CareSource Military & Veterans President

Job Summary:

The CareSource Military & Veterans President is responsible for leading and overseeing all aspects of the line of business including developing and implementing strategic plans to ensure the delivery of high-quality, cost-effective care, while meeting the unique needs of the military and veteran community. This executive role is accountable for operational performance, financial outcomes, growth strategies, regulatory compliance, and stakeholder engagement, and requires a deep understanding of managed care principles, military and veteran healthcare systems and the ability to build and maintain relationships across federal and state agencies, community organizations and healthcare providers.

Essential Functions:

• Develop and execute a comprehensive (and integrated) business strategy ensuring alignment with organizational goals and growth initiatives.
• Identify and cultivate long-range competitive strategies to improve clinical and non-clinical service delivery to members of military & veteran populations, including new markets and products, geographic expansion, and additional service offerings
• Drive innovation to improve healthcare outcomes for military and veteran beneficiaries.
• Ensure efficient, high-quality and member-focused service including comprehensive training on military culture, ultimately increasing member satisfaction and improved health outcomes.
• Monitor key metrics including member satisfaction, clinical outcomes and financial performance.
• Implement managed care best practices, optimizing utilization management, care coordination and member engagement.
• Effectively collaborate across enterprise leadership, including complex population health, governance, policies, standards, and reporting systems.
• Partner with market, clinical, provider and operational leaders to implement programs that optimally serve the military & veteran population.
• Develop and effectively manage budget ensuring financial stability and growth.
• Proactively analyze financial reports for trends, risks and opportunities, implementing corrective actions as needed.
• Ensure compliance with all federal, state and military-specific regulations governing healthcare delivery and managed care.
• Ensure updated knowledge of all relevant legislation and advocate for policy changes that benefit the military and veteran community.
• Oversee quality assurance initiatives and ensure adherence to standards e.g., NCQA.
• Establish and maintain relationships with key stakeholders including federal agencies (DoD, DHA, VA), state regulatory agencies, military & veteran organizations, and provider networks.
• Lead efforts to grow and enhance collaboration and contract opportunities with federal and state government, community organizations and providers.
• Ensure philanthropic strategy aligns with the company’s mission and strategic priorities by focusing resources on impactful initiatives that address the most pressing needs of the military & veteran community e.g., mental health, employment, and access to healthcare.
• Represent the organization at public events, conferences and meetings.
• Recruit, train and retain a high-performing team capable of …