Medicare Duals Management Director
4 weeks ago
Description
Medicare Duals Management Director-Mid Atlantic
* Norfolk VA or Richmond VA
Location : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Norfolk, VA or Richmond, VA Elevance Health PulsePoint locations.
The Medicare Duals Management Director is responsible for developing and ensuring the implementation of a local market duals strategy, specifically focusing on dual eligible members (Medicare and Medicaid) and serving as a bridge between Medicare and Medicaid Product Development and Duals organizations and the local market on current and desired business performance levels, anticipating short-term business needs and long-term perspectives for success.
How you will make an impact:
Primary duties may include, but are not limited to:
* Support the development of a 3 to 5-year Duals product and growth strategy for the Health Plan and lead coordinating and facilitating enterprise product/process innovation and development activities.
* Establish performance indicators to monitor Duals' performance.
* Monitor and advise senior management about regulatory developments, impending changes, or trends.
* Partner with Government Relations and enterprise teams on local policy changes that will drive Duals growth and integration.
* Foster state relationships for DSNP, in partnership with the Medicaid President, LTSS leader, and Government Relations.
* Attend state DSNP meetings and be the thought leader.
* Drive synergy enrollment strategies and tactics.
* Research new ventures and prospective revenue expansion opportunities in synergy with growth partners, providers, regulators, legislators, and thought leaders.
* Document requirements from Health Plan contracts with states (SMACs) and monitor performance.
* Work closely with National Duals team and local Government Relations to support customized Government Relations strategies.
Minimum Requirements:
Requires BA/BS degree in a related field; 10 years of related experience, including 5 years in a leadership role; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences :
* MBA preferred.
* In-depth knowledge and experience in Medicare or Medicaid and previous experience in large complex matrix organizations strongly preferred.
* Travel may be required.
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.
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