Medicaid State Operations Director-Kansas

Elevance Health • Overland Park, KS

3d • Hybrid

About The Position

Medicaid State Operations Director-Kansas Location: Kansas. This role requires associates to be in-office 3 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. 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 State Operations Director-Kansas will be responsible for operations functions, including coordination between internal departments, ensuring the appropriate strategy, tactics, and processes are in place to affect solid organizational operations and oversight.

Requirements

• Requires a BA/BS in Business, Healthcare Administration, or related field and a minimum of 10 years experience, including a minimum of 8 years in-depth experience in managed care operations; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• Masters degree preferred.
• Six Sigma Black Belt preferred.
• Experience in a highly matrixed healthcare environment.
• Demonstrated knowledge and understanding of KanCare and regulatory requirements for Managed Care Organizations (MCOs).

Responsibilities

• Resolves programmatic challenges related to operations including member issues, provider claims issues, contract configuration issues, etc.
• Serves as liaison to Health Plan support services, which could include: Claims, Enrollment, NCC, PDM/PDQ, configuration; Quality, Regulatory Compliance, IT, Reimbursement policy, etc.
• Identifies opportunities for Operational Excellence and works to create seamless processes between shared services and the Health Plan.
• Develops and implements key operational indicators to be used for monitoring and analysis of the Health Plan operations.
• Serves as a liaison with state regulatory agencies when appropriate.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees