Elevance Health Jobs

Director GBD Special Programs Services

Location: This position will work a hybrid model (remote and office) in California. The ideal candidate will live within 50 miles of one of the following Elevance Health PulsePoint offices: Woodland Hills, Rancho Cordova, or Walnut Creek.

The Director GBD Special Programs Services is responsible for directing and overseeing the clinical operations for CalAIM specifically, long term service and supports (LTSS), Intellectual and developmental disabilities (IDD), long term care, community based adult services, skilled nursing, sub acute care etc., 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:

• 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.

• LTSS experience preferred

• Managed Care experience preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $ 109,360 to $ 196,848

Location: California

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .

• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.