Medicaid State Operations Director II

3 weeks ago


Metairie LA, United States Elevance Health Full time
Job Summary

This position will work a hybrid model and must reside within 50 miles of our location. The successful candidate will be responsible for the fiscal and operational management of state regional Health Plans. The role involves developing, directing, planning, and evaluating the goals and objectives of regional areas within a State Health Plan. The candidate will also establish overall standards, policies, and objectives for Health Plans in accordance with applicable regulatory requirements. Additionally, the role requires local marketing and community relations, network development, provider partnerships, provider relations, medical management, case management, and quality management programs. The candidate will lead program development to ensure members, network providers, and community partners successfully participate. The role also involves leading and managing the local Health Plan performance management/operating gain improvement activities. The ideal candidate will have a BA/BS in a related field and a minimum of 8 years of relevant experience, including in-depth experience in the HMO/healthcare field, and a minimum of 5 years working with Medicaid and/or Medicare programs. The candidate should have strong leadership and management skills, as well as excellent communication and problem-solving abilities. The role offers a range of market-competitive total rewards, including merit increases, paid holidays, Paid Time Off, and incentive bonus programs. Elevance Health operates in a Hybrid Workforce Strategy, and the successful candidate will be required to work at an Elevance Health location at least once per week. The health of our associates and communities is a top priority for Elevance Health, and the company requires all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. 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.

  • Metairie, United States Elevance Health Full time

    Job SummaryAs a key member of our team at Elevance Health, we are seeking a highly skilled Medicaid State Operations Director to join our organization. This role will be responsible for the fiscal and operational management of state regional Health Plans.Key Responsibilities Develops, directs, plans, and evaluates the goals and objectives of regional areas...


  • Baton Rouge, LA , USA, United States Humana Full time

    Job SummaryBecome a part of our caring community and help us put health first. As a Regional Director of State Affairs, you will lead Humana's state advocacy and government engagement function, ensuring a consistent approach to strategic advocacy and state government outreach across the region. You will coordinate the work of external political consultants...


  • Metairie, Louisiana, United States Omega Hospital LLC Full time

    Job Title: Director, PlanningOmega Hospital LLC is seeking a highly skilled and experienced Director, Planning to join our team. As a key member of our leadership team, you will be responsible for the planning, organizing, and directing of functions of the Information Systems department and the Facility/Maintenance department.Key Responsibilities:Direct the...


  • Metairie, Louisiana, United States SON OF A SAINT Full time

    Job OverviewAs the Director of Operations at Son of a Saint, you will play a critical role in overseeing the day-to-day activities of the organization, ensuring that it is managed and performing efficiently and effectively.Key Responsibilities:Lead the Operations Department, overseeing the work and schedules of employees.Develop and implement logistics...

  • Medical Director

    3 weeks ago


    Metairie, LA, United States ChenMed Full time

    Transforming Healthcare for SeniorsAt ChenMed, we're changing lives every day for both our patients and team members. We're looking for innovative and entrepreneurial-minded individuals who share our passion for delivering exceptional care.Key Responsibilities:Provide high-quality medical care to patients in a rapidly expanding primary care...


  • La Mirada, California, United States Comar Full time

    Job Title: Production Operator IIComar is seeking a highly motivated and detail-oriented Production Operator II to join our team. As a key member of our production team, you will be responsible for operating and maintaining various packaging equipment, ensuring the quality and safety of our products.Key Responsibilities:Operate and maintain packaging...


  • La Salle, United States State of Illinois Full time

    Job SummaryWe are seeking a skilled Licensed Practical Nurse II to join our team at the State of Illinois. As a Licensed Practical Nurse II, you will provide high-quality patient care and work collaboratively with our healthcare team to ensure the best possible outcomes for our patients.Key ResponsibilitiesProvide skilled nursing care to patients in a...

  • Medical Director

    4 weeks ago


    Metairie, Louisiana, United States ChenMed Full time

    Transforming Healthcare for SeniorsAt ChenMed, we're changing lives every day for both our patients and team members. We're seeking a talented Medical Director to join our rapidly expanding team.Key Responsibilities:Lead a team of primary care physicians in delivering exceptional patient careDevelop and implement clinical strategies to improve patient...


