LTSS and HCBS Provider Network Manager
CareSource
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $83,000 - $132,800 per year
About the role
- Oversees small- to large-scale programs supporting strategic network objectives
- Lead delivery of HCBS and LTSS network program initiatives in alignment with market and enterprise strategies
- Interpret business and regulatory requirements to enable effective cross-functional coordination
- Ensure timely completion of program deliverables in compliance with regulatory and leadership approvals
- Drive continuous improvement through adoption of best practices, processes, and tools
- Partner with functional leaders to define, assign, and track work supporting approved network strategies
- Collaborate with market network leadership to ensure programs are appropriately resourced and managed
- Maintain stakeholder engagement and communication, including issue escalation and resolution
- Serve as subject matter expert and liaison for HCBS and LTSS strategic and operational partnerships
- Support operational readiness for RFPs, implementations, onsite readiness, and program transitions
- Develop market-specific HCBS/LTSS analyses for RFPs, including network landscape, competitiveness, and state requirements
- Support contracting discussions for multi-market HCBS/LTSS network partnerships
- Coordinate development of HCBS/LTSS provider-facing materials, contracting documents, compensation models, and training resources.
- Perform any other job related duties as requested.
Requirements
- Bachelor's degree in business administration or related field required
- Five (5) years Experience in HCBS/LTSS network contracting, provider engagement or network operations required
- Previous experience in healthcare, preferably in managed health plan industry required
- Strong proficiency with Microsoft Office and collaboration tools (e.g., Word, Excel, PowerPoint, Project, Visio, Teams)
- Excellent analytical, problem-solving, and decision-making capabilities
- Strong communication, relationship-building, and stakeholder management skills
- Proven ability to lead projects, prioritize work, and meet deadlines
- Demonstrated sense of urgency and customer-focused mindset
- Experience within the healthcare payer environment, including Medicaid and Medicare programs
- Excellent written and verbal communication skills
- Ability to influence goals and metrics across a heavily matrix organization
- Critical thinking and listening skills with strong attention to detail
- Analytical mindset with the ability to interpret complex data and make data-driven decisions to improve network adequacy.
Benefits
- substantial and comprehensive total rewards package
- bonuses tied to company and individual performance
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
HCBS network contractingLTSS network contractingprovider engagementnetwork operationsdata analysisproject managementcontracting document developmentcompensation model developmentRFP analysisregulatory compliance
Soft Skills
analytical skillsproblem-solvingdecision-makingcommunication skillsrelationship-buildingstakeholder managementproject leadershipprioritizationcustomer-focused mindsetcritical thinking