Medicare Duals Management Director

2 weeks ago

Richmond, United States Elevance Health Full time

**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.

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