Medicaid Contract Implementation Management Manager at Elevance Health

Indianapolis, Indiana, 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, InsuranceIndustries

Requirements

BA/BS degree
Minimum 4 years experience in the health care or related field (or any combination of education and experience providing an equivalent background)

Responsibilities

Supports the development, review and implementation of corporate initiatives and programs to support State/Alliance contract and operational needs
Provides guidance to operational leaders in resolving complex financial, legal, or other escalated issues
Guides shared services partners on behalf of the local market, including triage and management of change request inventory
Plans the implementation of key operational indicators to be used for monitoring and analysis of the Health Plan operations, while supporting the development of business requirements to ensure compliance with State/Alliance contract
Participates in development and review of policies and procedures related to field operations
Supports vendor management operations, as required by market; supports development of corrective actions to ensure compliance
Participates in operational support of provider organization partners; ensures members, network providers, and community partners successfully participate in programs

Skills

Key technologies and capabilities for this role

MedicaidContract ImplementationVendor ManagementOperational LeadershipCompliancePolicy DevelopmentChange ManagementProvider RelationsFinancial AnalysisBusiness Requirements

Questions & Answers

Common questions about this position

What is the work arrangement for this role?

This is a hybrid position requiring associates to be in-office 1-2 days per week in Indianapolis, Indiana, to foster collaboration while providing flexibility for productivity and work-life balance. Candidates not within a reasonable commuting distance from the location will not be considered unless an accommodation is granted.

What are the minimum education and experience requirements?

The role requires a BA/BS and a minimum of 4 years of experience in the health care or related field, or any combination of education and experience that provides an equivalent background.

What preferred skills are mentioned for this position?

Proficient knowledge of Medicaid and/or Medicare programs is preferred.

What is the salary or compensation for this role?

This information is not specified in the job description.

What kind of experience makes a strong candidate for this role?

Strong candidates will have a BA/BS with at least 4 years in healthcare or related fields, plus preferred proficient knowledge of Medicaid and/or Medicare programs, along with experience supporting contract implementation, operational needs, and compliance in health plans.

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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