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Program Manager-Children and Family Specialty Plan Network

_We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, long term services and supports, Unmet health-related resource needs, and Integrated care management. We envision a North Carolina where all children and families thrive in safe, stable, and nurturing homes. #HealthyBlueCareTogetherCFSP_

$3,500 SIGN ON BONUS

**Location** : **North Carolina** -This role will support a regionalized provider engagement model covering each of the seven (7) Department of Social Services (DSS) administrative regions across North Carolina.

North Carolina residency is required.

**Travel:** Travel across and within each of the DSS Regions is required.

**Field:** This field-based role enables associates to primarily operate in the field, traveling to provider sites, DSS, 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 **Program Manager- CFSP Network** is responsible for spearheading initiatives with specialty providers serving the child welfare population. This position coordinates and drives internal/external initiatives to support CFSP Network teams, the Department of Social Services (DSS), and service providers across the state to align with CFSP and NCDSS shared priorities. Responsibilities include, but are not limited to, coordinating with providers and internal teams to ensure timely provider contracting, education on specialty topics, developing value-based payment strategies, and aligning providers with quality and population outcomes.

How you will make an impact

Primary duties may include but are not limited to:

+ 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.

+ Researches applicable subject matter practices and remains aware of industry trends.

+ Manages external client-facing relationships and partners with corporate and regional business areas.

+ Coordinates training and education related to provider-facing programs; develops program success measures and performs periodic assessments of program success.

+ Collaborate with internal teams to accomplish strategic goals.

+ Coordinate and assist with implementing incentives and value-based arrangements.

+ Inform, develop, and execute strategy to address provider access and gaps in treatment.

+ Coordinate and lead Provider Support Plan including implementation of specialty training, identifying outcomes, consultation on complex needs and treatment models, and identifying opportunities to increase quality and service capacity.

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 and Experiences** :

+ Any combination of experience providing or implementing mental health, physical health, substance use, behavioral health, pharmacy, intellectual/ developmental disability (I/DD) services, and long-term services and supports are preferred.

+ Master’s degree in counseling, social work, or health/human services preferred.

+ Clinical licensure preferred. (i.e. LCSW, LCMHC, LCAS, etc) .

+ Experience building relationships with Department of Social Services (DSS), service providers, and other stakeholders preferred.

+ Experience working in payer space directly with providers preferred.

+ Project management and/or implementation experience preferred.

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 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 acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.