Specialty Provider Liaison- Children and Families Specialty Plan (CFSP) Region 2

Elevance Health•Hickory, NC

36d•Hybrid

About The Position

Specialty Provider Liaison- Children and Families Specialty Plan (CFSP) - DSS Region 2 (JR170832) #HealthyBlueCareTogetherCFSP We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, long term services and supports, Unmet health-related resource needs, and Integrated care management. We envision a North Carolina where all children and families thrive in safe, stable, and nurturing homes. North Carolina residency is required. $3,500 SIGN ON BONUS Location: This is a field-based position. Regional Specialty Provider Liaisons must reside and work within the aligned Department of Social Services (DSS) administrative region. This position will support the following communities in DSS Region 2. DSS Region 2 includes - Alexander, Alleghany, Ashe, Avery, Burke, Caldwell, Catawba, Cleveland, Gaston, Iredell, Lincoln, McDowell, Rutherford, Watauga, and Wilkes. Travel: Travel within the assigned Region is required. Field: This field-based role enables associates to primarily operate in the field, traveling to provider sites or designated locations within their region(s) as the role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to provider needs, and direct hands-on engagement. The Regional Specialty Provider Liaison (CFSP) is a field-based role responsible for spearheading initiatives with specialty providers serving the child welfare population. Responsibilities include but are not limited to working with providers and internal teams to ensure timely provider contracting, education on specialty topics, developing value-based payment strategies, and aligning providers with quality and population outcomes. This position collaborates with each of the 100 Department of Social Services (DSS) and service providers across the state to meet the needs of children and families involved with child welfare services. This position works directly with our network of providers to identify and align with CFSP and NCDSS shared priorities and strategic visions.

Requirements

BA/BS degree and a minimum 3 years of related experience; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

Any combination of experience providing or implementing mental health, physical health, substance use, behavioral health, pharmacy, intellectual/ developmental disability (I/DD) services, and long-term services and supports are preferred.
Master's degree in counseling, social work, or health/human services preferred.
Clinical licensure preferred. (i.e. LCSW, LCMHC, LCAS, etc)
Experience building relationships with Department of Social Services (DSS), service providers, and other stakeholders preferred.
Experience working in payer space directly with providers preferred.

Responsibilities

Assist with provider contracting efforts
Assist with implementing incentives and value-based arrangements
Inform, develop, and execute strategy to address provider access and gaps in treatment
Provider support including implementation of specialty training, identifying outcomes, consultation on complex needs and treatment models, and identifying opportunities to increase quality and service capacity

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.

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