  • Metairie, Louisiana, United States Investar Bank National As Full time

    Job SummaryWe are seeking a highly skilled Commercial Credit Underwriter II to join our team at Investar Bank National Association. The successful candidate will be responsible for prescreening and underwriting loan requests related to commercial real estate and commercial and industrial transactions.The ideal candidate will have a strong analytical mindset,...


  • La Salle, United States State of Illinois Full time

    Job SummaryThe State of Illinois is seeking a skilled Licensed Practical Nurse II to join our team. As a Licensed Practical Nurse II, you will provide high-quality patient care and work collaboratively with our healthcare team to ensure the best possible outcomes for our residents.Key ResponsibilitiesProvide skilled practical nursing functions for physically...

  • Sales Director

    3 weeks ago


    Metairie, LA, United States Carriage Services Full time

    Sales DirectorAt Carriage Services, we are united by our purpose of creating premier experiences through innovation, empowered partnership, and elevated service. As a key member of our team, you'll join a dynamic community dedicated to setting new standards in the Funeral and Cemetery profession. Key Responsibilities:Lead and manage the sales team's...

  • Maintenance Director

    4 weeks ago


    Metairie, United States Hotel 360 Full time

    Job Title: Maintenance DirectorHotel 360 is seeking a highly skilled and experienced Maintenance Director to join our team. As a key member of our facilities operations team, you will be responsible for ensuring the smooth operation of our hotel's maintenance and repair functions.Key Responsibilities:Oversee the maintenance and repair of all hotel equipment,...


  • La Salle, Illinois, United States State of Illinois Full time

    Job SummaryWe are seeking a skilled Licensed Practical Nurse II to join our team at the State of Illinois. As a Licensed Practical Nurse II, you will be responsible for providing high-quality patient care and working collaboratively with our healthcare team to ensure the best possible outcomes for our patients.Key ResponsibilitiesProvide skilled practical...


  • La Crosse, Wisconsin, United States Gundersen Health System Full time

    Director of ReimbursementAt Gundersen Health System, we are seeking a highly skilled and experienced Director of Reimbursement to lead our third-party reimbursement efforts. As a key member of our finance team, you will be responsible for overseeing all aspects of reimbursement processes, ensuring compliance with Medicare and Medicaid regulations, and...

  • Piping Designer II

    1 week ago


    Metairie, United States Audubon Companies Full time

    External DescriptionAudubon is currently seeking a Piping Designer II to join our team in our Metairie, LA Office. The Piping Designer II will perform assignments associated with designing Piping equipment, components, structures or systems.PRIMARY RESPONSIBILITIES: Prepare detailed drawings of parts and assemblies from layouts, designs and working drawings...


  • Metairie, United States Elevance Health Full time

    CarelonRx Account Manager II Location: This position will work a hybrid model (remote and office). The ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations listed on the requisition. The CarelonRx Account Manager II is responsible for retention and operational excellence that meets/exceeds client service and...


  • Metairie, LA, United States Elevance Health Full time

    Job SummaryWe are seeking a highly skilled Regulatory Affairs Director to join our team at Elevance Health. This role will be responsible for managing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.The ideal candidate will have a strong understanding of regulatory requirements and...

  • CNC Operator II

    3 months ago


    La Puente, United States Howmet Aerospace Full time

    ResponsibilitiesHowmet Fastening Systems (HFS) is seeking a CNC Operator II on 1st Shift for our City of Industry, California location.Howmet Fastening Systems (HFS) holds the number one global market position in aerospace fastening systems, and we're the North American leader in commercial transportation fasteners. Headquartered in Torrance, CA; HFS employs...


  • Metairie, Louisiana, United States Investar Bank National As Full time

    Job SummaryInvestar Bank National As seeks a skilled Commercial Credit Underwriter II to join our team. The successful candidate will be responsible for prescreening and underwriting loan requests related to commercial real estate and commercial and industrial transactions.Key Responsibilities:Proactively manage and complete assignments in a high production...

  • Office Specialist II

    4 weeks ago


    La Grande, Oregon, United States Eastern Oregon University Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Office Specialist II to join our team at Eastern Oregon University. This is a unique opportunity to work in both the Facilities & Planning Department and the Intercollegiate Athletics Department, providing administrative support and financial operations expertise.Key ResponsibilitiesAssist in...