Director GBD Special Programs Services - LTSS

Elevance Health • Nashville, TN

3d • Hybrid

About The Position

Director GBD Special Programs Services - LTSS Location: State of Tennessee. It is highly preferred that the selected candidate resides in Nashville, TN. This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Alternate locations may be considered if candidates reside within a commuting distance from an office. 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. Tennessee residency is a requirement for this position. The Director GBD Special Programs Services is responsible for directing and overseeing the operations in alignment to a special product/programs, such as long term service and supports (LTSS), with a focus on program performance, operating policies, process improvements, program enhancements, managing interdependencies and risks, program status and evaluation reporting, and growth/expansion. 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 management in execution of clinical service delivery. Monitors national and local health plan market trends relative to the clinical span of the program. Leads and/or participates in cross-functional workgroups created to maintain and develop clinical programs. Evaluates all facets of the clinical program to improve efficiency of operations, financial return, customer service, and provider engagement. Develops, communicates, and monitors program schedule, budget, and resources plan; coordinates program deliverables and resolves issues that may hinder clinical program success. Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Requirements

• Requires a BA/BS and minimum of 8 years experience in a related field, including prior management experience and clinical, quality, and/or utilization management experience in a managed care setting; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• MBA preferred.
• RN, LSW, or LPN/LVN license preferred.
• Experience working with senior leadership and state stakeholders.
• Experience presenting reports to state stakeholders.

Responsibilities

• Directs and oversees program operations in support of corporate and health plan management in execution of clinical service delivery.
• Monitors national and local health plan market trends relative to the clinical span of the program.
• Leads and/or participates in cross-functional workgroups created to maintain and develop clinical programs.
• Evaluates all facets of the clinical program to improve efficiency of operations, financial return, customer service, and provider engagement.
• Develops, communicates, and monitors program schedule, budget, and resources plan; coordinates program deliverables and resolves issues that may hinder clinical program success.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees