Ombudsman Liaison - Program Manager

Job Title

Ombudsman Liaison - Program Manager

North Carolina – residency required

General business hours, Monday through Friday.

Travel to various regions within North Carolina may be required; work is primarily field‑based.

Primarily field‑based with occasional office attendance for meetings or training.

Operationalize a statewide Medicaid Plan (Children and Families Specialty Plan) to support Medicaid‑enrolled infants, children, youth, young adults, and families served by the child welfare system – ensuring seamless, integrated, and coordinated health care and access to core benefits.

• Develop and execute a statewide ombudsman strategy for the NC Children and Families Specialty Plan.
• Build collaborations and strategic alliances to improve understanding of local advocacy organizations, stakeholders, legislators, and providers.
• Serve as an informal information resource, communication channel, complaint handler, facilitator, consultant, and practitioner for dispute resolution.
• Seek fair and equitable solutions to member and provider problems, and recommend dispute‑resolution processes and policy changes.
• Escalate issues to health‑plan executive leadership to improve care delivery and promote effective communication between members and providers.
• Manage and coordinate development, approval, implementation, and compliance of ongoing external client‑facing programs; prepare program budgets and ensure objectives are met.
• Provide subject‑matter expertise for day‑to‑day external client‑facing business issues.
• Research applicable subject‑matter practices and stay abreast of industry trends.
• Maintain external client‑facing relationships and partner with corporate and regional business areas.
• Coordinate training related to external client‑facing programs, develop success measures, and conduct periodic assessments.

• Bachelor’s degree (BA/BS) and a minimum of 5years of external client‑facing experience in program or project management; or equivalent combination of education and experience.
• Graduate degree preferred.

• Project management certification preferred.
• Graduate degree preferred.

Job Level: Non‑Management Exempt
Workshift: 1st Shift
Job Family: BSP >
Program/Project

Elevance Health is an Equal Employment Opportunity employer and will consider all qualified applicants without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status protected by applicable law.