Manager II GBD Special Programs-Operation Clinical Advisor Teams

Elevance Health (Anthem); Durham (NC); Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

Merit increases

Paid Time Off

Medical insurance

Dental insurance

Vision insurance

401(k) matching

Stock purchase plan

Life insurance

Wellness programs

Short term disability

Long term disability

Job summary

Elevance Health in North Carolina seeks a Manager II for GBD Special Programs-Operation Clinical Advisor Teams. This field-based role leads care management operations, ensuring supervision, regulatory compliance, and strong program delivery.

The incumbent will drive HCBS program integration, coordinates with Medicaid and NC Foster Care systems, and travels within the state as needed. A BA/BS with 6+ years in management is required.

Qualifications

• Requires a BA/BS and minimum 6 years experience, including prior management experience.
• LCSW, LICSW, LSW, MSW strongly preferred; LSW or LPN/LVN license preferred.
• Experience coordinating with Medicaid and North Carolina Foster Care system.

Responsibilities

• Provides accountability for clinical supervision, quality, workload management, documentation, regulatory compliance, complex-case escalation, and consistent implementation of requirements.
• Drive consistent use of 1915(i) and other HCBS, identify barriers to community-based care.
• Oversee interventions to prevent avoidable admissions to facilities.
• Support community-integration objectives including reducing unnecessary institutionalization and strengthening access to community-based services.
• Directs and collaborates with functional managers to develop and implement the steps necessary to manage program operations.
• Participates in cross-functional workgroups created to maintain and develop program.
• Manages resource utilization to ensure appropriate delivery of care to members and adequate coverage for departmental tasks and job responsibilities.
• Hires, trains, coaches, counsels and evaluates performance of direct reports.

Skills

Leadership

Staff development

Clinical program management

Regulatory compliance

Education

BA/BS

Job description

Anticipated End Date:

2026-11-06

Position Title:

Manager II GBD Special Programs-Operation Clinical Advisor Teams

Job Description

Manager II GBD Special Programs-Care Management Operations

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 II GBD Special Programs will be responsible for providing dedicated leadership and operational oversight for the care management teams serving children and youth with CFSP, supporting the State Director of Population Health and Care Management.

How will you make an impact:

• Provides accountability for clinical supervision, quality, workload management, documentation, regulatory compliance, complex-case escalation, and consistent implementation of these requirements.
• Drive consistent use of 1915(i) and other HCBS, identify barriers to community-based care.
• Oversee interventions intended to prevent avoidable PRTF, institutional, and other facility-based admissions.
• Support community-integration objectives including reducing unnecessary institutionalization and strengthening access to appropriate community-based services.
• Directs and collaborates with functional managers to develop and implement the steps necessary to manage program operations.
• Participates in cross-functional workgroups created to maintain and develop program.
• Manages resource utilization to ensure appropriate delivery of care to members and adequate coverage for departmental tasks and job responsibilities.
• Hires, trains, coaches, counsels and evaluates performance of direct reports.

Minimum Requirements:

• Requires a BA/BS and minimum of 6 years experience, including prior management experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Extensive experience leading and developing staff responsible for managing clinical programs strongly preferred. Strong knowledge of service delivery coordination, discharge planning, or behavioral health experience strongly preferred.
• LCSW, LICSW, LSW, MSW strongly preferred. LSW, or LPN/LVN license 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 periodically throughout the state of North Carolina.

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.

Benefits

• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs (unless covered by a collective bargaining agreement)
• medical
• dental
• vision
• short term disability benefits
• long term disability benefits
• 401(k)+match
• stock purchase plan
• life insurance
• wellness programs
• 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 acce