Director GBD Special Programs Services - LTSS

Elevance Health • Iselin, NJ

14h • $140,116 - $210,174 • Hybrid

About The Position

Director GBD Special Programs Services – LTSS Office Location: 111 Wood Ave. S., STE 220, Iselin, NJ 08830 Hybrid 2: 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. Wellpoint is a proud member of the Elevance Health family of companies, delivering whole-health insurance solutions through Medicaid, Medicare and Family Plans. We believe focusing on the whole person is the foundation to living well because health is beyond physical—it’s recognizing the behavioral and social drivers that impact it, too. The Director GBD Special Programs is responsible for directing and overseeing the operations in alignment to a special product/programs, such as long term service and supports (LTSS), Foster Care, Intellectual and developmental disabilities (IDD), HIV/Aids population etc., with a focus on program performance, operating policies, process improvements, program enhancements, managing interdependencies and risks, program status and evaluation reporting, and growth/expansion.

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

• Strong background in Long-Term Services and Supports (LTSS) highly preferred.
• Data Literacy and Fluency, ability to use data to drive decisions and improve outcomes highly preferred.
• Project and Program Management experience, leading initiatives and implementing improvements highly preferred.
• Managed Care and Medicaid experience, understanding of complex populations and state requirements highly preferred.
• MBA preferred.
• RN, LSW, or LPN/LVN license preferred.

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 the performance of direct reports.

Benefits

• In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

What This Job Offers

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