Ombudsman Liaison

Elevance Health • Grand Prairie, TX

1d • Hybrid

About The Position

This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. 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 accommodation is granted as required by law. The Ombudsman Liaison is responsible for coordinating services with local community organizations and working with local advocacy organizations to assure benefit awareness. Responsible for interacting with State and local agency equivalent ombudsman staff and submitting relevant reports.

Requirements

• Requires a BA/BS degree and a minimum of 7 years of related experience; or any combination of education and experience, which would provide an equivalent background.
• Experience in developing programs and services for individuals with disabilities is required.

Nice To Haves

• LTSS experience, including auditing and compliance, is strongly preferred.
• Experience with community outreach is preferred.

Responsibilities

• Develops and executes statewide ombudsman strategy for the STAR Kids and STAR+PLUS programs through strategic planning, collaborations, and strategic alliances.
• Improves understanding of local advocacy organizations, philosophies, stakeholders, legislators and providers that interact with or influence members and policy.
• Serves as an informal information resource, communication channel, complaint handler, facilitator, consultant, and practitioner for dispute resolution.
• Seeks fair/equitable solutions to member/provider problems.
• Recommends dispute resolution processes to address and manage conflicts; recommends policy and procedural changes.
• Brings issues to health plan executive leadership to address care delivery improvement efforts and promote effective relationships/communication between members and providers.
• Initiates, directs, and facilitates activities.
• Develops partnerships that are in concert with the company's overall strategy to improve our collaboration across agencies.

Benefits

• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs
• medical
• dental
• vision
• short and long term disability benefits
• 401(k) +match
• stock purchase plan
• life insurance
• wellness programs
• financial education resources

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level