Manager I GBD Special Programs - LTSS

Elevance Health•Cincinnati, OH

5d•Hybrid

About The Position

The Manager I GBD Special Programs - LTSS is responsible for managing and overseeing a team responsible for coordination of the OH My Care comprehensive health care program. This program serves Ohio dually eligible members, including individuals receiving long-term services and supports (LTSS). The role involves assessing physical health, behavioral health, and social drivers of health needs for older adults, LTSS populations, and Home and Community Based Services (HCBS) coordination. The MyCare Ohio Plan program aims to deliver high-quality, trauma-informed, culturally competent, person-centered coordination for all members, addressing physical health, behavioral health, long-term services and supports, and psychosocial needs.

Requirements

Requires a BA/BS and minimum of 5 years experience in a related field, including minimum of 1 year leadership/management experience; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

Experience with the Ohio Waiver Program preferred.
Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred.
Knowledge of Medicare benefits preferred.
RN, LISW, LMHC license in the State of Ohio is strongly preferred.
Service Coordination or Care Management experience is strongly preferred.
Experience with OH Waiver programs preferred.
Experience supporting field based associates preferred.

Responsibilities

Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Adheres to the best practice model for all facets of program operations.
Collaborates with management team to support alignment across coordination teams.
Mentor direct reports to apply Independence First principles through appropriate service allocation determinations.
Ensures adequate coverage for all tasks and job responsibilities.
Coordinates service delivery of assigned team to include member assessments, care planning, and ongoing contacts.
Participates in cross-functional workgroups to maintain and enhance the program.
Evaluates current processes of Special Program's support functions; recommends changes for increased efficiencies and improved outcomes.
Identifies training needs for coordination teams.
Effectively communicates risks, status of team performance, and support needs to leadership.
Utilizes performance data to support team with consistent compliance with key program metrics.