Director of LTSS Provider Relations
Director of LTSS Provider Relations
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Job Description
Anticipated End Date:
Position Title:
Director of LTSS Provider RelationsJob Description:
Director of LTSS Provider Relations
Preferred Location: Ohio. This position is hybrid and will require the associate to report to 1 of the 4 Ohio office locations at least 12 times per week. The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations within the state of Ohio.
The MyCare Ohio health plan is to deliver highquality trauma informed culturally competent personcentered coordination for all members that addresses physical health behavioral health long term services and supports and psychosocial needs.
The Director of LTSS (LongTerm Support Services) Provider Relations will be responsible for spearheading the development and maintenance of the LTSS provider network ensuring robust network demographics and leading the provider relations (PR) teams. This role will focus on fostering strong partnerships and efficient operations within the LTSS provider spectrum ensuring that all activities align with business objectives and enhance the overall networks effectiveness (internal company title is Director Network Relations
How will you make an impact:
- Develops and implements strategic business plan for all aspects of PN (Provider Network) Operations.
- Ensures the LTSS provider network has the resources tools and supports necessary to deliver highquality care to members.
- Participates and supports network development strategies with management staff of each regional market.
- Leads/manages process redesign.
- Manages departmental operations and ensures the timely establishment and maintenance of provider files.
- Manages web development and content of webbased provider directories.
- Determines resource needs and develops cost estimates for executive management.
- Hires trains coaches counsels and evaluates performance of direct reports.
Minimum Requirements:
- Requires a BA/BS degree in business or related health field and a minimum of 7 years experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills Capabilities and Experiences:
- MBA preferred.
- Applicants with proven expertise in provider contract interpretation and negotiation are strongly preferred.
- Strong preference for candidates with experience in leading and managing large teams.
- Experience interfacing and partnering across all lines of businesses.
- LTSS Provider experience strongly preferred.
- Exceptional presentation skills with the ability to convey complex information clearly and persuasively.
- Proficiency in Excel at an intermediate to advanced level is preferred.
Job Level:
DirectorWorkshift:
1st Shift (United States of America)Job Family:
PND > Provider Relationship Account MgmtPlease 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 marketcompetitive 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 1hour 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/memberfacing roles to become vaccinated against COVID19 and Influenza. 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. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Required Experience:
Director
Employment Type
Full-Time
