Director of CHOICES, GBD Special Programs Services

Elevance Health•Nashville, TN

9d•Hybrid

About The Position

The Director of CHOICES, 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.

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

8 years of experience in the CHOICES program or related field highly preferred
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 State and health plan requirements in execution of clinical service delivery.
Monitors national and local health plan market trends relative to the clinical span of the CHOICES program.
Leads and/or participates in cross-functional workgroups created to maintain and develop clinical programs.
Evaluates all facets of the CHOICES 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 the CHOICES clinical program success.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.