Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
The Medicaid Contr/Implmnt Mgmt Mgr is responsible for guiding Medicaid State/Alliance objectives established by Health Plan leadership to meet business unit goals.
How you will make a difference:
Supports the development, review and implementation of corporate initiatives, programs to support State/Alliance contract and operational needs.
Provides guidance to operational leaders in resolving complex financial, legal, or other escalated issues.
Guides shared services partners on behalf of the local market, including triage and management of change request inventory.
Plans the implementation of key operational indicators to be used for monitoring and analysis of the Health Plan operations, while supporting the development of business requirements to ensure compliance with State/Alliance contract.
Participates in development and review of policies and procedures related to field operations.
Supports vendor management operations, as required by market; supports development of corrective actions to ensure compliance.
Participates in operational support of provider organization partners; ensure members, network providers, and community partners successfully participate in programs.
Minimum Requirements:
Requires a BA/BS and minimum 4 years experience in the health care or related field; or any combination of education and experience, which would provide an equivalent background.
Preferred skills, qualifications and experiences:
Proficient knowledge of Medicaid and/or Medicare programs preferred.
Extensive knowledge of NV State Medicaid Operations, Contractual Obligations and Processes.
4+ years experience in NV Medicaid Contract implementation and oversight
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $85,515 to $128,268
Location: Nevada
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law
