Ombudsman Liaison - Program Manager

About the role

We are seeking an experienced Program Manager to develop and execute statewide ombudsman strategy for the NC Children and Families Specialty Plan (Healthy Blue Care Together). This role involves managing external client facing programs, collaborating with stakeholders, and resolving disputes.

Responsibilities

• Develops and executes statewide ombudsman strategy for the NC Children and Families Specialty Plan (Healthy Blue Care Together)
• Improves understanding of local advocacy organizations, philosophies, stakeholders, legislators and providers that interact with or influence members and policy
• Serves as an informal information resource, communication channel, complaint handler, facilitator, consultant, and practitioner for dispute resolution
• Sets up fair/equitable solutions to member/provider problems
• Recommends dispute resolution processes to address and manage conflicts; recommends policy and procedural changes
• Bridges gaps between members and providers to improve care delivery
• 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
• Coordinates training related to external client facing program
• Develops program success measures and performs periodic assessments of program success

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
• Graduate degree preferred
• Project management certification preferred

Qualifications

• Strong project management skills
• Excellent communication and interpersonal skills
• Experience with stakeholder management and conflict resolution
• Ability to work independently and as part of a team
• Knowledge of Medicaid and child welfare systems

Skills

• Strategic planning
• Collaboration
• Dispute resolution
• Policy analysis
• Client relationship management

Benefits

Competitive compensation package, comprehensive benefits, professional development opportunities, and a supportive work environment.

Pay

Salary range: $70,000 - $100,000 annually, commensurate with experience.

Schedule

General business hours, Monday through Friday. Occasional travel to various regions within NC may be required. When not in the field, works virtually from home.

Field

This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training.

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.