Program Consultant - Family Care

Elevance Health • Waukesha, WI

71d • Hybrid

About The Position

Program Consultant Location: WI-Waukesha, N17W24222 Riverwood Dr., Ste 300 We are currently seeking people in the following counties: Durand, Mondovi, Arcadia, Black River Falls, Neillsville, La Crosse, Sparta, Mauston, Viroqua, Baraboo Richland Center, Prairie du Chien, Platteville, Dodgeville, Darlington, Monroe, Milwaukee. 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. Hybrid: 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. The Program Consultant is responsible for the development and ongoing management of one or more external client facing programs within a business unit. Program consultants typically support business strategies through an integrated portfolio of external client facing projects or initiatives. This position will serve as the Employment Specialist and Self-Direction Specialist for Anthem's Wisconsin Family Care health plan. This person is responsible for the development and ongoing management of one or more external client facing programs within a business unit. Program consultants typically support business strategies through an integrated portfolio of external client facing projects or initiatives. This position uses best practices to help facilitate and support the person-centered integration of employment services and supports amongst the market's members to encourage cooperation and alignment with our Employment First approach. This position will also support members in managing their self-directed services (SDS) by providing education, resources, and tools to help them exercise control over their care. How you will make an impact: Manages the development, approval, implementation and compliance of on-going external client facing programs; develops program budget; ensures program meets its stated objectives; provides subject matter expertise in response to day to day business issues. Researches applicable subject matter practices and remains aware of industry trends. Manages relationships and partners with corporate and regional business areas; coordinates training related to the external client facing program; develops program success measures and performs periodic assessments of external client facing program success.

Requirements

• Requires a BA/BS in a related field and minimum of 3 years experience in external client facing program management; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• Knowledgeable in self-direction operations and service delivery including, but not limited to: enrollment, eligibility, fiscal intermediary operations, claims payment, member communications, and coordination of services is preferred.
• Familiarity with working with a FMS, as well as contract oversight and vendor compliance, issue resolution and proactive risk mitigation is preferred.
• Working knowledge of disability employment policy and federal programs such as Vocational Rehabilitation, and Ticket to Work is preferred.
• Understanding and experience implementing employment programs for people with varying degrees of talent and experience, utilizing discovery to determine employment focus as well as experience and education to determine best employment opportunities for individuals with intellectual and developmental disabilities is preferred.

Responsibilities

• Manages the development, approval, implementation and compliance of on-going external client facing programs
• Develops program budget
• Ensures program meets its stated objectives
• Provides subject matter expertise in response to day to day business issues.
• Researches applicable subject matter practices and remains aware of industry trends.
• Manages relationships and partners with corporate and regional business areas
• Coordinates training related to the external client facing program
• Develops program success measures and performs periodic assessments of external client facing program success.

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: Mid Level
• Industry: Insurance Carriers and Related Activities
• Number of Employees: 5,001-10,000 employees