Job Description
Director GBD Special Programs, LTSS Care Coordination
Location : Topeka or Kansas City, KS. Hybrid (1-2 days onsite)
Position Overview :
This position leads Healthy Blue’s Care Coordination team, overseeing field coordinators and support staff responsible for conducting person centered planning.
Responsible for the fiscal and operational management / implementation and oversight of Kansas long-term services and supports (LTSS) programs.
How you will make an impact :
- Develops and implements the strategic vision, goals, objectives, policies and decision making for Kansas LTSS Care Coordination team.
- Ensures all health plan medical management programs including concurrent review, pre-certification, discharge planning, case management, disease management, provider profiling, quality management, accreditation, health promotion and outreach.
- Facilitates and collaborates with medical management staff to identify gaps and improve processes.
- Leads the performance management / earnings improvement activities for the special product / program organization.
- Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Required Qualifications :
Requires a BA / BS and minimum of 10 years relevant experience, including prior management experience in a managed care setting with operations, budgeting and forecasting, process improvement, or planning experience;
or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications :
- MPA, MPH, MSN or MBA with Health Care concentration preferred.
- RN or LMSW license preferred.
- Experience working as a field-based care coordinator is preferred
- Experience managing field-based care coordination staff is highly preferred
Job Level : Director
Director
Workshift : Job Family :
Job Family : BSP >
BSP >
Program / Project
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.
Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient / member-facing roles to become vaccinated against COVID-19.
If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
Applicants who require accommodation to participate in the job application process may contact for assistance.
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