Job Information
Elevance Health Manager II GBD Special Programs (US) in Miami, Florida
Manager II GBD Special Programs
Location : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Tampa OR Miami, Florida Elevance Health PulsePoint locations .
The Manager II GBD Special Programs is 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.
How you will make an impact:
Primary duties may include, but are not limited to:
Directs and oversees program operations in support of the Florida LTSS enrollment and eligibility team.
Directs and collaborates with other 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, customer service, and member engagement.
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.
Monitors the accuracy and completeness of applications processed by the team and reviews for process improvements identified.
Identify deficiencies in operational reporting and work collaboratively with other departments to develop and implement processes that address these gaps, ensuring compliance with the state contract.
Responsible for regulatory reporting submissions under state contract requirements.
Implementing quality control measures to ensure compliance with standards.
Identifying and addressing any issues or discrepancies in the eligibility determination process and communicating with state partners.
Minimum Requirements:
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 Skills, Capabilities and Experiences :
Service delivery coordination, discharge planning, or behavioral health experience in a managed care setting preferred.
RN, LSW, or LPN/LVN license preferred.
Technical Proficiency preferred: Familiarity with software and technology used in LTSS enrollment and eligibility processes, including case management systems and electronic health records
Reporting Skills preferred: Proficiency in reporting to track enrollment and eligibility metrics, identify trends, and report findings to senior management.
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 Are
Elevance 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 Work
At 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.