Manager II GBD Special Programs - LTSS

Anticipated End Date:2025-05-30

Position Title:Manager II GBD Special Programs - LTSS

Job Description:

Manager II GBD Special Programs - LTSS

Location: Ohio. This position is hybrid and will require the associate to report to 1 of 4 Elevance office locations at least 1-2 times per week. The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations within the state of Ohio.

MyCare Ohio Plan program is to deliver high quality, trauma informed, culturally competent, person centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs.

The Manager II GBD Special Programs - LTSS is responsible for supporting direct team oversight and program strategy and implementation of OH My Care comprehensive health care program in which Ohio dually eligible members including individuals receiving long-term services and supports (LTSS) needs are assessed for physical health, behavioral health, and social driver of health needs for older adults, LTSS populations, and Home and Community Based Services (HCBS) coordination.

How You Will Make an Impact:

Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Supports director with operational process and strategy to ensure the Anthem best practice model is embedded in all facets of program operations.

Collaborates with management team to drive strategy for alignment across coordination teams.

Develops approaches for practical application of Independence First principles through appropriate service allocation determinations and supports direct reports with adherence.

Ensures adequate coverage of all tasks and job responsibilities for assigned region.

Partners with management team for state wide case assignment and caseload oversight processes.

Coordinates service delivery of assigned team to include member assessments, care planning, and ongoing contacts.

Lead assigned subject matter area strategy to create documented processes and workflows.

Foster and maintain relationships across the Coordination Team, Health Plan, and Center of Excellence to drive and inform program strategy.

Evaluates current processes of Special Program's support functions; recommends enhancements for increased efficiencies and improved outcomes across program operations to include member and provider engagement.

Works with the management team to evaluate training needs for Specialty Program teams and collaborate with training team for content creation and coordination of training delivery.

Effectively communicates program risks, status of team performance, and support needs to leadership.

Utilizes performance data to support team with consistent compliance with key program metrics.

Utilizes population data to identify emerging risk and creates mitigation strategies.

Directs and oversees program operations in support of corporate and health plan management.

Mentors Manager I team to execute on program strategies.

Minimum Requirements:

Requires a BA/BS and minimum of 6 years’ experience, including prior management experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

Service delivery coordination, discharge planning, or behavioral health experience in a managed care setting preferred.

RN, LISW, license in the State of Ohio is strongly preferred.

Experience with Medicaid programs supporting LTSS waiver populations such as older adults and/or individuals with disabilities is preferred.

Experience delivering home- and community-based services in Ohio is preferred.

Experience managing field-based associates is preferred.

Job Level:Manager

Workshift:

Job Family:BSP > Program/Project

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

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