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Director of CHOICES, GBD Special Programs Services

Elevance Health -
Nashville, TN

Apply Now

Job Details

Full-time

Benefits

Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Managed care organization experience

Full Job Description

Director of CHOICES, GBD Special Programs Services

Location: Nashville, TN

Hybrid 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 of CHOICES, 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 Impact

Primary duties may include, but are not limited to:

Directs and oversees program operations in support of State and health plan requirements in execution of clinical service delivery.
Monitors national and local health plan market trends relative to the clinical span of the CHOICES program.
Leads and/or participates in cross-functional workgroups created to maintain and develop clinical programs.
Evaluates all facets of the CHOICES 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 the CHOICES 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:

8 years of experience in the CHOICES program or related field highly preferred
MBA preferred.
RN, LSW, or LPN/LVN license preferred.
Experience working with senior leadership and state stakeholders.
Experience presenting reports to state stakeholders.

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.

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 and Influenza. 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 [email protected] assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

Manager Special Programs jobs

Director of CHOICES, GBD Special Programs Services

Nurse Manager Maternity/Post Partum and Special Care Nursery 40hrs

Clinical Board Certified Behavior Analyst

Critical Time Intervention (CTI): Licensed Mental Health Professional

Recreational Therapist - PACE Pathways

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Qualified Intellectual Disabilities Professional (QIDP) / Manager

Manager of Clinical Services (RN) $7500 Sign on Bonus

RN

Patient Care Manager - Floater (RN)

Pharmacy Manager

Manager - Metallurgy Special Projects

OxyChem Insurance Risk Manager

Qualified Intellectual Disabilities Professional (QIDP)/Manager

Deputy Fire Chief

AVP I, IT Services & Facilities

Pharmacy Manager

RN Staff Development – Home Health & Hospice

RN I - Adult Acute Care Unit

RN Team Lead - Adult Acute Care Unit

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