Senior Director, LTSS and Dual Growth Strategy(Preferred Experience with DSNP, HIDE & FIDE)

📌 Core Information

🔹 Job Title: Senior Director, LTSS and Dual Growth Strategy (Preferred Experience with DSNP, HIDE & FIDE)

🔹 Company: CareSource

🔹 Location: Dayton, OH (Remote)

🔹 Job Type: Full-Time

🔹 Category: Insurance, Health Care

🔹 Date Posted: June 26, 2025

🔹 Experience Level: 5-10 years

🔹 Remote Status: Remote (WFH)

🚀 Job Overview

Key aspects of this role include:

• Leading strategic and operational initiatives to promote growth in duals and LTSS products
• Collaborating with executive leadership to develop innovative growth models
• Overseeing financial and operational reporting to inform strategic decisions
• Managing cross-functional teams and external partners to achieve business goals

ASSUMPTION: This role requires a high level of strategic thinking, leadership, and collaboration to drive growth and profitability in CareSource's duals and LTSS products.

📋 Key Responsibilities

✅ Serve as Duals/LTSS products SME and partner liaison for strategic and operational relationships targeted for product growth partnership programs and models

✅ Collaborate with executive leadership to establish and deploy an innovative, best-in-class growth model capable of scaling for all markets

✅ Assist leadership in the design and development of innovation deployment strategy, including project deployment and prioritization

✅ Lead cross-functional strategies to optimize health plan profitability by managing multiple financial and operational levers

✅ Set and drive enterprise-level strategies to increase market share across the region, leveraging competitive intelligence, network optimization, and differentiated service offerings to position the plan as a market leader

✅ Design and implement comprehensive, market-specific growth strategies and KPIs that align with enterprise objectives, with a focus on long-term sustainability, profitability, and member outcomes

✅ Direct financial planning and performance management through oversight of monthly and quarterly forecasts, variance analysis, and departmental P&L reviews, ensuring alignment with both short- and long-term financial targets

✅ Provide executive-level leadership over financial and operational reporting to inform strategic decisions, partnering with Finance, Actuarial, Clinical Operations, and Compliance to identify risks, forecast trends, and ensure accountability to business goals

✅ Serve as interface between partners and CareSource teams supporting the partnership program including sales, community outreach, care management, etc.

✅ Provide oversight of all teams, internal and external to CareSource, managing the Duals/LTSS programs

✅ Collaborate with marketing team to develop product materials for distribution to community and provider partners

✅ Ensure operational readiness through oversight and monitoring for process improvement opportunities

✅ Oversee collaboration with Enterprise teams, internal and external stakeholders, and community partners to inform and influence the design and development of Duals/LTSS programs

✅ Build, maintain, and improve all structure and processes necessary to assure impeccable regulatory record, achievement of goals, and consistency from market-to-market and product-to-product

✅ Lead efforts with market and product leaders to develop aligned, collaborative processes designed to meet the business requirements and goals of Duals/LTSS in the designated market

✅ Oversee implementation of all community and retail partnerships solutions

✅ Monitor, report, and evaluate performance metrics to improve functionality and efficiency

✅ Travel as needed to conduct meetings and ensure effective administration of the program

✅ Perform any other job duties as requested

ASSUMPTION: This role requires a strong understanding of duals/LTSS programs, strategic planning, and operational management to drive growth and profitability in CareSource's duals and LTSS products.

🎯 Required Qualifications

Education: Bachelor of Science/Arts (BS/BA) degree in business, communications, marketing, or related field, or equivalent relevant work experience is required

Experience: A minimum of five (5) years of managed care experience is required

Required Skills:

• Demonstrated understanding of duals/LTSS programs including development and operations
• Ability to manage and prioritize multiple tasks, promote teamwork, and fact-based decision making
• Business acumen and strategic thinking, yet able to execute tactically
• Demonstrated ability to adjust to shifting priorities, multi-task, work under pressure, and meet deadlines
• Proven ability to recognize opportunity for improvement and lead change
• Excellent leadership and communication skills, with ability to effectively manage a high performing team, and provide coaching and development
• Strong collaborative skills, working with cross-functional stakeholders and external partners
• Ability to represent CareSource in national and community partnerships

Preferred Skills:

• Master of Business Administration (MBA) or Public Health (MPH)
• Previous experience working with community-based and/or retail organizations to develop partnerships

ASSUMPTION: This role requires a strong background in managed care, with a focus on duals/LTSS programs, strategic planning, and operational management. Preferred candidates will have additional education or experience in relevant fields.

