Anticipated End Date:2026-06-03
Position Title:Director GBD Special Programs Services - LTSS
Job Description:Director GBD Special Programs Services - LTSSLocation: Nashville, TNHybrid 2: This role requires associates to be in-office
3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office .
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Tennessee residency is a requirement for this position.The
Director GBD Special Programs Services is responsible for directing and overseeing the operations in alignment to a special product/programs, such as long term service and supports (LTSS), with a focus on program performance, operating policies, process improvements, program enhancements, managing interdependencies and risks, program status and evaluation reporting, and growth/expansion.
How You Will Make an ImpactPrimary duties may include, but are not limited to:
- Directs and oversees program operations in support of corporate and health plan management in execution of clinical service delivery.
- Monitors national and local health plan market trends relative to the clinical span of the program.
- Leads and/or participates in cross-functional workgroups created to maintain and develop clinical programs.
- Evaluates all facets of the clinical program to improve efficiency of operations, financial return, customer service, and provider engagement.
- Develops, communicates, and monitors program schedule, budget, and resources plan; coordinates program deliverables and resolves issues that may hinder clinical program success.
- Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Minimum Requirements: - Requires a BA/BS and minimum of 8 years experience in a related field, including prior management experience and clinical, quality, and/or utilization management experience in a managed care setting; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:- MBA preferred.
- RN, LSW, or LPN/LVN license preferred.
- Experience working with senior leadership and state stakeholders.
- Experience presenting reports to state stakeholders.
Job Level:Director
Workshift:1st Shift (United States of America)
Job Family:BSP > Program/Project
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.