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.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.Who We AreElevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.How We WorkAt Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
