About The Position

The Director Government Business Division (GBD) Special Programs Services is responsible for directing and overseeing the operations in alignment to a special product/programs, such as Foundational Community Supports (FCS). As well as 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

  • Ability to demonstrate strong executive presence by communicating with clarity and confidence strongly preferred.
  • 5 plus years leadership experience leading and managing teams strongly preferred.
  • Advance knowledge of Washington State Medicaid programs and initiatives strongly preferred.
  • Healthcare clinical marketing experience is a plus.
  • RN, LSW, or LPN/LVN license preferred.
  • MBA 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 performance of direct reports.

Benefits

  • 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).

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What This Job Offers

Job Type

Full-time

Career Level

Director

Number of Employees

5,001-10,000 employees

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