Program Director, LTSS Operations
2 weeks ago
Program Director, LTSS Operations
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.
The Program Director, LTSS Operations is responsible for the development and ongoing management of one or more external client facing programs that are multi-state, multi-function and multi-year in scope. Program directors typically support business strategies through an integrated portfolio of external client facing programs, projects and initiatives. The LTSS Operations Program Director will have responsibility for developing and managing the LTSS COE Operations playbook, ensuring best practices are memorialized, implemented and maintained. This position will have extensive experience working with claims for LTSS services, including Nursing Facility and Consumer Direction models. This claims experience should extend to upstream processes that impact adjudication with proven track record of supporting process improvement activities in this area.
How you will make an impact:
• Directs the development, planning, prioritization, approval, implementation and compliance of on-going external client facing programs.
• Establishes program governance when needed to assure response to issue escalation; develops program budget and ensures program meets its stated objectives.
• Provides subject matter expertise in response to day to day business issues; researches applicable subject matter practices; and remains aware of industry trends.
• Manages external client facing relationships and partners with corporate and regional business areas.
• Develops communication documents and training criteria related to external client facing program success measures.
• Develops documentation to support meeting presentations and the tracking and reporting of the program's success.
• Provides leadership to program managers and project managers.
• Typically reports to an executive.
• Program directors typically manage external client facing programs that require managing activities and resources of multiple departments or business areas of the organization.
• This position will support the KS LTSS implementation and lead national LTSS COE initiatives.
Minimum Requirements:
• Requires a BA/BS and minimum of 10 years experience in external client facing program management, project management; complex business processes, strategic and business planning; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
• Health plan / managed care experience operations is strongly preferred.
• Experience in provider data, claims, authorizations, encounters for atypical/essential/LTSS providers is strongly preferred.
• Project management certification (PMP) preferred.
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $110,160 to $206,550
Locations: California; Jersey City, NJ; New York
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.
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