareSource
Full-time
On-site
United States
🌐 Digital Marketing

πŸ“Œ Core Information

πŸ”Ή Job Title: Manager, Health Partnerships

πŸ”Ή Company: CareSource

πŸ”Ή Location: Nevada WFH

πŸ”Ή Job Type: Full-Time

πŸ”Ή Category: Health Insurance

πŸ”Ή Date Posted: June 20, 2025

πŸ”Ή Experience Level: 5-10 years

πŸ”Ή Remote Status: Hybrid (Remote with occasional office presence)

πŸš€ Job Overview

Key aspects of this role include:

  • Overseeing collaboration with key Health Partners to enhance engagement and satisfaction
  • Developing strategic plans and managing account development
  • Ensuring performance guarantees are met and driving overall satisfaction
  • Working with internal business partners and managing a team
  • Contributing to the training and development of associates in provider engagement

ASSUMPTION: This role requires a balance of strategic thinking, relationship management, and team leadership skills. It involves both proactive and reactive tasks, with a focus on driving engagement and satisfaction among key Health Partners.

πŸ“‹ Key Responsibilities

βœ… Assists with the development and evolution of the team’s strategic direction, annual goals, and objectives

βœ… Provides proactive, high-level account development and support to drive overall satisfaction and engagement of key Health Partners

βœ… Develops and implements the team business plan objectives, both in creating new plans and in identifying and responding to customer needs

βœ… Establishes and maintains strong working relationships with key internal business partners

βœ… Ensures Provider Engagement team members are resolving complex or non-routine questions, issues, and problems within 30 days or less and provides direction as needed

βœ… Develops and reports on key accomplishments and issues to upper management

βœ… Oversees the achievement of customer specific performance guarantees to include operations, clinical, pharmacy, behavioral

βœ… Sets targets and priorities in order to contribute towards meeting overall CareSource Network Strategy

βœ… Implements local strategic plans in order to effectively influence providers, provider affairs and service centers

βœ… Ensures that retention rates and positive negotiations meet and regularly exceed network targets

βœ… Contributes to the training and development of associates in provider engagement

βœ… Manages multiple projects, collects and analyzes data and disseminates to appropriate departments as necessary

βœ… Outwardly supports and be able to communicate the CareSource mission, goals of senior leadership and other stakeholders to the Health Partner community as well to the Provider Engagement team

βœ… Ensures appropriate documentation of interactions and projects by all team members

βœ… Performs any other job-related duties as assigned

ASSUMPTION: This role involves a mix of strategic planning, account management, and team leadership. It requires strong communication, problem-solving, and project management skills.

🎯 Required Qualifications

Education: Bachelor’s Degree in Business Administration, or related field or equivalent years of relevant experience is required

Experience: Seven (7) years of progressive experience in health care, account management, sales, customer service or related field is required. Three to five (3 to 5) years of experience in provider relations or related field/position is required

Required Skills:

  • Proficient with Microsoft Office to include Word, Excel and PowerPoint
  • Excellent written and verbal communications skills
  • Ability to develop, prioritize and accomplish goals
  • Detail oriented
  • Strong interpersonal skills and high level of professionalism
  • Effective listening and critical thinking skills
  • Effective problem solving skills with attention to detail
  • Ability to work independently and within a team
  • Strong negotiation skills
  • Excellent leadership skills
  • Ability to create and maintain excellent working relationships

Preferred Skills:

  • Master’s degree
  • Six Sigma Certification or Project Management certification

ASSUMPTION: This role requires a well-rounded skill set, including strong communication, leadership, and project management skills. A Master’s degree and relevant certifications can be beneficial but are not always required.

πŸ’° Compensation & Benefits

Salary Range: $81,400.00 - $130,200.00

Benefits:

  • Comprehensive Total Rewards Package
  • Bonus Tied to Company and Individual Performance

Working Hours: Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members

ASSUMPTION: The salary range provided is based on the company's compensation structure and industry standards for similar roles. The comprehensive total rewards package includes various benefits and perks.

πŸ“Œ Applicant Insights

πŸ” Company Context

Industry: CareSource operates in the health insurance industry, focusing on Medicaid, MyCare Ohio, Health Insurance Marketplace, Medicare Advantage, and health insurance. They have been providing life-changing health care to people and communities for over 30 years.

