drjobs Manager II GBD Special Programs

Manager II GBD Special Programs

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Job Location drjobs

South Bend, IN - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Anticipated End Date:

Position Title:

Manager II GBD Special Programs

Job Description:

Manager II GBD Special Programs LTSS Care/Service Coordination

Location: State of Indiana. Ideal candidate will live in the South Bend area. Alternate locations may be considered.

Office Requirement: This position is a field based position.

The Manager II GBD Special Programs LTSS Care/Service Coordination will be responsible for supporting the development implementation and coordination of a comprehensive health care program in which members needs are identified including physical health behavioral health social services for a special product/programs such as long term service and supports (LTSS) for both Medicare and Indiana Medicaid..

How you will make an impact:

  • Directs and oversees Care/Service Coordination program operations in support of corporate and health plan management.
  • Directs and collaborates with functional managers to develop and implement the steps necessary to manage program operations.
  • Participates in crossfunctional workgroups created to maintain and develop LTSS Care/Service Coordination program.
  • Evaluates program operations to improve efficiency of Care/Service Coordination operations financial return customer service and provider engagement.
  • Develops communicates and monitors program schedule budget and resources plan.
  • Manages resource utilization to ensure appropriate delivery of care to members and adequate coverage for departmental tasks and job responsibilities.
  • Hires trains coaches counsels and evaluates performance of direct reports.

Minimum Requirements

Requires a BA/BS and minimum of 6 years experience including prior management experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills Capabilities and Experiences:

  • 3 years of health care Care/Service Coordination experience is highly preferred.
  • Prior experience in Long Term Services and Supports (LTSS) or with the program population is highly preferred.
  • Current unrestricted Indiana clinical license or certification in applicable field is strongly preferred such as RN LCSW LMHC is highly preferred.
  • MS in the health field (for example nursing) preferred.
  • Knowledge of health plans including familiarity with prior authorization and precertification process; knowledge of contracts and strong knowledge of managed benefit programs strongly preferred.

Job Level:

Manager

Workshift:

1st Shift (United States of America)

Job Family:

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 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:

Manager

Employment Type

Full-Time

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