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CareSource

Member-first health plan: Marketplace, Medicare, Medicaid

Health & Social Partnerships Strategy Lead

Corporate StrategyUpdated on Nov 13
Full-timeRemote

About the Job

Requirements

  • A bachelor's degree in Social Service, Human Service, Organizational Leadership, or a related field, or equivalent years of relevant work experience.
  • At least three years of program development, implementation, and evaluation in social determinants of health or special populations.
  • At least one year of experience in data analysis and/or analytic programming.
  • Microsoft Suite skills.
  • Graphic development and presentation skills.
  • Strategic management skills.
  • Planning, problem identification, and resolution skills.
  • Experience managing large data projects, including responsibility for meeting deadlines, accuracy requirements, and reporting to upper management.
  • Skills in Excel, Access, and SAS.
  • Knowledge of government or social investment funding mechanisms.

Responsibilities

  • Gather business intelligence and manage research and analysis on social determinants of health topics, specialized populations, legislative proposals and initiatives, product launches, and rules and regulations that may affect population identification and population health strategies.
  • Collaborate with the department director and other leadership to evaluate process-improvement opportunities in new or existing projects, focusing on measurable benefits.
  • Lead and conduct business process and gap analyses to identify process-improvement opportunities and develop reusable solutions using process excellence principles and related tools.
  • Develop and maintain expertise in federal and state requirements affecting the social determinants of health model, and recommend standardized population health strategies while addressing market-specific differences.
  • Collaborate with Business Development and Integration during requests for proposals and implementation of new lines of business to ensure responses incorporate the population-specific health model and the impact of new business on holistic member care.
  • Use data analytics and collaborate with the Population Health Analytics team to identify improvement opportunities.
  • Examine and explain complex data relationships to answer questions from within the department or other departments.
  • Oversee initiatives and continually monitor social determinants of health strategies for operational readiness and process-improvement opportunities.
  • Work with product and market teams to understand product goals and regulatory guidelines.
  • Review reports and data to identify patterns, special-cause variation, and trends, and use other techniques to reveal associative or causal relationships; provide management-level summaries of key findings across markets and products.
  • Perform other job-related instructions as requested.

Desired Qualifications

  • Healthcare and/or managed care experience.
  • A master's degree.

About the Company

CareSource

Member-first health plan: Marketplace, Medicare, Medicaid

CareSource provides health coverage to more than 2 million members, offering Marketplace plans as well as Medicare and Medicaid products. Its core service is delivering health insurance and related care to individuals and communities through a member-first approach, aiming to improve health and well-being over time. The company operates with a focus on affordable, accessible coverage and care coordination across states, guided by its mission to place people over profits rather than simply selling plans. Key differentiators include a long history (30+ years), a national footprint with 4,500+ employees, and an emphasis on serving members’ needs and languages while promoting equal opportunity employment. The overarching goal is to help members live healthier lives by providing comprehensive coverage and support.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Dayton, OH
Founded
1989

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