Director GBD Special Programs Services - LTSS

Elevance Health • Nashville, TN

4d • Hybrid

About The 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:

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