Current jobs related to Manager I GBD Special Programs-LTSS Auditing - Topeka - Elevance Health

  • LTSS Concierge Coordinator

    1 week ago

    Topeka, Kansas, United States Elevance Health Full time

    Job Summary:The LTSS Concierge Coordinator is responsible for supporting individuals in specialized programs by developing, monitoring, and revising Service Coordination forms and tools, such as the Person-Centered Support Plan (PCSP), to ensure individuals meet their established goals in the setting of their choice and accessing quality health care services...

  • GBD Personal Guide

    2 weeks ago

    Topeka, United States Elevance Health Full time

    Anticipated End Date: 2024-11-15 Position Title: GBD Personal Guide - Foster Care (Customer Service) Job Description: GBD Personal Guide - Foster Care Must be located in the state of Kansas The GBD Personal Guide - Foster Care is responsible for serving GBD member(s) with the Personal Guide Service Model. How you will make an impact: Facilitate and...

  • Case Manager

    5 days ago

    Topeka, United States Elevance Health Full time

    Anticipated End Date: 2024-11-23 Position Title: Case Manager (LTSS Service Coordinator) - Topeka, Kansas Job Description: Location: Field associates spend 4-5 days per week in-person with patients, members or providers. The LTSS SERVICE COORDINATOR is responsible for conducting service coordination functions for a defined caseload of individuals in...

  • LTSS Service Care Manager

    2 weeks ago

    Topeka, Kansas, United States Sunflower Health Plan Full time

    Job Title: LTSS Service Care ManagerAt Sunflower Health Plan, we are seeking a highly skilled LTSS Service Care Manager to join our team. As a key member of our care management team, you will play a critical role in ensuring our members receive high-quality, cost-effective care.Job Summary:The LTSS Service Care Manager will be responsible for developing,...

  • LTSS Service Care Manager

    2 weeks ago

    Topeka, Kansas, United States Sunflower Health Plan Full time

    Job Title: LTSS Service Care ManagerCentene is seeking a highly skilled LTSS Service Care Manager to join our team. As a key member of our care management team, you will play a critical role in ensuring the health and well-being of our members.Job Summary:The LTSS Service Care Manager will be responsible for developing, assessing, and coordinating holistic...

  • Case Manager

    6 days ago

    Topeka, United States Elevance Health Full time

    Anticipated End Date:2024-11-23Position Title:Case Manager (LTSS Service Coordinator) - Topeka, KansasJob Description:Location: Field associates spend 4-5 days per week in-person with patients, members or providers.The LTSS SERVICE COORDINATOR is responsible for conducting service coordination functions for a defined caseload of individuals in specialized...

  • Network Relations Consultant

    2 months ago

    Topeka, United States Elevance Health Full time

    Network Relations Consultant, LTSS Provider Representative Location: Kansas. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Kansas Elevance Health PulsePoint locations. The Network Relations Consultant, LTSS Provider Representative develops and maintains positive provider...

  • Healthcare Advocate Coordinator

    2 months ago

    Topeka, Kansas, United States Elevance Health Full time

    Job SummaryWe are seeking a highly skilled and experienced Ombudsman Liaison to join our team at Elevance Health. The successful candidate will be responsible for coordinating services with local community organizations and working with local advocacy organizations to ensure that members receiving supports through the LTSS/HCBS Waiver programs have access to...

  • LTSS Service Care Manager

    7 days ago

    Topeka, Kansas, United States Sunflower Health Plan Full time

    Job Summary: As a LTSS Service Care Manager with Sunflower Health Plan, you will play a critical role in transforming the health of our communities, one person at a time. This position is responsible for developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes for our members with...

  • LTSS Care Coordinator

    1 month ago

    Topeka, United States UnitedHealthcare Full time

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start...

  • Ombudsman Liaison Specialist

    2 months ago

    Topeka, Kansas, United States Elevance Health Full time

    Job SummaryWe are seeking a highly skilled Ombudsman Liaison to join our team at Elevance Health. The successful candidate will be responsible for coordinating services with local community organizations and working with local advocacy organizations to ensure that members receiving supports through the LTSS/HCBS Waiver programs have access to Covered...

  • Ombudsman Liaison Specialist

    1 week ago

    Topeka, Kansas, United States Elevance Health Full time

    Job Summary: We are seeking a highly skilled Ombudsman Liaison to join our team at Elevance Health. As a key member of our organization, you will play a critical role in coordinating services with local community organizations and working with local advocacy organizations to ensure that members receiving supports through the LTSS/HCBS Waiver programs have...

