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

Gastonia, North Carolina, United States

Apply Now

Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Medicaid, Social ServicesIndustries

Requirements

North Carolina residency required
Reside and work within DSS Region 2 (Alexander, Alleghany, Ashe, Avery, Burke, Caldwell, Catawba, Cleveland, Gaston, Iredell, Lincoln, McDowell, Rutherford, Watauga, Wilkes)
BA/BS degree and minimum 3 years of related experience, or equivalent combination of education and experience
Willingness to travel within the assigned Region

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
Provide support including implementation of specialty training, identifying outcomes, consultation on complex needs and treatment models, and identifying opportunities to increase quality and service capacity
Work 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
Collaborate with Department of Social Services (DSS) and service providers to meet needs of children and families involved with child welfare services
Work directly with network of providers to identify and align with CFSP and NCDSS shared priorities and strategic visions

Skills

Provider Relations

Medicaid

Child Welfare

Behavioral Health

Care Coordination

Stakeholder Engagement

Field-Based Work

DSS Collaboration

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.

Land your dream remote job 3x faster with AI

Try Jobo Free