Program Manager - LTSS Operations

Elevance Health • Nashville, TN

3d • Hybrid

About The Position

Program Manager - LTSS Operations Location: Nashville, TN; Atlanta, GA; Indianapolis, IN; Denver, CO. 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 if candidates reside within a commuting distance from an office. 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 Program Manager is responsible for the development and ongoing management of one or more operations focused projects supporting individuals and providers in Long-Term Services & Support programs. Program managers typically support business strategies through an integrated portfolio of external client facing projects or initiatives. A program manager may have responsibility for a piece of a larger enterprise/regional external client facing program. How you will make an impact: Acts as the primary liaison between LTSS leadership and clinical and operational teams, ensuring projects are executed with high quality and aligned with leadership expectations and contractual requirements. LTSS clinical and provider systems expert. Monitors the efficacy of Wellpoint systems, partners with product teams to test and offer guidance on system development, ensures that Wellpoint associates are leveraging best practices in utilizing systems. Partners with LTSS trainers to guide on HIP training strategies and enhancements. LTSS reporting subject matter expert, interfaces with enterprise reporting teams to ensure that LTSS has access to key data and supports associates in accessing and leveraging data through ThoughtSpot and other tools. Responsible for establishing and supporting LTSS membership retention, redetermination and disenrollment processes. Develops clear, impactful PowerPoint presentations, executive summaries, and performance reports aligned with LTSS operations and overall performance. Researches applicable subject matter practices and remains aware of industry trends. Manages external client facing relationships and partners with corporate and regional business areas. Coordinates training related to ECF CHOICES or other IDD programs; develops program success measures and performs periodic assessments of program success.

Requirements

• Requires a BA/BS and minimum of 5 years external client facing experience in program/project management; or any combination of education and experience, which would provide an equivalent background.
• Mastery in Microsoft products- Excel, PowerPoint and Word strongly preferred.

Nice To Haves

• Graduate degree preferred.
• Project management certification preferred.
• 5+ years of experience in LTSS operations preferred.

Responsibilities

• Acts as the primary liaison between LTSS leadership and clinical and operational teams, ensuring projects are executed with high quality and aligned with leadership expectations and contractual requirements.
• LTSS clinical and provider systems expert.
• Monitors the efficacy of Wellpoint systems, partners with product teams to test and offer guidance on system development, ensures that Wellpoint associates are leveraging best practices in utilizing systems.
• Partners with LTSS trainers to guide on HIP training strategies and enhancements.
• LTSS reporting subject matter expert, interfaces with enterprise reporting teams to ensure that LTSS has access to key data and supports associates in accessing and leveraging data through ThoughtSpot and other tools.
• Responsible for establishing and supporting LTSS membership retention, redetermination and disenrollment processes.
• Develops clear, impactful PowerPoint presentations, executive summaries, and performance reports aligned with LTSS operations and overall performance.
• Researches applicable subject matter practices and remains aware of industry trends.
• Manages external client facing relationships and partners with corporate and regional business areas.
• Coordinates training related to ECF CHOICES or other IDD programs; develops program success measures and performs periodic assessments of program success.

Benefits

• Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
• 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
• Number of Employees: 5,001-10,000 employees