Self-Direction Program Manager – Ohio at ELEVANCE HEALTH INC

Columbus, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

28 Feb, 26

Salary

134880.0

Posted On

30 Nov, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Program Management, Client Facing Experience, Health Insurance, Medicaid Expertise, Waiver Expertise, Self-Direction Operations, Contract Oversight, Vendor Compliance, Issue Resolution, Risk Mitigation, Leadership Skills, Communication Skills, Problem Solving, Attention to Detail, Critical Thinking, Time Management

Industry

Hospitals and Health Care

Description

Anticipated End Date: 2025-12-08 Position Title: Self-Direction Program Manager – Ohio Job Description: Program Manager Long Term Care - Self-Direction Program - OH Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. The ideal candidate will reside within a commuting distance from an OH Pulse Point location. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Program Manager Long Term Care - Self-Direction Program - OH is responsible for initial implementation and ongoing management of the Ohio MyCare Self Direction waiver program. The Program Manager will work in collaboration with the financial management services entities supporting members through the various self-direction programs, state partners, and independent living counselors. How you will make an impact: 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. Minimum Requirements: 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 Skills, Capabilities & Experience: 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. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $89,920 to $134,880. Locations: Columbus, OH. In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. *The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: Job Family: BSP > Program/Project Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. 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. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. 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 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. 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 elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading. Join our Talent Community and stay connected with company news, information, and future job opportunities. Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve approximately 100M+ people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. Please visit the Contract Worker Community Page. Elevance Health is an Equal Opportunity Employer/Disability/Veterans.

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Responsibilities

The Program Manager is responsible for the implementation and management of the Ohio MyCare Self Direction waiver program. This includes overseeing operations, managing contracts, and ensuring compliance with state regulations.