💰 Compensation & Benefits

Salary Range: $132,900.00 - $232,700.00

Benefits:

• Substantial and comprehensive total rewards package
• 401(k) plan with company match
• Health, dental, and vision insurance
• Paid time off and holidays
• Employee assistance program
• Tuition reimbursement
• Professional development opportunities

Working Hours: Full-time, typically Monday-Friday, 8:00 AM - 5:00 PM, with some flexibility

ASSUMPTION: The salary range provided is based on CareSource's compensation structure and market data for similar roles in the health care industry. The total rewards package is designed to attract and retain top talent in the competitive health care market.

📌 Applicant Insights

🔍 Company Context

Industry: CareSource is a nonprofit health plan that provides life-changing health care to people and communities. It offers a range of health coverage options, including Marketplace, Medicare products, and Medicaid, to more than 2 million members across the country.

Company Size: CareSource has 4,500+ employees located across the country, making it a mid-sized organization with a significant impact on the health care industry.

Founded: CareSource was founded in 1989 and has been providing health care services for over 30 years.

Company Description:

• Health Care with Heart: CareSource places people over profits and is committed to making a difference in members' lives by improving their health and well-being.
• Member-First Approach: CareSource prioritizes the needs of its members and strives to provide personalized, high-quality care.
• Transformative Force: CareSource is dedicated to being a transformative force in the health care industry by innovating and improving the way care is delivered.

Company Specialties:

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

Company Website: www.caresource.com

ASSUMPTION: CareSource is a well-established nonprofit health plan with a strong commitment to improving the health and well-being of its members. It is an equal opportunity employer that values diversity and inclusion.

📊 Role Analysis

Career Level: This role is a senior-level position that requires a high degree of strategic thinking, leadership, and collaboration to drive growth and profitability in CareSource's duals and LTSS products.

Reporting Structure: The Senior Director, LTSS and Dual Growth Strategy reports directly to the Chief Growth Officer and oversees cross-functional teams, internal and external to CareSource, managing the Duals/LTSS programs.

Work Arrangement: This role is remote (WFH) with some travel required to conduct meetings and ensure effective administration of the program.

Growth Opportunities:

• CareSource offers professional development opportunities and tuition reimbursement to support the growth and advancement of its employees.
• The company's focus on innovation and improvement creates opportunities for employees to take on new challenges and expand their skills.
• With over 2 million members and a presence in multiple states, there are opportunities for career progression within the organization.

ASSUMPTION: This role offers significant opportunities for career growth and development within CareSource's expanding health care organization.

🌍 Location & Work Environment

Office Type: CareSource has multiple office locations across the country, with the headquarters in Dayton, OH. This role is remote (WFH) with some travel required.

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:

• Dayton, OH: CareSource's headquarters is located in Dayton, a mid-sized city in southwest Ohio with a population of approximately 140,000. The city offers a mix of urban and suburban living with a relatively low cost of living compared to other major metropolitan areas.
• Remote Work: This role is remote (WFH), allowing for flexibility and the ability to work from home.
• Travel Requirements: Some travel may be required to fulfill the duties of the role, including attending meetings and ensuring effective administration of the program.

Work Schedule: Full-time, typically Monday-Friday, 8:00 AM - 5:00 PM, with some flexibility

ASSUMPTION: The remote work arrangement for this role offers flexibility and work-life balance, while the travel requirements ensure that the employee remains connected to the company's headquarters and other office locations.

💼 Interview & Application Insights

Typical Process:

• Online application submission
• Phone or video screen with the hiring manager
• In-depth interview with cross-functional team members
• Final interview with the Chief Growth Officer
• Background check and reference check

Key Assessment Areas:

• Strategic thinking and planning
• Leadership and team management
• Collaboration and communication skills
• Understanding of duals/LTSS programs and managed care
• Alignment with CareSource's mission and values

Application Tips:

• Tailor your resume and cover letter to highlight your relevant experience and skills for this role, with a focus on strategic planning, leadership, and managed care.
• Be prepared to discuss your experience with duals/LTSS programs and your understanding of the health care industry.
• Demonstrate your ability to work collaboratively with cross-functional teams and external partners.

