Self-Direction Program Manager – Ohio

Anticipated End Date:

2025-12-18

Position Title:

Self-Direction Program Manager – Ohio

Job Description:

Program Manager Long Term Care - Self-Direction Program - OH

Location:  This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. The ideal candidate will reside within a commuting distance from an OH Pulse Point location.

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 Program Manager Long Term Care - Self-Direction Program - OH is responsible for initial implementation and ongoing management of the Ohio MyCare Self Direction waiver program. The Program Manager will work in collaboration with the financial management services entities supporting members through the various self-direction programs, state partners, and independent living counselors.

How you will make an impact:

• Development and ongoing management of the OhioMyCare self-direction program available HCBS waivers.

• Daily management and oversight of the Ohio self-direction program operations including enrollment, eligibility, FMS operations, claims payment, member communications and coordination of services for enrollees.

• Responsible for oversight of contracts with financial management services entities and conducts routine audits of key performance indicators and contract adherence.

• Serve as the liaison between the MCO, member, FMS and state.

• Support business strategies through an integrated portfolio of external client facing projects or initiatives.

• Collaborate with the LTSS COE as part of the larger enterprise/regional external client facing program.

• Manages and coordinates the development, approval, implementation and compliance of on-going external client facing programs; develops program budget; ensures program meets its stated objectives; provides subject matter expertise in response to day-to-day external client facing business issues.

• Research applicable self-direction practices and remains aware of industry trends.

• Coordinates training related to the state self-direction programs; develops program success measures and performs periodic assessments of program success.

Minimum Requirements:

Requires a BA/BS and minimum of 5 years external client facing experience in program/project management; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities & Experience:

• MBA preferred.

• Project management certification (PMP) preferred.

• Health insurance experience strongly preferred.

• Medicaid and Waiver expertise strongly preferred.

• Prior experience working with Self-Direction operations and service delivery preferred.

• Knowledgeable working with FMS preferred.

• Contract oversight experience preferred.

• Vendor compliance, issue resolution and proactive risk mitigation experience preferred.

• Strong leadership/managerial skills and ability to motivate/coach other staff strongly preferred.

• Strong written and oral communication skills, problem solving skills, attention to detail and well organized preferred.

• Prior experience in the ability to convey complex concepts clearly to executive audiences preferred.

• Strong critical thinking, problem-solving, time management, and attention to detail skills preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $89,920 to $134,880.

Locations: Columbus, OH.

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