Medicaid State Operations Director
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Overland Park • Kansas • United States
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Job Level
About the role
- Responsible for operations functions, including coordination between internal departments
- Ensuring the appropriate strategy, tactics, and processes are in place
- Resolves programmatic challenges related to operations including member issues, provider claims issues, contract configuration issues, etc.
- Serves as liaison to Health Plan support services
- Identifies opportunities for Operational Excellence and works to create seamless processes
- Develops and implements key operational indicators for monitoring and analysis
- Serves as a liaison with state regulatory agencies when appropriate
Requirements
- Requires a BA/BS in Business, Healthcare Administration, or related field
- Minimum of 10 years experience
- Minimum of 8 years in-depth experience in managed care operations
- Masters degree preferred
- Six Sigma Black Belt preferred
- Experience in a highly matrixed healthcare environment
- Demonstrated knowledge and understanding of KanCare and regulatory requirements for Managed Care Organizations (MCOs)
Benefits
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Applicant Tracking System Keywords
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Hard Skills & Tools
operations managementprocess improvementdata analysiscontract configurationoperational indicatorsmanaged care operationsregulatory complianceprogrammatic issue resolutionhealthcare administration
Soft Skills
coordinationcommunicationproblem-solvingstrategic thinkingliaison skillsorganizational skillsleadershipcollaborationanalytical thinking
Certifications
BA/BS in BusinessBA/BS in Healthcare AdministrationMasters degreeSix Sigma Black Belt