Long-Term Services & Supports Strategy & Program Development Director at Elevance Health

Overland Park, Kansas, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health InsuranceIndustries

Requirements

BA/BS degree in a related field and a minimum of 10 years of related experience including 5 years of leadership experience; or any combination of education and experience which would provide an equivalent background
Must be within a reasonable commuting distance from the posting location in Kansas (in-office 3 days per week)

Responsibilities

Serves as the primary liaison between the State and Healthy Blue Kansas, exemplifying thought leadership, ensuring compliance, and fostering a strong, collaborative partnership
Acts as the subject matter expert regarding the LTSS/Child Welfare market specific clinical, operational and provider expectations
Collaborates with LTSS Center of Excellence on overall performance through monthly reviews and assisting with the development and execution of strategic/innovative solutions
Maintains a working knowledge of the structure which governs the delivery system including but not limited to, waiver structure, contract arrangements/requirements, changes in waiver filings, market landscape, etc
Establishes strategy to track and monitor market clinical and operational performance and continued alignment with contractual/regulatory standards including but not limited to: Care Coordination timelines, quality of care, and member/provider satisfaction
Monitors related legislation and advises senior management relative to compliance
Assists in creating company's strategic and annual plans
Drives the strategic and operational performance of Healthy Blue’s LTSS program, ensuring alignment and excellence across Care Coordination, Provider Relations, and Operations
Strengthens the Healthy Blue KS LTSS team’s growth and compliance through strategic partnerships, both internal and external
Acts as an identified State contact and liaison between Health Plan and Long-Term Services & Supports Center of Excellence team, demonstrating thought leadership across program strategies, proposals for change, and management of new requirements
Works closely with the medical officers, quality director, and other clinical partners to provide direction to improve coordination and implement community-based and institutional initiatives
Travels to worksite and other locations as necessary

Skills

Key technologies and capabilities for this role

LTSSProgram DevelopmentStrategyCare CoordinationProvider RelationsOperationsComplianceStrategic PartnershipsThought LeadershipStakeholder ManagementMedicaidChild Welfare

Questions & Answers

Common questions about this position

What is the work arrangement for this role?

This role is hybrid and requires associates to be in-office 3 days per week in Kansas, with flexibility for virtual work to support productivity and work-life balance. Candidates not within a reasonable commuting distance from the posting location will not be considered unless an accommodation is granted.

What are the minimum qualifications for this position?

The role requires a BA/BS degree in a related field and a minimum of 10 years of related experience.

What salary or compensation does this role offer?

This information is not specified in the job description.

What does the company culture emphasize for this role?

The culture fosters collaboration and connectivity through 3 in-office days per week, while providing flexibility for productivity and work-life balance in a dynamic and adaptable workplace.

What makes a strong candidate for this director role?

Strong candidates will have a BA/BS in a related field with 10+ years of experience in LTSS or related areas, expertise in clinical, operational, and provider expectations, and the ability to demonstrate thought leadership in strategy, compliance, and partnerships.

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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