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CareSourceCA

Director Of Strategic Sourcing(Preferred Experience in Managed Care & AI)

CareSource is a nonprofit managed care organization based in Dayton, Ohio, that serves over 2 million members with a wide array of Medicaid and Medicare products.

CareSource

Employee count: 1001-5000

Salary: 136k-237k USD

United States only

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Job Summary:

The Director, Strategic Sourcing is responsible for the enterprise Strategic Sourcing function across all categories of vendor spend, including direct spend (supplemental benefits, care management, utilization management, etc.), indirect spend (operations, marketing, facilities, etc.) and IT (hardware, software, telecom, etc.).

Essential Functions

  • Oversee function operations through proactive monitoring of contract volumes, contract turnaround times, process adherence, and value delivered, and actively identify and deploy initiatives to improve operations of the function.
  • Oversee the vendor contract portfolio, ensuring timely action against expiring contracts, strategic planning and engagement with business owners, and identification of targets for vendor savings and/or consolidation.
  • Deliver value to the enterprise by leveraging benchmarking, negotiations, and category management to deliver savings, increased vendor accountability, vendor consolidation, or other outcomes.
  • Drive Strategic Sourcing strategy via a comprehensive category management model to ensure alignment with organizational goals and objectives.
  • Conduct and lead category councils with key business owners to strategize on obtaining competitive pricing, securing favorable contract terms, and fostering robust vendor partnerships within similar vendor/contract categories.
  • Standardize and enhance the function’s processes including due diligence and vendor selection processes to ensure selection of high-potential vendors that align with business needs.
  • Enhance and increase utilization of RFx processes, including Requests for Proposal (RFP), to evaluate vendors based on strategic criteria and capabilities.
  • Manage and streamline the contracting process across a diverse and extensive vendor base, engaging in agreements such as delegated services agreements, master services agreements, business associate agreements, and more, to ensure best practices, risk mitigation, and strategic alignment.
  • Proactively engage with other departments, including third party risk, vendor risk, legal, compliance, and finance, to ensure comprehensive involvement and alignment in the contracting process.
  • Facilitate the state approval process for contracts, ensuring timely approval of addendum's, cover sheets, vendor briefs to support both new and existing markets, along with adapting to regulatory requirements.
  • Perform any other job related duties as requested.

Education and Experience

  • Bachelor's degree required
  • Master's degree preferred
  • Equivalent years of relevant work experience may be accepted in lieu of required education
  • Seven (7) years of experience within Sourcing or Procurement in a highly regulated industry required
  • Five (5) years management/leadership experience required
  • Experience in a HMO or managed care environment preferred
  • Experience deploying AI solutions to enhance processes preferred
  • Experience delivering tangible results, e.g. savings, through the Sourcing process preferred
  • Experience optimizing Sourcing process flows through process redesign, automation, artificial intelligence preferred

Competencies, Knowledge and Skills

  • Advanced proficiency level with Microsoft Office including Outlook, Word, Excel and PowerPoint Business related software systems expertise
  • Knowledge in Medicaid/Medicare Programs and CMS, NCQA regulations
  • Solid understanding of managed care, vendor agreements and the delegation process
  • Strong organizational skills, detail oriented, and sound decision-making skills required; exceptional follow-through abilities to track all outstanding tasks and coordinate with assigned owners to ensure tasks are completed timely
  • Working knowledge of health plan functions including operations, marketing/sales, compliance, information systems, data analysis and clinical
  • Excellent writing and communication skills; able to translate technical concepts into layperson’s terms and interface with upper-level management including Legal Counsel and Corporate Compliance
  • Ability to interact with all levels of leadership, influence change in corporate understanding and adoption of vendor management concepts, and lead cross-functional teams and initiatives
  • Analytical with the ability to handle responsibilities that are complex and distill and manage data to achieve desired outcomes
  • Experience preparing presentations and speaking before individuals and groups, vendors, regulatory agencies, community leaders and upper management who may pose challenging or difficult questions

Licensure and Certification

  • Certified Professional in Supply Chain Management (CPSM); Certified Supply Chain Professional (CSCP); or other related certification preferred

Working Conditions

  • General office environment; may be required to sit or stand for extended periods of time
  • Travel is not typically required

Background Check

Employment in this position is conditional pending successful clearance of a criminal background check. If the criminal background results are unacceptable, the offer will be withdrawn or, if employee has started in position, employment in position will be terminated.

Compensation Range:

$135,600.00 - $237,400.00

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 (hourly/salary):

Salary

Organization Level Competencies

  • Fostering a Collaborative Workplace Culture

  • Cultivate Partnerships

  • Develop Self and Others

  • Drive Execution

  • 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 environment of belonging that welcomes and supports individuals of all backgrounds.

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Salary

Salary: 136k-237k USD

Education

Bachelor degree

Experience

7 years minimum

Experience accepted in place of education

Location requirements

Hiring timezones

United States +/- 0 hours

About CareSource

Learn more about CareSource and their company culture.

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CareSource is a nonprofit, nationally recognized managed care organization established in 1989 that has grown to serve over 2.1 million members across various states in the U.S. With its headquarters in Dayton, Ohio, CareSource administers one of the largest Medicaid managed care plans in the country. The organization offers a wide range of health insurance products, including Medicaid, Medicare Advantage, and Health Insurance Marketplace plans. CareSource stands apart by addressing the social determinants of health which significantly impact the well-being and health outcomes of its members. This mission-driven approach enables them to provide personalized care solutions that cater to the unique needs of low-income and vulnerable populations.

As part of its commitment to innovative care delivery, CareSource continually enhances its services through technology and partnerships designed to streamline access to care and improve member experiences. The organization employs nearly 5,000 individuals who are dedicated to fostering community relationships and ensuring that every member receives high-quality care when needed. Their strategic initiatives focus on improving health outcomes, operational excellence, and social equity within the healthcare realm. In addition to traditional medical services, CareSource actively engages in health education and outreach efforts that foster resilience and self-sufficiency in the communities they serve. This approach contributes to a broader aim of not just treating illness but promoting overall health and wellness in society.

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CareSource

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