Strategic Leader, Network Performance & Strategy

CareSource; Dayton (OH); Hybride; USD 113 000 - 198 000; Plein temps

Résumé du poste

CareSource seeks a Director of Network Performance and Strategy to lead enterprise network performance initiatives across markets. You will develop strategies to improve affordability, access, quality, provider performance, and network competitiveness, translating intelligence into scalable solutions and executive-ready recommendations.

The role requires 10+ years in healthcare strategy and 5+ years in leadership, with Medicaid/Medicare familiarity. Travel up to 25% may be required.

Qualifications

• Bachelor's degree in healthcare administration, business, analytics, economics, public health, or related field required
• Master's degree, MBA, MHA, MPH, or advanced quantitative degree preferred
• Ten (10) years of progressive experience in managed care, healthcare strategy, network management, provider performance, medical economics, healthcare analytics, or related areas required
• Five (5) years of experience in leadership roles required
• Experience in Medicaid managed care and/or Medicare Advantage preferred

Responsabilités

• Develops standardized frameworks for evaluating network performance, including provider performance, network adequacy and access, utilization, affordability, leakage/OON utilization, quality, contracting performance, and other relevant network measures
• Translates network performance intelligence into strategies that improve market performance, affordability, quality, network adequacy, growth, and competitive positioning
• Serves as a strategic advisor to network leadership, providing enterprise benchmarks, insights, and scalable solutions
• Establishes enterprise standards and methodologies that enable consistent network performance management while allowing appropriate market-level flexibility
• Leads the development of enterprise network performance reporting, analytics, decision-support tools, and enabling technologies, including automation, AI, and proprietary platforms
• Partners with Medical Economics and Actuarial leadership to ensure network performance methodologies and analytical models are appropriately developed, governed, and applied
• Partners with Value-Based Contracting leadership to provide network performance intelligence, provider segmentation, performance insights, and strategic recommendations that support VBC strategy
• Partners with Network Contracting to translate network intelligence into contracting priorities, provider targeting, reimbursement strategies, and network optimization opportunities
• Identifies and prioritizes enterprise network opportunities and develops supporting business cases
• Oversees deployment of network performance capabilities across markets, driving adoption, change management, and measurable business impact
• Evaluates emerging technologies, data sources, vendors, and industry practices to strengthen network performance capabilities
• Develops and manages the team's operating plan, talent strategy, priorities, and resource allocation
• Represents Network Performance & Strategy with executive leadership and cross-functional stakeholders
• Establishes accountability for measurable outcomes and evaluates team impact on network performance and business objectives
• Perform any other job related duties as requested

Connaissances

Network strategy

Analytics

Executive leadership

Change management

Strategic problem solving

Market strategy

Provider performance

Formation

Bachelor's degree

Master's degree

Description du poste

CareSource seeks a Director of Network Performance and Strategy to lead enterprise network performance initiatives across markets. You will develop strategies to improve affordability, access, quality, provider performance, and network competitiveness, translating intelligence into scalable solutions and executive-ready recommendations.

The role requires 10+ years in healthcare strategy and 5+ years in leadership, with Medicaid/Medicare familiarity. Travel up to 25% may be required.