Medicaid Contract Implementation Management Director

Anticipated End Date:

2025-12-31

Position Title:

Medicaid Contract Implementation Management Director

Job Description:

Medicaid Contract Implementation Management Director

Location: Indianapolis, IN

Hybrid 2: This role requires associates to be in-office 3 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.

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 Medicaid Contract Implementation Management Director is responsible for managing Medicaid State/Alliance objectives established by Health Plan leadership to meet business unit goals.

How you will make an impact:

Primary duties may include, but are not limited to:

• Participates in development, review and implementation of corporate initiatives, program strategies to support State/Alliance contract and business needs.
• Manages resolution of complex financial, legal, or other escalated issues.
• Acts as lead to assigned shared services partners on behalf of the local market, including triage and management of change request inventory, and priority management.
• Expedites and implements key operational indicators to be used for monitoring and analysis of the Health Plan operations.
• Responsible for monitoring, resolving, and communicating operational State/Alliance-mandated metrics to ensure compliance with State/Alliance requirements.
• Ensures policies and procedures related to field operations are compliant with all applicable laws and regulations governing the state sponsored business. Management of local vendor operations, as applicable by market; monitor compliance with State/Alliance contract; create and administer corrective actions to ensure compliance.
• Manages operational support of provider organization partners; ensure members, network providers, and community partners successfully participate in programs; advise and implement operations components of local provider network strategy.
• Leads cross functional project initiatives and process improvement activities.

Minimum Requirements:

• Requires a BA/BS and minimum 6 years experience in the health care or related field; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Experience in the HMO/healthcare field, working knowledge of Medicaid and/or Medicare programs; specific Medicaid experience preferred.
• Ability to analyze workflows, processes, supporting systems and procedures, and identifying improvements strongly preferred.

Job Level:

Director Equivalent

Workshift:

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