Manager I GBD Special Programs

Elevance Health; Winston-Salem (NC); Hybrid; USD 70,000 - 95,000; Full time

Job summary

Elevance Health, Inc. is seeking a Manager I GBD Special Programs to supervise caseload oversight, staff performance, and complex-case escalation. This field-based role travels to client sites in Western North Carolina and collaborates with cross-functional teams to ensure coordinated care delivery.

The position requires a BA/BS with at least five years in a related field, including one year in a leadership role. Hybrid/office attendance applies per policy and travel expectations.

Qualifications

• Requires a BA/BS and minimum of 5 years experience in a related field, including minimum of 1 year leadership/management experience.
• Equivalent combination of education and experience may be sufficient.

Responsibilities

• 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.

Skills

Leadership experience

Team management

Data analysis

Cross-functional collaboration

Training programs

Education

BA/BS degree

Job description

This position provides supervisory infrastructure for caseload oversight, member-facing requirements, staff performance, documentation quality, and complex-case escalation.

Location: Western North Carolina

Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

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 accommodation is granted as required by law.

#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.

The Manager I GBD 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.

How You Will Make An Impact

• 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.

Minimum Qualifications

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

Preferred Skills, Capabilities And Experiences

• Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred.
• RN, LSW, LPC, or LPN/LVN license preferred.