• Job Description

  Req#: JR102492

  Anticipated End Date:

  2024-02-04

  Position Title:

  Director Network Management - LTSS

  Job Description:

  Director Network Management - LTSS

  Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Office locations considered: TX, IA, WI, GA, TN, VA

  As part of the National Long Term Services and Supports Center of Excellence team the Director Network Management will leverage their LTSS Provider Relations expertise to drive strategic execution of our HCBS and NF/ICF servicing model and workforce capacity initiatives ensuring members have access to HCBS services, improve quality, drive performance and accountability, improve provider satisfaction, and drive competitive positioning.

  How you will make an impact:

  • Oversees contracting, collaboration and maintenance of all HCBS providers and facilities, oversight of value based payment initiatives, maintaining provider satisfaction and positioning Elevance Health as the leading plan for supporting LTSS provider types., etc.
  • Oversees the development, maintenance and reconciliation of physician risk contracts and capitated arrangement.
  • Attracts, develops and manages key contracting and servicing staff in all our LTSS markets.
  • D evelops innovative ways to maintain a cost effective network with adequate access and positive working relationships with providers.
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.

  Minimum Requirements:

  • Requires a BS/BA degree in business administration or related healthcare field and a minimum of 8 years healthcare operations, finance, underwriting, actuary, network development and sales experience; or any combination of education and experience, which would provide an equivalent background.

  Preferred Skills, Capabilities and Experiences:

  • LTSS experience strongly preferred.
  • Experience in managing LTSS provider relations teams strongly preferred.
  • Strongly preferred CPA or MBA degree.

  Job Level:

  Director

  Workshift:

  Job Family:

  PND > Provider Relationship Account Mgmt

  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.

• About the company

  Elevance Health, Inc. is an American health insurance provider.

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