ATS Keywords: Duals, LTSS, growth strategy, managed care, strategic planning, leadership, collaboration, partner liaison, financial planning, operational reporting, market analysis, competitive intelligence, network optimization, member growth, risk adjustment, regulatory compliance, performance metrics, process improvement, community partnerships, retail partnerships

ASSUMPTION: CareSource's interview process is designed to assess the candidate's strategic thinking, leadership, and collaboration skills, as well as their understanding of duals/LTSS programs and the health care industry. Successful candidates will demonstrate their ability to work effectively with cross-functional teams and external partners to drive growth and profitability in CareSource's duals and LTSS products.

🛠️ Tools & Technologies

• Microsoft Office Suite (Word, Excel, PowerPoint)
• Project management tools (e.g., Asana, Trello, JIRA)
• Data analysis and visualization tools (e.g., Tableau, Power BI)
• Health care industry-specific software and platforms

ASSUMPTION: This role requires proficiency in Microsoft Office Suite and project management tools, as well as familiarity with data analysis and visualization tools. The specific tools and technologies used may vary depending on the needs of the role and the organization.

👔 Cultural Fit Considerations

Company Values:

• Putting people first
• Acting with integrity
• Pursuing excellence
• Collaborating for success
• Innovating for the future

Work Style:

• Collaborative and team-oriented
• Focused on strategic planning and execution
• Adaptable and responsive to change
• Committed to continuous learning and improvement
• Results-driven and accountable

Self-Assessment Questions:

• Do you align with CareSource's mission to provide life-changing health care to people and communities?
• Are you comfortable working in a collaborative, team-oriented environment?
• Do you have experience leading strategic initiatives and driving results in a dynamic, changing environment?
• Are you committed to continuous learning and improvement, both personally and professionally?

ASSUMPTION: CareSource values candidates who align with its mission and values, as well as those who demonstrate a strong work ethic, collaboration, and a commitment to continuous learning and improvement.

⚠️ Potential Challenges

• Balancing strategic planning and execution with day-to-day operational management
• Managing multiple financial and operational levers to optimize health plan profitability
• Navigating a complex and evolving health care industry landscape
• Building and maintaining effective partnerships with external stakeholders and community partners
• Ensuring regulatory compliance and a strong focus on member outcomes

ASSUMPTION: This role presents significant challenges and opportunities for growth and development. Successful candidates will be able to balance strategic planning and execution, manage multiple financial and operational levers, and navigate a complex and evolving health care industry landscape.

📈 Similar Roles Comparison

• This role is unique in its focus on duals and LTSS products within the health care industry. While there may be similar roles in other industries, the specific requirements and context of this role make it distinct.
• The health care industry is complex and evolving, with a strong focus on regulatory compliance and member outcomes. This role requires a deep understanding of the industry and its unique challenges and opportunities.
• Career progression in this role may lead to senior leadership positions within CareSource or other health care organizations, with a focus on strategic planning, growth, and operational management.

ASSUMPTION: This role is unique in its focus on duals and LTSS products within the health care industry, and successful candidates will have a strong understanding of the industry and its unique challenges and opportunities.

📝 Sample Projects

• Developing and implementing a comprehensive, market-specific growth strategy for duals and LTSS products, including KPIs and metrics to track progress and success
• Collaborating with cross-functional teams to optimize health plan profitability through strategic financial and operational planning
• Building and maintaining effective partnerships with external stakeholders and community partners to drive growth and improve member outcomes

ASSUMPTION: These sample projects are designed to illustrate the strategic planning, leadership, and collaboration required for success in this role. The specific projects and initiatives may vary depending on the needs of the organization and the industry.

❓ Key Questions to Ask During Interview

• Can you describe the current state of CareSource's duals and LTSS products, and the strategic priorities for growth and improvement?
• How does this role fit into the overall organizational structure, and who are the key stakeholders and partners for this position?
• What are the most pressing challenges facing CareSource's duals and LTSS products, and how can this role address them?
• How does CareSource support the professional development and growth of its employees, particularly in this role?
• What is the company's approach to work-life balance, and how does this role fit into that framework?

ASSUMPTION: These key questions are designed to help candidates understand the strategic priorities, organizational structure, and cultural fit of CareSource, as well as the specific requirements and opportunities for growth and development in this role.

📌 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, with a focus on strategic planning, leadership, and managed care.
• Prepare examples of your experience with duals/LTSS programs, strategic planning, and leadership to demonstrate your qualifications for this role.
• Follow up with the hiring manager one week after submitting your application to express your interest in the position and inquire about the status of your application.

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