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Elevance Health · 3 hours ago

Self-Direction Program Manager – Ohio

Mason, OH

Full-time

Hybrid

Mid, Senior Level

$90K/yr - $135K/yr

5+ years exp

Elevance Health is a health company dedicated to improving lives and communities, and they are seeking a Program Manager for the Long Term Care - Self-Direction Program in Ohio. The Program Manager will be responsible for the implementation and management of the Ohio MyCare Self Direction waiver program, overseeing operations, contracts, and training related to self-direction programs.

Health CareHealth InsurancePersonal HealthWellness

H1B Sponsor Likely

Responsibilities

Development and ongoing management of the OhioMyCare self-direction program available HCBS waivers

Daily management and oversight of the Ohio self-direction program operations including enrollment, eligibility, FMS operations, claims payment, member communications and coordination of services for enrollees

Responsible for oversight of contracts with financial management services entities and conducts routine audits of key performance indicators and contract adherence

Serve as the liaison between the MCO, member, FMS and state

Support business strategies through an integrated portfolio of external client facing projects or initiatives

Collaborate with the LTSS COE as part of the larger enterprise/regional external client facing program

Manages and coordinates the development, approval, implementation and compliance of on-going external client facing programs; develops program budget; ensures program meets its stated objectives; provides subject matter expertise in response to day-to-day external client facing business issues

Research applicable self-direction practices and remains aware of industry trends

Coordinates training related to the state self-direction programs; develops program success measures and performs periodic assessments of program success

Qualification

Program managementHealth insurance experienceMedicaid expertiseSelf-Direction operationsProject management certificationContract oversightVendor complianceLeadership skillsCommunication skillsProblem solving skillsCritical thinkingTime management

Required

Requires a BA/BS and minimum of 5 years external client facing experience in program/project management; or any combination of education and experience, which would provide an equivalent background

Preferred

MBA preferred

Project management certification (PMP) preferred

Health insurance experience strongly preferred

Medicaid and Waiver expertise strongly preferred

Prior experience working with Self-Direction operations and service delivery preferred

Knowledgeable working with FMS preferred

Contract oversight experience preferred

Vendor compliance, issue resolution and proactive risk mitigation experience preferred

Strong leadership/managerial skills and ability to motivate/coach other staff strongly preferred

Strong written and oral communication skills, problem solving skills, attention to detail and well organized preferred

Prior experience in the ability to convey complex concepts clearly to executive audiences preferred

Strong critical thinking, problem-solving, time management, and attention to detail skills preferred

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Merit increases

Paid holidays

Paid Time Off

Incentive bonus programs

Medical

Dental

Vision

Short and long term disability benefits

401(k) +match

Stock purchase plan

Life insurance

Wellness programs

Financial education resources

Company

Elevance Health

Glassdoor3.6

Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

Founded in 1944

Indianapolis, Indiana, USA

10001+ employees

https://www.elevancehealth.com

H1B Sponsorship

Elevance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

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