  • Foster Care Programs Case Manager I

    2 weeks ago

    Topeka, Kansas, United States Elevance Health Full time

    Job Title: Foster Care Programs Case Manager IAt Elevance Health, we are seeking a highly skilled and compassionate Foster Care Programs Case Manager I to join our team. As a key member of our organization, you will play a vital role in providing exceptional care and support to our members.Job Summary:The Foster Care Programs Case Manager I is responsible...

  • Foster Care Programs Case Manager I

    3 days ago

    Topeka, Kansas, United States Elevance Health Full time

    Job Summary:We are seeking a skilled Special Programs Case Manager I to join our team at Elevance Health. As a key member of our team, you will be responsible for performing case management telephonically and/or by home visits within the scope of licensure for special programs, such as Foster Care. Your primary goal will be to manage overall healthcare costs...

  • LTSS Service Coordinator

    2 months ago

    Topeka, United States Elevance Health Full time

    Anticipated End Date: 2024-11-11 Position Title: LTSS Service Coordinator - RN Clinician (Kansas City/Olathe/Topeka) Job Description: Location: Field associates spend 4-5 days per week in-person with patients, members or providers in Kansas City/Olathe/Topeka and surrounding areas. The LTSS SERVICE COORDINATOR - RN CLINICIAN is responsible for overall...

  • Supervisory Management and Program Analyst

    2 weeks ago

    Topeka, Kansas, United States Internal Revenue Service Full time

    About the JobThe Internal Revenue Service (IRS) is seeking a highly skilled Supervisory Management and Program Analyst to join our team. As a key member of our IT division, you will be responsible for overseeing the planning, development, and implementation of technical programs and projects.Key ResponsibilitiesProvide technical guidance and leadership to...

  • Care Manager

    4 weeks ago

    Topeka, Kansas, United States Sunflower Health Plan Full time

    Job Title: LTSS Service Care ManagerSunflower Health Plan is seeking a skilled LTSS Service Care Manager to join our team. As a key member of our care management team, you will play a critical role in ensuring our members receive high-quality, cost-effective care.Job Summary:The LTSS Service Care Manager will be responsible for developing, assessing, and...

  • Care Manager

    1 month ago

    Topeka, Kansas, United States Sunflower Health Plan Full time

    Job Title: LTSS Service Care ManagerSunflower Health Plan is seeking a highly skilled LTSS Service Care Manager to join our team. As a key member of our care management team, you will play a critical role in ensuring our members receive high-quality, cost-effective care.Job Summary:The LTSS Service Care Manager will be responsible for developing, assessing,...

  • Foster Care Programs Case Manager I

    2 weeks ago

    Topeka, Kansas, United States Elevance Health Full time

    Job Title: Foster Care Programs Case Manager IAt Elevance Health, we are seeking a highly skilled and compassionate Foster Care Programs Case Manager I to join our team. As a key member of our healthcare team, you will be responsible for providing exceptional care and support to our foster care population.Key Responsibilities:Conduct thorough assessments to...

  • LTSS Care Coordinator

    1 month ago

    Topeka, KS, United States UnitedHealthcare Full time

    At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start...

Manager I GBD Special Programs-LTSS Auditing

2 months ago

Topeka, United States Elevance Health Full time
Description

Manager I GBD Special Programs-LTSS Auditing

Location : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Topeka, KS OR Olathe, KS Elevance Health PulsePoint location.

The Manager I GBD Special Programs - LTSS Auditing is responsible for supporting the development, implementation, and coordination of a clinical audit team for long term services and supports (LTSS), Intellectual and Development Disabilities and other age blind and disabled population care managers, ensuring compliance with both internal standards and external regulatory requirement.

How you will make an impact:

Primary duties may include, but are not limited to:
  • Manages resource utilization to ensure appropriate delivery of care to members, adequate coverage for all tasks and job responsibilities.
  • Directs and oversees audit strategies in support of corporate and health plan compliance
  • Directs and collaborates with functional managers to develop and implement the steps necessary to manage program operations and overall performance.
  • Participates in cross-functional workgroups created to improve internal controls and streamline processes
  • Extracts and manipulates analytical data to present findings to relevant markets and stakeholders.
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Minimum Requirements:
  • Requires a BA/BS and minimum of 5 years experience in a related field, including minimum of 1 year leadership/management experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences :
  • Significant experience in clinical auditing, preferably in a managerial role.
  • Excellent communication, leadership and project management skills.
  • Strong analytical abilities and insight into healthcare-legislation and guidelines.

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.comfor assistance.