LTSS Director - Planning Strategy Lead Strategy Prog Dev Director
LTSS Director - Planning Strategy Lead Strategy Prog Dev Director
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Job Description
Anticipated End Date:
Position Title:
LTSS Director Planning & Strategy Lead (Strategy & Prog Dev Director)Job Description:
LTSS Director Planning & Strategy Lead Strategy & Prog Dev Director)
Preferred Location: Ohio. This position is hybrid and will require the associate to report to 1 of 4 Elevance 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.
MyCare Ohio Plan program 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 LTSS Director Planning & Strategy Lead is responsible for providing strategic leadership and oversight for the implementation and administration of the Next Generation MyCare Ohio Program coordinating with internal partners to ensure growth and compliance.
How will you make an impact:
Accountable for implementing and overseeing clinical management functions for members receiving LTSS including assessments service planning care coordination transition planning member appeals state hearings and member and caregiver education and training.
Responsible for monitoring LTSS performance across financial clinical LTSS network and operational KPIs integrating new regulatory requirements within the OH MyCare Program.
Lead Care Coordination and LTSS Provider Relations to execute initiatives/innovations and trend mitigation ensuring compliance with program requirements rules and regulations.
Implement and oversee provider management functions for LTSS services including provider enrollment orientations monitoring and operating an incident management investigation and response system.
Develop and oversee program policies procedures and protocols in accordance with federal and state requirements overseeing the member grievance process.
Work closely with Medical Officers Quality Directors Providers and other partners to improve coordination and engage with LTSS NF and HCBS providers community partners and other advocates to solicit feedback.
Establish relationships to drive collaboration and satisfaction with the administration of the OH MyCare Program.
Minimum Requirements:
Requires a BA/BS degree in a related field and a minimum of 10 years of related experience including 5 years of leadership experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills Capabilities and Experiences:
Licensed Registered Nurse (RN) or Licensed Independent Social Worker (LISW) for the state of Ohio strongly preferred.
Masters degree in a healthrelated field and 5years leading Medicaid programs supporting LTSS waiver populations such as older adults and/or individuals with disabilities with preferred experience delivering home and communitybased services in Ohio.
Extensive knowledge of Medicaid policy with demonstrated experience in promoting personcentered planning transitions of care diversion from higher levels of care network development valuebased payment arrangements and monitoring quality of care strongly preferred.
Experience interfacing and partnering across all lines of businesses.
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:
Director EquivalentWorkshift:
1st Shift (United States of America)Job Family:
BUS > Strategy Planning &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 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
