Vice President, Care4U – Market

Role and Responsibility:
•Accountable for collaborating with Market Leadership to support the strategy and operations of Care4U within assigned market, and to ensure alignment with organizational/business programs and processes in the market
•Responsible for providing direction and oversight of care management activities across the continuum and coordination of care
•Ensure programs and operational processes within the market are properly developed and aligned with the corporate Care4U model
•Assign appropriate priorities according to overall business plan
•Lead, implement, develop and support programs, systems and processes to ensure consistent, effective and efficient delivery of care to CareSource members while meeting state regulations and market financial objectives
•Cultivate and promote the CareSource culture to improve the health outcomes of our members
•Develop, implement, and monitor an accountability system and succession planning strategies
•Monitor CQI activities and process improvement in accordance with regulatory requirements, URAC, HEDIS, NCQA and future business needs related standards
•Foster external and internal relationships with hospitals, physicians, community agencies and key vendors
•Budget responsibility related to medical care, direct actions to control targeted costs for inpatient and outpatient services in conjunction with the site Medical Directors
•Review periodic reports (financial/utilization/services) to analyze trends, implement timely corrective action plans, and ensure consistent, accurate data according to established polices & procedures
•Perform any other job related instructions as requested

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