Company Size: CareSource has 1,001-5,000 employees, making it a mid-sized organization. This size allows for opportunities for growth and career advancement while maintaining a personal touch.

Founded: CareSource was founded over 30 years ago and has since grown to serve over 2 million members across the country.

Company Description:

  • Health Care with Heart: CareSource places people over profits and is dedicated to making a difference in members' lives by improving their health and well-being.
  • Member-First Approach: CareSource offers a lifetime of health coverage through various plan offerings, including Marketplace, Medicare products, and Medicaid.
  • Transformative Force: CareSource continues to be a transformative force in the industry by providing innovative health care solutions and placing members at the center of everything they do.

Company Specialties:

  • Medicaid
  • MyCare Ohio
  • Health Insurance Marketplace
  • Medicare Advantage
  • Health Insurance

Company Website: http://www.caresource.com

ASSUMPTION: CareSource is a well-established health insurance company with a strong focus on member care and community impact. Their size and history provide stability and opportunities for growth.

πŸ“Š Role Analysis

Career Level: This role is at the mid-career level, requiring a significant amount of experience and a well-developed skill set. It offers opportunities for growth and advancement within the organization.

Reporting Structure: The Manager, Health Partnerships reports directly to the Director of Provider Engagement and oversees a team of Provider Engagement associates.

Work Arrangement: This role is hybrid, with regular travel to different work locations, including homes, offices, or other public settings. The role may require travel greater than 50% of the time.

Growth Opportunities:

  • CareSource offers opportunities for career advancement and professional development within the Provider Engagement department and the organization as a whole.
  • The role's focus on strategic planning and team leadership provides opportunities to develop and refine these skills.
  • Working with a diverse range of Health Partners and internal business partners can expose the manager to new challenges and learning opportunities.

ASSUMPTION: This role offers opportunities for career growth and development within the organization. The hybrid work arrangement provides flexibility while still allowing for collaboration and team building.

🌍 Location & Work Environment

Office Type: CareSource has multiple office locations across the country, with this role being based in Nevada with a remote work arrangement.

Office Location(s): 230 N. Main St, Dayton, OH 45402, US; 135 N Pennsylvania St, Indianapolis, Indiana, US; 600 Galleria Pkwy SE, Atlanta, GA 30339, US; 10200 Forest Green Blvd, Louisville, Kentucky 40223, US

Geographic Context:

  • The Nevada office is located in the Western region of the United States, providing opportunities to work with a diverse range of Health Partners and members.
  • The remote work arrangement allows for flexibility and a better work-life balance.
  • The hybrid work arrangement provides opportunities for collaboration and team building, even when working remotely.

Work Schedule: Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members

ASSUMPTION: The remote work arrangement provides flexibility and a better work-life balance. The hybrid work arrangement allows for collaboration and team building, even when working remotely.

πŸ’Ό Interview & Application Insights

Typical Process:

  • Online application submission
  • Phone or video screening
  • In-depth behavioral interview
  • Final interview with hiring manager
  • Background check and offer extension

Key Assessment Areas:

  • Strategic thinking and planning
  • Relationship management and communication skills
  • Leadership and team management skills
  • Problem-solving and analytical skills
  • Industry knowledge and understanding of CareSource's mission and values

Application Tips:

  • Tailor your resume and cover letter to highlight your relevant experience and skills for this role
  • Be prepared to discuss your strategic planning and leadership experiences in detail
  • Demonstrate your understanding of CareSource's mission and values and how you can contribute to their success
  • Prepare questions to ask the interviewer about the role, team, and company to show your interest and engagement

ATS Keywords: Health Partnerships, Provider Engagement, Account Development, Strategic Planning, Team Leadership, Health Insurance, Medicaid, Medicare Advantage, MyCare Ohio, Health Insurance Marketplace

ASSUMPTION: The interview process focuses on assessing the candidate's strategic thinking, relationship management, and leadership skills. CareSource uses an Applicant Tracking System (ATS) to manage and organize job applications, so including relevant keywords in your resume can improve your chances of being selected for an interview.

