Job Summary:

The Senior Director, Program Operations Process & Implementation Lead serves as a strategic and operational leader responsible for bridging the gap between enterprise strategy and on-the ground execution. The position is critical to ensuring that scalable, compliant, and effectives process are developed, implemented, and continuously improved to meet organizational objectives and regulatory requirements.

Essential Functions:

• Serve as the LTSS Process SME with deep knowledge of market-specific, regulatory and enterprise-level requirements
• Provide Strategic input and direction to ensure that processes are designed for compliance, operational feasibility, and stakeholder clarity.
• Lead the planning, development, and deployment of a new and revised LTSS workflows.
• Create detailed documentation including process maps and E-manuals.
• Coordinate implementation across departments, ensuring adoption through training, communication and feedback loops.
• Develop innovative solutions and standard operating procedures to comply with State and Federal Health Care Policy and Regulations
• Conduct operational assessments to identify inefficiencies, pain points, and compliance risk.
• Re-engineer or optimize workflows using data insights, stakeholder engagement, and industry best practices.
• Establish KIPs and feedback mechanisms to measure performance and guide continuous improvement.
• Lead the development and execution of change management strategies to support the rollout of new and revised LTSS processes.
• Ensure stakeholders are informed, engaged, and prepared for changes through effective communication, training and support planning, anticipate and address resistance by building trust, offering resources, and reinforcing the value of the change
• Monitor adoption, feedback and adjust strengthen long-term success and alignment with operational goals.
• Review the program needs and create methods for evaluating the effectiveness of the new business lines, including member outcomes and staff key performance indicators.
• Works with HR and other managers to hire, retain, and recruit for positions as needed.
• Direct supervision including performance reviews for direct reports.
• Through appropriate delegation activities, support and mentors’ direct reports and others in the organization.
• Perform any other job related duties as requested.

Education and Experience:

• Bachelor's degree in healthcare field required
• Equivalent years of relevant work experience may be accepted in lieu of required education
• Five (5) years of experience in health care required
• Five (5) years of demonstrated, progressive leadership experience required
• Seven (7) years Operations/healthcare administration experience required
• Five (5) years Driving performance and process improvements, is required in the health care insurance industry required

Competencies, Knowledge and Skills:

• Proficient in Microsoft Office, Excel, Word, PowerPoint and Excel
• Demonstrated track record of self-initiative, strategic thinking, and successful planning and innovation.
• Utilize effective communication, presentation, and analytical skills
• Demonstrated ability to lead clinical redesign, reorganization, performance improvement and change management efforts
• Ability to communicate effectively across all lines of business
• Proven skills, knowledge base, and judgement necessary for independent clinical decision making in alignment with clinical licensure
• Excellent organizational, time management and problem-solving skills
• Ability to function independently and effectively as part of an interdisciplinary team
• Strong and effective communication skills, both written and verbal
• Strong interpersonal and customer relations skills
• Effective teaching skills
• Mediation/facilitation/conflict resolution skills
• Demonstrates analytical skills necessary to review data

Licensure and Certification:

Working Conditions:

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

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.

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