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Anthem, Inc. Manager, I GBD Special Programs (LTSS) in Winston Salem, North Carolina

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., 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 at one of America's leading health care companies and a Fortune Top 50 Company.

The Manager, I GBD Special Programs is responsible for managing and overseeing team responsible for coordination of a comprehensive health care program in which member’s needs are identified, including physical health, behavioral health, and social services for long term service and supports (LTSS).

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.

Qualifications

Location- State of North Carolina

  • 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

  • Manage a team of direct report.

  • 4 years of care management experience; Home and community based (HCB) experience preferred,

  • Minimum of 2 years of leadership/management experience

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

  • Must have either an RN or LCSW with an unrestricted license in North Carolina

  • Manage a team of direct reports.

    Preferred experience:

  • RN – BA/BS preferred

  • Managed care experience

  • Medicaid working knowledge/experience

  • LTSS experience/background

  • Proficient with MS Office

  • Experience with working from home

  • Bilingual- Spanish

  • 30% of travel to conduct home visits when necessary

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. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

REQNUMBER: PS49801

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