Job Information
Elevance Health Director GBD Special Programs, LTSS Care Coordination in Overland Park, Kansas
Director GBD Special Programs, LTSS Care Coordination
Location: Topeka or Kansas City, KS. Hybrid (1-2 days onsite)
Position Overview:
This position leads Healthy Blue’s Care Coordination team, overseeing field coordinators and support staff responsible for conducting person centered planning. Responsible for the fiscal and operational management/implementation and oversight of Kansas long-term services and supports (LTSS) programs.
How you will make an impact:
• Develops and implements the strategic vision, goals, objectives, policies and decision making for Kansas LTSS Care Coordination team.
• Ensures all health plan medical management programs including concurrent review, pre-certification, discharge planning, case management, disease management, provider profiling, quality management, accreditation, health promotion and outreach.
• Facilitates and collaborates with medical management staff to identify gaps and improve processes.
• Leads the performance management/earnings improvement activities for the special product/program organization.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Required Qualifications:
• Requires a BA/BS and minimum of 10 years relevant experience, including prior management experience in a managed care setting with operations, budgeting and forecasting, process improvement, or planning experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications:
• MPA, MPH, MSN or MBA with Health Care concentration preferred.
• RN or LMSW license preferred.
• Experience working as a field-based care coordinator is preferred
• Experience managing field-based care coordination staff is highly preferred