πŸ› οΈ Tools & Technologies

  • Microsoft Office Suite (Word, Excel, PowerPoint)
  • Project management tools (e.g., Asana, Trello, JIRA)
  • Customer Relationship Management (CRM) software (e.g., Salesforce, Microsoft Dynamics 365)
  • Data analysis and visualization tools (e.g., Tableau, Power BI)

ASSUMPTION: The tools and technologies listed are commonly used in similar roles within the health insurance industry. Familiarity with these tools can be beneficial but is not always required.

πŸ‘” Cultural Fit Considerations

Company Values:

  • Health Care with Heart: CareSource places people over profits and is dedicated to making a difference in members' lives by improving their health and well-being.
  • Member-First Approach: CareSource offers a lifetime of health coverage through various plan offerings, including Marketplace, Medicare products, and Medicaid.
  • Transformative Force: CareSource continues to be a transformative force in the industry by providing innovative health care solutions and placing members at the center of everything they do.

Work Style:

  • Collaborative: CareSource values teamwork and encourages collaboration across departments and locations
  • Adaptable: CareSource is a growing and evolving organization, requiring employees to be adaptable and flexible
  • Member-focused: CareSource prioritizes the needs and well-being of its members above all else

Self-Assessment Questions:

  • Do you align with CareSource's mission and values, particularly the focus on member care and community impact?
  • Are you comfortable working in a hybrid remote environment, balancing independence and collaboration?
  • Do you thrive in a dynamic and growing organization, where adaptability and flexibility are essential?

ASSUMPTION: CareSource values employees who align with their mission and values, particularly the focus on member care and community impact. They also value adaptability and flexibility in their employees, as they are a growing and evolving organization.

⚠️ Potential Challenges

  • Managing a team remotely can present unique challenges, requiring strong communication and leadership skills
  • Working with a diverse range of Health Partners can be complex, requiring strong relationship management and problem-solving skills
  • CareSource is a growing and evolving organization, which can sometimes lead to changes in priorities and responsibilities
  • The hybrid work arrangement may require occasional travel, which can be challenging for some

ASSUMPTION: These challenges can be overcome with strong communication, leadership, and adaptability skills. CareSource provides training and support to help employees succeed in their roles.

πŸ“ˆ Similar Roles Comparison

  • This role is similar to other Health Partnerships Manager roles within the health insurance industry, with a focus on strategic planning, account management, and team leadership
  • CareSource's focus on member care and community impact sets it apart from other health insurance companies, providing opportunities for meaningful and impactful work
  • CareSource's size and growth provide opportunities for career advancement and professional development within the organization

ASSUMPTION: This role offers opportunities for career growth and development within the organization. CareSource's focus on member care and community impact sets it apart from other health insurance companies, providing opportunities for meaningful and impactful work.

πŸ“ Sample Projects

  • Developing and implementing a strategic plan to enhance engagement and satisfaction among key Health Partners
  • Managing account development and support to drive overall satisfaction and engagement of key Health Partners
  • Overseeing the achievement of customer specific performance guarantees to include operations, clinical, pharmacy, behavioral

ASSUMPTION: These sample projects are based on the core responsibilities and required qualifications for this role. They provide an idea of the types of tasks and initiatives the Manager, Health Partnerships may be responsible for.

❓ Key Questions to Ask During Interview

  • Can you describe the team structure and how this role fits within it?
  • How does CareSource support the professional development and growth of its employees?
  • Can you provide an example of a successful Health Partnerships strategy implemented by CareSource?
  • How does CareSource measure the success of its Health Partnerships strategies?
  • What are the most significant challenges facing the Provider Engagement department, and how can this role help address them?

ASSUMPTION: These questions are designed to provide insight into the role, team, and company. They can help the candidate determine if this role is the right fit for their career goals and work preferences.

πŸ“Œ Next Steps for Applicants

To apply for this position:

  • Submit your application through this link
  • Tailor your resume and cover letter to highlight your relevant experience and skills for this role
  • Prepare for the interview by researching CareSource's mission, values, and industry trends
  • Prepare questions to ask the interviewer about the role, team, and company to show your interest and engagement
  • Follow up with the hiring manager after the interview to express your appreciation and reiterate your interest in the role

⚠️ This job description contains AI-assisted information. Details should be verified directly with the employer before making decisions.