Director I Medicaid State Operations
Elevance Health

Description

Director I Medicaid State Operations

Location: Indianapolis, Indiana; this is a hybrid position required to go into the Indianapolis office 4-10 times per month.

Director I Medicaid State Operations develops, directs, plans and evaluates the goals and objectives of the business unit for assigned State.

How you will make an impact:

• Establishes state/regional strategic plans and objectives to meet business unit goals.
• Assumes leadership role in implementing corporate initiatives.
• Helps address complex financial, legal, or politically sensitive issues.
• Supports issue identification and resolution of contractual issues (PCP, specialist, hospital, and ancillary).
• Plans, directs, and secures the resources (people, material, data and support) for staff to effectively accomplish operational needs and strategic initiatives.
• Provides oversight of indirect reporting associates.
• Motivates associates to accomplish goals and objectives.
• Develops and implements a strong team through training and effective organizational development practices.
• In collaboration with and in support of the National Operations, assumes all Operational management functions for a state/regional/field office.
• Ensures all policies and procedures related to Field Operations are compliant with all applicable laws and regulations governing the State Sponsored Business.
• Champions initiatives by developing and managing State and other key relationships with government, regulatory, Medicaid/SCHIP and other stakeholders as appropriate. Provides coordinated analysis and regional solutions to issues.
• Guides implementation of programs and strategies.
• Collaborates with senior management to develop and implement new programs to enhance relationships with key stakeholders and to promote programs and services.
• Collaborates with Management to develop strategies for all assigned lines of business.
• Resolves programmatic challenges related to program operations including member issues, provider claims and provider network.
• Manages projects and issues across departmental and divisional lines to facilitate timely resolution.
• Represents business unit on national/state/regional boards, task forces, and work groups that impact the health care delivery system and other key health care issues.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports (11 total).

Minimum Requirements:

• Requires a BA/BS in a related field and minimum of 8 years management experience in the health care field; specific contract negotiation experience in both provider network management and state rate contracting; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Masters degree preferred.
• Excellent communication skills including presenting information to large/professional audiences.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

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.

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 - and Elevance Health approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World's Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. 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 ability@icareerhelp.com for assistance.

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