Specialty Provider Liaison- Children and Families Specialty Plan (CFSP) Reg at ELEVANCE HEALTH INC

Sparta, North Carolina, United States -

Full Time

Start Date

Immediate

Expiry Date

14 Mar, 26

Salary

0.0

Posted On

14 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Provider Contracting, Value-Based Payment Strategies, Behavioral Health, Physical Health, Integrated Care Management, Child Welfare Services, Provider Support, Mental Health Services, Substance Use Services, Long Term Services, Developmental Disabilities, Community Engagement, Quality Improvement, Training Implementation, Outcome Identification, Stakeholder Collaboration

Industry

Hospitals and Health Care

Description

Anticipated End Date: 2026-01-05 Position Title: Specialty Provider Liaison- Children and Families Specialty Plan (CFSP) Region 2 Job Description: Specialty Provider Liaison- Children and Families Specialty Plan (CFSP) – DSS Region 2 (JR170832) #HealthyBlueCareTogetherCFSP We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, long term services and supports, Unmet health-related resource needs, and Integrated care management. We envision a North Carolina where all children and families thrive in safe, stable, and nurturing homes. North Carolina residency is required. $3,500 SIGN ON BONUS Location: This is a field-based position. Regional Specialty Provider Liaisons must reside and work within the aligned Department of Social Services (DSS) administrative region. This position will support the following communities in DSS Region 2. DSS Region 2 includes - Alexander, Alleghany, Ashe, Avery, Burke, Caldwell, Catawba, Cleveland, Gaston, Iredell, Lincoln, McDowell, Rutherford, Watauga, and Wilkes. Travel: Travel within the assigned Region is required. Field: This field-based role enables associates to primarily operate in the field, traveling to provider sites or designated locations within their region(s) as the role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to provider needs, and direct hands-on engagement. The Regional Specialty Provider Liaison (CFSP) is a field-based role responsible for spearheading initiatives with specialty providers serving the child welfare population. Responsibilities include but are not limited to working with providers and internal teams to ensure timely provider contracting, education on specialty topics, developing value-based payment strategies, and aligning providers with quality and population outcomes. This position collaborates with each of the 100 Department of Social Services (DSS) and service providers across the state to meet the needs of children and families involved with child welfare services. This position works directly with our network of providers to identify and align with CFSP and NCDSS shared priorities and strategic visions. Primary duties include: Assist with provider contracting efforts Assist with implementing incentives and value-based arrangements Inform, develop, and execute strategy to address provider access and gaps in treatment Provider support including implementation of specialty training, identifying outcomes, consultation on complex needs and treatment models, and identifying opportunities to increase quality and service capacity Minimum Requirements: BA/BS degree and a minimum 3 years of related experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, Experiences and Qualifications: Any combination of experience providing or implementing mental health, physical health, substance use, behavioral health, pharmacy, intellectual/ developmental disability (I/DD) services, and long-term services and supports are preferred. Master’s degree in counseling, social work, or health/human services preferred. Clinical licensure preferred. (i.e. LCSW, LCMHC, LCAS, etc) Experience building relationships with Department of Social Services (DSS), service providers, and other stakeholders preferred. Experience working in payer space directly with providers preferred. Job Level: Non-Management Exempt Workshift: Job Family: PND > Provider Relationship Account Mgmt 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 Regional Specialty Provider Liaison is responsible for spearheading initiatives with specialty providers serving the child welfare population. This includes assisting with provider contracting, implementing incentives, and developing strategies to address provider access and treatment gaps.