Manager II GBD Special Program Utilization Management
Manager II GBD Special Program Utilization Management
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Job Description
Anticipated End Date:
Position Title:
Manager II GBD Special Program (Utilization Management)Job Description:
Manager II GBD Special Program
Location: This position will work a hybrid model 12 days/week onsite in office). Our Ideal candidate will live within a 50mile radius and a 1hour commute to our Elevance Health major office (PulsePoint) in Miami or Tampa FL. Elevance Health supports a hybrid workplace model with PulsePoint sites used for collaboration community and connection.
Schedule: This position will work a 1st shift from 8:30 am 5:00 pm (EST) Monday thru Friday. Additional hours or days may be required based on operational needs.
The Manager II GBD Special Program is responsiblefor 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) Foster Care Intellectual and developmental disabilities (IDD) HIV/Aids etc.
How you will make an impact
Primary duties may include but are not limited to:
- Directs and oversees program operations in support of corporate and health plan UM 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 program.
- Evaluates program operations to improve efficiency of 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:
- Service delivery coordination discharge planning or behavioral health experience in a managed care setting preferred.
- Registered Nurse strongly preferred.
- RN LSW or LPN/LVN license preferred.
- Proficient in Microsoft Office preferred.
Job Level:
ManagerWorkshift:
1st Shift (United States of America)Job Family:
BSP > Program/ProjectPlease 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
