Manager I GBD Special Programs - LTSS

Manager I GBD Special Programs - LTSS

This role requires associates to be in-office three days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

MyCare Ohio Plan program is to deliver high-quality, trauma informed, culturally competent, person-centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs. The Manager I GBD Special Programs - LTSS is responsible for managing and overseeing a team responsible for coordination of OH My Care comprehensive health care program in which Ohio dually eligible members including individuals receiving long-term services and supports (LTSS) needs are assessed for physical health, behavioral health, and social driver of health needs for older adults, LTSS populations, and Home and Community Based Services (HCBS) coordination.

How You Will Make an Impact

• Hires, trains, coaches, counsels, and evaluates performance of direct reports.
• Adheres to the Anthem best practice model for all facets of program operations.
• Collaborates with management team to support alignment across coordination teams.
• Mentor direct reports to apply Independence First principles through appropriate service allocation determinations.
• Ensures adequate coverage for all tasks and job responsibilities.
• Coordinates service delivery of assigned team to include member assessments, care planning, and ongoing contacts.
• Participates in cross-functional workgroups to maintain and enhance the program.
• Evaluates current processes of Special Program's support functions; recommends changes for increased efficiencies and improved outcomes.
• Identifies training needs for coordination teams.
• Effectively communicates risks, status of team performance, and support needs to leadership.
• Utilizes performance data to support team with consistent compliance with key program metrics.

Minimum Requirements

• Requires a BA/BS and minimum of 5 years' experience in a related field, including minimum of 1 year leadership/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.
• Knowledge of Medicare benefits preferred.
• RN, LISW, LMHC license in the State of Ohio is strongly preferred.
• Service Coordination or Care Management experience is strongly preferred.
• Experience with OH Waiver programs strongly preferred.
• Experience supporting field-based associates preferred.

Job Level: Manager

Job Family: BSP > Program/Project

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.

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.

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 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 elevancehealthjobssupport@elevancehealth.com 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.