Anthem Manager I GBD Special Programs (LTSS Program Auditing and Compliance experience) - Ohio - PS7862 in Norfolk, Virginia

Manager I GBD Special Programs (LTSS Program Auditing and Compliance experience) - Ohio - PS7862

New

Location: United States

Field: Medical

Requisition #: PS7862

Post Date: 5 days ago

Your Talent. Our Vision. At Anthem Blue Cross and Blue Shield , a proud member of the Anthem, Inc. family of companies, it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care . This is an exceptional opportunity to do innovative work that means more to you and those we serve.

Location: Work from home, but must reside in the state of Ohio.

The Manager I Special Programs is responsible for managing and overseeing team responsible for coordination of a comprehensive health care program in which members needs are identified, including physical health, behavioral health, social services for a special product/programs such as long term service and supports (LTSS), Foster Care, Intellectual and developmental disabilities(IDD), HIV/Aids etc.

Primary duties may include, but are not limited to:

  • Manages resource utilization to ensure appropriate delivery of care to members, adequate coverage for all tasks and job responsibilities.

  • Coordinates service delivery to include member assessment of physical and psychological factors.

  • Participates in cross-functional workgroups created to maintain and develop program.

  • Evaluates current processes of Special Program's support functions; recommends changes for increased efficiencies and improved outcomes.

  • Develops and conducts training programs for staff involved in the program.

  • Extracts and manipulates analytical data to present findings to relevant markets and stakeholders.

  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.

  • Requires a BA/BS; 5 years of experience in a related field, including 1 year of leadership/management experience; or any combination of education and experience, which would provide an equivalent background.

  • Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred.

  • RN, LSW, LPC, or LPN/LVN license preferred.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.