Manager II GBD Special Programs - LTSS Care/Service Coordination⯠- Family Care
About The Position
The Manager II GBD Special Programs will be responsible for supporting the development, implementation, and coordination of a comprehensive health care program in which members' needs are identified, including physical health, behavioral health, social services for Wisconsin Family Care, a long-term service and supports (LTSS) program. How you will make an impact: Directs and oversees program operations in support of corporate and health plan management. Directs and collaborates with functional managers to develop and implement the steps necessary to manage program operations. Participates in cross-functional workgroups created to maintain and develop program. Evaluates program operations to improve efficiency of operations, financial return, customer service, and provider engagement. Develops, communicates, and monitors program schedule, budget, and resources plan. Manages resource utilization to ensure appropriate delivery of care to members and adequate coverage for departmental tasks and job responsibilities. Hires, trains, coaches, counsels and evaluates performance of direct reports.
Requirements
- Requires a BA/BS and minimum of 6 years experience, including prior management experience; or any combination of education and experience, which would provide an equivalent background.
Nice To Haves
- 3 years of health care Care/Service Coordination experience is highly preferred.
- Prior experience in Long Term Services and Supports (LTSS) or with the program population is highly preferred.
- MS in the health field preferred.
- Knowledge of health plans, including familiarity with prior authorization and precertification process; knowledge of contracts and strong knowledge of managed benefit programs (family care/partnership) strongly preferred.
Responsibilities
- Directs and oversees program operations in support of corporate and health plan management.
- Directs and collaborates with functional managers to develop and implement the steps necessary to manage program operations.
- Participates in cross-functional workgroups created to maintain and develop program.
- Evaluates program operations to improve efficiency of operations, financial return, customer service, and provider engagement.
- Develops, communicates, and monitors program schedule, budget, and resources plan.
- Manages resource utilization to ensure appropriate delivery of care to members and adequate coverage for departmental tasks and job responsibilities.
- 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.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Industry
Insurance Carriers and Related Activities
Number of Employees
5,001-10,000 employees
