Manager I GBD Special Programs at Elevance Health

Cincinnati, Ohio, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health InsuranceIndustries

Requirements

BA/BS degree and minimum of 5 years’ experience in a related field, including minimum of 1 year leadership/management experience; or any combination of education and experience which would provide an equivalent background
Experience with the Ohio Waiver Program is essential
Must be within reasonable commuting distance of Cincinnati, Columbus, Mason, or Seven Hills, Ohio (in-office 3 days per week)

Responsibilities

Hires, trains, coaches, counsels, and evaluates performance of direct reports
Adheres to the Anthem best practice model for all facets of program operations
Collaborates with management team to support alignment across coordination teams
Mentors direct reports to apply Independence First principles through appropriate service allocation determinations
Ensures adequate coverage for all tasks and job responsibilities
Coordinates service delivery of assigned team to include member assessments, care planning, and ongoing contacts
Participates in cross-functional workgroups to maintain and enhance the program
Evaluates current processes of Special Program's support functions; recommends changes for increased efficiencies and improved outcomes
Identifies training needs for coordination teams
Effectively communicates risks, status of team performance, and support needs to leadership
Utilizes performance data to support team with consistent compliance with key program metrics
Manages and oversees a team responsible for coordination of OH My Care comprehensive health care program for Ohio dually eligible members, including assessments for physical health, behavioral health, social drivers of health needs, LTSS populations, and HCBS coordination

Skills

Key technologies and capabilities for this role

Ohio Waiver ProgramLTSSHCBSMyCare Ohio PlanTrauma Informed CarePerson-Centered CoordinationTeam ManagementPerformance EvaluationHealthcare CoordinationBehavioral Health

Questions & Answers

Common questions about this position

What is the work arrangement for this role?

This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. Candidates not within a reasonable commuting distance from the posting locations will not be considered unless an accommodation is granted.

Where is this position located?

The position is located in Cincinnati, Columbus, Mason, or Seven Hills, Ohio.

What are the minimum education and experience requirements?

The role requires a BA/BS and a minimum of 5 years’ experience in a related field, including a minimum of 1 year of leadership/management experience, or any combination of education and experience that would provide an equivalent background.

What preferred skills are mentioned for this position?

Preferred skills include service delivery coordination, discharge planning, or behavioral health experience in a managed care setting.

What experience is essential for this role?

Experience with the Ohio Waiver Program is essential.

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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