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CareSourceCA

Finance Vendor Governance Program Manager

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: 94k-165k USD

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Job Summary:

The Finance Vendor Governance Program Manager is responsible for managing the enterprise vendor governance program, ensuring financial terms of vendor contracts are consistently implemented, operationalized, and sustained in compliance with contractual, regulatory, and internal control requirements. This role is accountable for the end-to-end governance lifecycle, including vendor onboarding, financial compliance, performance management, payment accuracy, audit readiness, and continuous improvement. Partnering cross functionally with Finance, Operations, Compliance, Markets, and other stakeholders, the Program Manager establishes governance frameworks, defines standards and controls, monitors program performance, and drives remediation and optimization efforts. The role ensures vendor activities align with business expectations, mitigate financial and compliance risk, and enable accurate, timely vendor payments at scale.

Essential Functions:
  • Own and manage the enterprise vendor financial governance program, including standards, controls, workflows, documentation, and performance monitoring.
  • Establish and maintain governance frameworks to ensure vendor financial terms are implemented and maintained in alignment with contractual, regulatory, and operational requirements.
  • Serve as a primary point of accountability for vendor financial governance issues, risks, and escalations.
  • Act as a strategic liaison across Finance, Operations, Compliance, and Markets to ensure vendor payments are accurate, timely, and aligned with contract terms, performance standards, and business expectations.
  • Influence and coordinate stakeholders to drive alignment, resolve issues, and ensure consistent execution of vendor governance practices across the enterprise.
  • Represent Finance Vendor Governance in enterprise-wide workgroups and initiatives, advancing standardization and program maturity.
  • Serve as a subject matter expert for vendor and provider contracts by interpreting financial, business, and regulatory terms and translating them into operational requirements and controls.
  • Provide guidance to internal stakeholders on contract interpretation, financial implications, and governance requirements.
  • Oversee vendor performance monitoring, including SLAs, deliverables, turnaround times, and reporting requirements.
  • Develop, track, and manage performance improvement plans, including financial penalties, credits, and utilization metrics to ensure adherence to contractual obligations.
  • Identify and address performance, compliance, and financial risks through data driven analysis and corrective action planning.
  • Lead preparation for and support internal and external audits, regulatory reviews, and risk decision memorandums (RDMs) related to vendor sourcing, oversight, and financial controls.
  • Ensure documentation, controls, and processes support audit readiness and regulatory compliance.
  • Drive continuous improvement initiatives related to vendor onboarding, implementation, payment processes, and compliance readiness.
  • Analyze data and reporting to identify gaps, risks, and opportunities to improve vendor performance, payment accuracy, and operational efficiency.
  • Develop and maintain program documentation, including contracts, templates, playbooks, and standard operating procedures, ensuring consistency and scalability.
  • Prepare and deliver market level and enterprise reporting on vendor performance, financial compliance, risks, and program outcomes.
  • Serve as a liaison between market stakeholders and corporate teams to ensure transparency, alignment, and issue resolution.
  • Perform any other job related duties as requested.

Education and Experience:
  • Bachelor's degree in Business Administration, Finance, Healthcare Administration, Accounting or related field required
  • Equivalent years of relevant work experience may be accepted in lieu of required education
  • Seven (7) years of vendor governance, financial operations, healthcare administration or related operational oversight roles. required
  • Three (3) years of experience interpreting and applying contractual terms, service level agreements (SLAs), and regulatory requirements required
  • Demonstrated experience supporting vendor onboarding, implementation, and ongoing operational oversight, including financial accuracy, payment validation, and performance monitoring required
  • Experience supporting internal and external audits, regulatory reviews and vendor compliance activities required
  • Experience working in regulated healthcare environments such as health plans or managed care organizations, with exposure to Medicaid, Medicare, and/or value‑based care programs required
Competencies, Knowledge and Skills:
  • Advanced proficiency with reporting and reconciliation tools (e.g., Excel)
  • Proficient with Microsoft Office to include Word, Excel and PowerPoint
  • Excellent written and verbal communications skills
  • High level of analytical/problem solving skills
  • Ability to develop, prioritize and accomplish goals
  • Demonstrates excellent analysis and reporting skills
  • Strong interpersonal skills and high level of professionalism
  • Effective listening and critical thinking skills
  • Understanding of healthcare payer industry
  • Effective problem-solving skills with attention to detail
  • Ability to work independently and within a team
  • Excellent collaboration skills
  • Ability to create and maintain excellent working relationships
  • Knowledge of third-party agreements (TPA), business process outsourcing (BPO), FDR/delegated entities, provider contracting and/or or provider contracts preferred
  • Strong project management skills, including coordinating cross-functional initiatives and managing multiple priorities
  • Ability to partner with Finance, Compliance, Legal, and Operations to ensure vendor performance and payment alignment
Licensure and Certification:
  • Project Management Professional (PMP) certification preferred
Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time
  • Travel is not typically required

Compensation Range:

$94,100.00 - $164,800.00

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

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Posted on

Job type

Full Time

Experience level

Salary

Salary: 94k-165k USD

Education

Bachelor degree

Experience

7 years minimum

Experience accepted in place of education

Location requirements

Open to candidates from all countries.

Hiring timezones

Worldwide

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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