Elevance Health-posted 24 days ago
Full-time • Manager
Hybrid • Indianapolis, IN
5,001-10,000 employees
Insurance Carriers and Related Activities

Medicaid Contract Implementation Management Manager Location: Indianapolis, Indiana Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Medicaid Contract Implementation Management Manager is responsible for guiding Medicaid State/Alliance objectives established by Health Plan leadership to meet business unit goals. How you will make an impact: Primary duties may include, but are not limited to: Supports the development, review and implementation of corporate initiatives, programs to support State/Alliance contract and operational needs. Provides guidance to operational leaders in resolving complex financial, legal, or other escalated issues. Guides shared services partners on behalf of the local market, including triage and management of change request inventory. Plans the implementation of key operational indicators to be used for monitoring and analysis of the Health Plan operations, while supporting the development of business requirements to ensure compliance with State/Alliance contract. Participates in development and review of policies and procedures related to field operations. Supports vendor management operations, as required by market; supports development of corrective actions to ensure compliance. Participates in operational support of provider organization partners; ensure members, network providers, and community partners successfully participate in programs.

  • Supports the development, review and implementation of corporate initiatives, programs to support State/Alliance contract and operational needs.
  • Provides guidance to operational leaders in resolving complex financial, legal, or other escalated issues.
  • Guides shared services partners on behalf of the local market, including triage and management of change request inventory.
  • Plans the implementation of key operational indicators to be used for monitoring and analysis of the Health Plan operations, while supporting the development of business requirements to ensure compliance with State/Alliance contract.
  • Participates in development and review of policies and procedures related to field operations.
  • Supports vendor management operations, as required by market; supports development of corrective actions to ensure compliance.
  • Participates in operational support of provider organization partners; ensure members, network providers, and community partners successfully participate in programs.
  • Requires a BA/BS and minimum 4 years experience in the health care or related field; or any combination of education and experience, which would provide an equivalent background.
  • Proficient knowledge of Medicaid and/or Medicare programs preferred.
  • 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.
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service