Job Summary:

The Associate Vice President, Provider Contracting, Network and Relations informs decision-making around payer and provider best practices related to innovating, supporting and empowering providers in the pursuit of delivering person-centered and high-quality care to members. Oversees CareSource’s strategic design, implementation, and evaluation of provider contracting, network and relations to proactively support provider engagement and operational performance.

Essential Functions:

• Lead Ohio Department of Medicaid (ODM) contractual requirements, such Network Development Management Plan (NDMP), Network adequacy, Provider Engagement and Education.
• Oversight of Provider’s operational strategy for Ohio. Ensure evaluation and outcomes and alignment across senior leaders to ensure Provider contracting, network and relations are measurable and part of an overall cohesive data informed strategy that ensures overall qua...