• Job Description

  Req#: R-46168

  BlueCross BlueShield of Tennessee is hiring a Director of MLTSS IDD Programs. In this critical role, you’ll lead the development, coordination, implementation, and completion of large projects for all BlueCare MLTSS (Managed Long Term Services & Supports) IDD (Intellectual and Developmental Disabilities) programs at BCBST (including ECF CHOICES, Katie Beckett, and SelectCommunity). Our ideal candidate will serve as a thought leader and MLTSS IDD subject matter expert, bringing fresh perspectives on the ways we support our members and translating enterprise objectives into program improvements.

  Note: We are a remote-first organization, but this role will require at least quarterly travel across Tennessee (Nashville, Chattanooga). Additionally, qualified candidates will need to reside in Tennessee (or be open to relocation here).

  Job Responsibilities

  • Identifies and designs new strategies to support IDD population.
  • Directs the development and implementation of new initiatives and monitors ongoing performance of all aspects of the IDD programs to ensure projects are implemented, accepted, and accomplished within set deadlines, ensuring that quality standards and goals are achieved
  • Establishes processes, procedures, and practices for teams to follow within the program ensuring adherence to all contractual and accreditation requirements and standards
  • Ensures that all relevant areas within the program strategies are supported and consistent with organizational business goals and regulations.
  • Serves as IDD subject matter expert and builds bridges across all areas within the organization. Translates corporate objectives into program objectives and practices

  Job Qualifications

  Education

  • Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment

  Experience

  • 5 years - Management and/or leadership experience required
  • 3 years - Experience in the LTSS program required
  • 3 years - Experience with CMS, Medicaid and Medicaid LTSS regulations and contract management required
  • 3 years - Experience with Medicaid/Waiver IDD programs required

  Skills\Certifications

  • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
  • Outstanding negotiation, presentation, and facilitation skills
  • Excellent oral and written communication skills
  • Strong interpersonal and organizational skills
  • Ability to manage multiple projects and priorities
  • Conflict management and resolution skills
  • Positive attitude, self-driven, engaging, proactive, results drive
  • Ability to meet schedule deadlines and departmental goals
  • Ability to act as a mentor
  • Knowledge of best practices in the delivery of home and community-based and employment services to individuals with IDD
  • Ability to build relationships with stakeholders in multiple divisions/functions

  Number of Openings Available:

  1

  Worker Type:

  Employee

  Company:

  VSHP Volunteer State Health Plan, Inc

  Applying for this job indicates your acknowledgement and understanding of the following statements:

  BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

  Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

  BCBST's EEO Policies/Notices

  BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

  Tobacco-Free Hiring Statement

  To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products (including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes) in any form in Tennessee and where state law permits. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test. An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotine and/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six (6) months from the date of the post offer screening results.

  Resources to help individuals discontinue the use of tobacco/nicotine products include smokefree.gov or 1-800-QUIT-NOW.

• About the company

  BlueCross BlueShield of Tennessee is the largest health benefit plan company in Tennessee.

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