Manager I Government Business Division (GBD) Special Programs Manager, Care Manager

Elevance Health (Anthem); Durham (NC); Hybrid; USD 95,000 - 120,000; Full time

Job summary

Elevance Health in North Carolina seeks a Manager I in the Government Business Division to supervise CFSP care management for children and youth with complex needs. This field-based role requires coordinating with Medicaid and NC Foster Care, travel across specified counties, and ensuring regulatory compliant care plans.

You will lead frontline Care Managers, distribute workloads, monitor visits, and escalate high-risk cases, while maintaining documentation quality and program goals.

Qualifications

• BA/BS degree with at least 5 years in a related field.
• Minimum 1 year of leadership/management experience required.
• Experience with care management and complex member needs is preferred.

Responsibilities

• Oversee risk-managed Care Manager caseloads and distribute workloads.
• Monitor completion of face-to-face visits based on member risk level.
• Ensure timely assessments and care plans with proper documentation.
• Provide clinical consultation and manage escalations for high-risk members.
• Coach and evaluate frontline Care Managers.

Skills

Leadership

Communication

Clinical supervision

Travel readiness

Education

BA/BS degree

Job description

Anticipated End Date: 2026-11-06

Position Title: Manager I Government Business Division (GBD) Special Programs Manager, Care Manager

Job Description: Manager I Government Business Division (GBD) Special Programs Manager, Care Manager(Johnston County)

Location: North Carolina 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 an accommodation is granted as required by law.

The Manager I Government Business Division (GBD) Special Programs Manager, Care Manager will be responsible for providing direct operational and clinical supervision of Children and Family Specialty Plan ( CFSP). Care Managers responsible for children and youth with significant medical, behavioral health, placement, and social complexity.

How will you make an impact:

• Oversee risk-managed Care Manager caseloads and distribute workloads appropriately.
• Monitor completion of contractually required face-to-face visits based on member risk level.
• Ensure timely completion of assessments and care plans, effective member engagement, and participation in Child and Family Team meetings.
• Provide clinical consultation and manage escalations for high-risk and complex members.
• Maintain standards for documentation quality, timeliness, and regulatory compliance.
• Coach, support, and manage the performance of frontline Care Managers.
• Identify and address performance gaps early to prevent systemic contractual deficiencies.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Minimum Requirements:

• 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:

• Strong knowledge of service delivery coordination, discharge planning, or behavioral health experience strongly preferred.
• LCSW, LCMHC, and LMFT strongly preferred.
• Experience coordinating with Medicaid and North Carolina Foster Care system
• Must be comfortable effectively communicating programs, services, and value to eligible individuals and members strongly preferred.
• Must be willing to travel periodic all following counties within North Carolina: Edgecombe, Franklin, Granville, Greene, Halifax, Johnson, Nash, Northampton, Pitt, Vance, Wake, Warren, Wayne, and Wilson.

Job Level:

Manager

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