The LTSS and HCBS Provider Network Manager oversees small- to large-scale programs supporting strategic network objectives, including network strategy, contracting, and operational execution. This role ensures alignment with regulatory requirements, enterprise priorities, and market-level business needs across Home and Community-Based Services (HCBS) and Long-Term Services and Supports (LTSS).
Essential Functions:
- 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 (e.g., standalone or MMP to HIDE/FIDE SNP).
- 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.
Education and Experience:
- Bachelor's degree in business administration or related field required
- Equivalent years of relevant work experience may be accepted in lieu of required education
- 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
- None
- General office environment; may be required to sit or stand for extended periods of time
- Travel is not typically required
Compensation Range:
$83,000.00 - $132,800.00CareSource 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):
SalaryOrganization Level Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
Top Skills
What We Do
Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for nearly 30 years and we will continue to be a transformative force in the industry by placing people over profits. CareSource is and will always be members first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to nearly 2 million members through plan offerings including Marketplace, Medicare Advantage and Medicaid. With our team of 4,000 employees located across the country, we continue to clear a path to better life for our members. Visit the "Life" section to see how we are living our mission in the states we serve. CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf Si usted o alguien a quien ayuda tienen preguntas sobre CareSource, tiene derecho a recibir esta información y ayuda en su propio idioma sin costo. Para hablar con un intérprete, Por favor, llame al número de Servicios para Afiliados que figura en su tarjeta de identificación. 如果您或者您在帮助的人对 CareSource 存有疑问，您有权 免费获得以您的语言提供的帮助和信息。 如果您需要与一 位翻译交谈，请拨打您的会员 ID 卡上的会员服务电话号码
