Field-Based Care Programs Manager, Government Division

The Elevance Health Companies, Inc.; Durham (NC); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Elevance Health is seeking a Manager I for the Government Business Division in North Carolina to lead field-based care management teams and drive quality and compliance in member care. The role requires travel to client sites and periodic office attendance as needed.

The ideal candidate holds a BA/BS with 5+ years in a related field, including 1+ year of leadership experience, and has strong knowledge of care coordination and behavioral health services within NC Medicaid contexts.

Qualifications

• Requires a BA/BS and minimum of 5 years in a related field, including at least 1 year in a leadership role.
• Strong knowledge of service delivery coordination, discharge planning, or behavioral health is preferred.
• Experience with Medicaid and North Carolina Foster Care systems is a plus.

Responsibilities

• Oversee risk-managed Care Manager caseloads and distribute workloads appropriately.
• Monitor completion of required face-to-face visits based on member risk level.
• Ensure timely completion of assessments and care plans, and engage members.
• Provide clinical consultation and manage escalations for high-risk members.
• Coach, support, and manage performance of frontline Care Managers.
• Hire, train, coach, and evaluate performance of direct reports.

Skills

Leadership/People Management

Care Management

Clinical Consultation

Travel Readiness

Education

BA/BS degree

Job description

Elevance Health is seeking a Manager I for the Government Business Division in North Carolina to lead field-based care management teams and drive quality and compliance in member care. The role requires travel to client sites and periodic office attendance as needed.

The ideal candidate holds a BA/BS with 5+ years in a related field, including 1+ year of leadership experience, and has strong knowledge of care coordination and behavioral health services within NC Medicaid contexts.