Manager II GBD Special Programs
Elevance Health

Job Info

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LOCATION: This is a hybrid role and the ideal candidate will be within 50 miles/1-hour commute of an eligible Elevance Health office. Florida residency is required.

HOURS: General business hours, Monday through Friday.

TRAVEL: As this position supports statewide, some travel within the state is required.

Responsible for supporting the development, implementation, and coordination of a comprehensive health care program in which members' needs are identified, including physical health, behavioral health, social services for a special product/programs such as long term service and supports (LTSS), Foster Care, Intellectual and developmental disabilities (IDD), HIV/Aids etc.

Primary duties may include, but are not limited to:

• Directs and oversees program operations in support of corporate and health plan management.
  
• Directs and collaborates with functional managers to develop and implement the steps necessary to manage program operations.
  
• Participates in cross-functional workgroups created to maintain and develop program.
  
• Evaluates program operations to improve efficiency of operations, financial return, customer service, and provider engagement.
  
• Develops, communicates, and monitors program schedule, budget, and resources plan.
  
• Manages resource utilization to ensure appropriate delivery of care to members and adequate coverage for departmental tasks and job responsibilities.
  
• Hires, trains, coaches, counsels and evaluates performance of direct reports.
  

Required Qualifications

• 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 Qualifications

• Current, active, unrestricted RN license issued by the state of Florida is a must!
  
• Service delivery coordination, discharge planning or behavioral health experience in a managed care setting is preferred.
  
• Bilingual English-Spanish skills are strongly preferred.
  
• Previous experience working with the Medicaid population is extremely helpful for this role.
  

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