Manager GBD Special Programs - LTSS

Manager I GBD Special Programs - LTSS

Location:

Ohio.

This role requires associates to be in-office 3 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.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

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 work groups 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.

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 market-competitive total rewards that include merit increases, paid holidays, Paid Time Off,…