Senior Director, Supplemental Providers & Enhanced Benefits(Preferred Experience in Managed Care)
Core
Oversees supplemental vendor relationships and enhanced benefit programs (e.g., OTC, nutrition, maternal/infant support) across assigned markets and products to ensure compliance, operational efficiency, and performance optimization.
Role type
Senior Director, Managed Care Operations & Vendor Strategy
Builds
Scalable governance frameworks, vendor management processes, and enhanced benefit offerings for Medicaid managed care members.
Domain
US Healthcare / Medicaid Managed Care / Vendor Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Medicaid managed care operations, Enhanced/value-added Medicaid benefits, CMS and state Medicaid regulations, Delegation oversight, Managed care contracting, Population health and health equity strategies, Vendor due diligence, Contract negotiation, Budget forecasting, Team leadership
Preferred skills
Complex vendor portfolio management, Audit readiness, Operational improvement initiatives, Analytics partnership
Technologies
None explicitly stated
Responsibilities
Develop enterprise strategy for supplemental vendor management and enhanced benefits; Monitor vendor and program performance via metrics, audits, and reporting; Secure pricing guardrails and actuarial inputs from Finance; Review and approve forecasts and budgets for vendors; Partner with leadership to design and optimize benefit offerings; Lead vendor selection, contract reviews, renewals, and RFP processes; Ensure compliance with Federal Medicaid, CMS, NCQA, and privacy regulations; Lead and develop a high-performing vendor management team.
Seniority
Senior Director, Enterprise Strategy & Leadership