VP, Market Operations – Preferred Experience in Managed Care, Ohio

CareSource

. Develop the overall Ohio market program strategy and business objectives .

Posted 10/28/2026full-timeRemote • Ohio • United StatesLead💰 $150,000 - $300,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in health plan operations, strategic management, and financial administration, with a strong focus on compliance and stakeholder engagement. Proven ability to lead cross-functional teams and implement market strategies that drive growth and operational efficiency.

Highest-signal resume keywords

Health Plan Operations ExperienceStrategic Management SkillsFinancial Administration Management AcumenRegulatory Compliance KnowledgeManagement Experience in Managed Care

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Market Program Strategy DevelopmentOperational Tactics TranslationProduct Diversification IdentificationBudget ManagementCompliance Reporting

Soft Skills

Conflict Resolution SkillsPlanning and Problem-Solving SkillsCollaboration and Team Leadership

Tools & Technologies

Microsoft Office

Certifications & Qualifications

Bachelor of Science DegreeMaster’s Degree (Preferred)Influenza Vaccination Requirement

Industry Keywords

Managed CareHealth InsuranceStakeholder EngagementOperational ControlsConsumer Adoption Initiatives

About the role

Key responsibilities & impact

Develop the overall Ohio market program strategy and business objectives
Lead alignment and collaboration to establish CareSource as an industry leader in member and provider engagement, experience, and plan management
Oversee more than five products within the market to ensure profitability, compliance, and growth
Lead the Market leadership team in establishing strategic and operational goals
Manage over 500,000 members across the market
Identify growth strategies and product diversification opportunities
Establish relationships with partners and stakeholders for market and product expansion
Translate business and program vision into operational tactics and organizational infrastructure
Lead program implementation in new markets, allocate resources, and facilitate ongoing operations
Establish post-implementation strategies and goals to mitigate program risks
Oversee day-to-day market program operations and operational controls
Lead regular market business reviews with stakeholder groups including HR, IT, Finance, quality improvement, and Care4U
Develop, translate, and execute market strategies and operational requirements
Facilitate organizational goals and priorities with the leadership team
Ensure short- and long-term strategic priorities are achieved effectively and efficiently
Oversee staffing resources and responsibilities for market operations
Initiate operational plans and cross-functional capabilities
Collaborate with Corporate Compliance to resolve issues, maintain contract compliance, and translate regulatory procedures into operational outcomes
Collaborate with Finance and Data Management on internal and external compliance reporting
Oversee departmental finances, budgets, and sales forecasts
Perform other duties as requested

Requirements

What you’ll need

Bachelor of Science degree in finance, business, or health care field or equivalent work experience is required
Master’s degree is preferred
Five (5) years of health plan operations experience is required
Five (5) years of leading division and corporate initiatives to drive systemic change and consumer adoption of health insurance and engagement initiatives is required
Five years of management experience in managed care setting is required
Intermediate proficiency with Microsoft Office
Knowledge of product requirements spanning regulatory, operations, clinical, reporting, and compliance
Health Plan Financial & Administration Management Acumen
Strategic management skills
Conflict resolution skills
Planning, problem identification, and resolution skills
Influenza vaccination is required as a condition of continued employment during Influenza season (October 1–March 31); employees hired during the season have 30 days to complete it
Ability to travel as required by business needs

Benefits

Comp & perks

Bonus tied to company and individual performance
Comprehensive total rewards package
Influenza vaccination requirement and immunization support
Reasonable accommodations for qualified individuals with disabilities, medical conditions, or sincerely held religious beliefs
Ability to travel as required by business needs