Whole Health Director, Children and Families Specialty Plan at Elevance Health in Durham, North Carolina

Job Description:

Healthy Blue North Carolina is looking to hire a Whole Health Director, reporting to the Executive Director of our Children and Families Specialty Plan. This high-performing individual contributor will be responsible for providing oversight and leadership of all prevention and population health, care management and care coordination programs, including oversight of the statewide Children and Families Specialty Plan (CFSP) Care Management model and required coordination and colocation with County Department of Social Services (DSS). This Whole Health Director will function as our Population Health and Care Management Director and ideally bring their clinical, public health, child welfare, and IDD expertise to this role and our organization to drive success. This role can work in a hybrid way from our Durham or Winston-Salem North Carolina offices.


How you will make an impact:

• Provide oversight of delegated care management entities, as applicable.
  
  


• Conduct statewide assessments of community and family well-being, racial disparities, maternal and adolescent health outcomes, behavioral health response systems, and our care management effectiveness, reporting on the performance of care managers across North Carolina.
  
  


• Establishing, informing, monitoring, and accomplishing the health plan's integrated whole health strategy under the direction of the State Plan President.
  
  


• Championing integration and articulating the goals and value of our comprehensive whole health model to leadership, associates, and key stakeholders.
  
  


• Employing and implementing core concepts of whole health improvement such as social determinants of health, health services research, epidemiology, and statistics to guide the health plans strategic vision.
  
  


• Building, preserving, and prioritizing collaborative, sustainable relationships with public health, social services, local governmental agencies, and community-based organizations.
  
  


• Utilizing social needs screening tools, risk modeling, and community needs assessments to leverage relevant internal and external data sources to understand the markets population served and translate data into actionable evidence to inform strategic planning, policy, and partnership.
  
  


• Overseeing annual program description, whole health analysis and program evaluation documents.
  
  

Requires a BA/BS in a relevant discipline, or other degrees such as, but not limited to, master's level social work, public health, health services research, health policy, epidemiology, psychology, or another relevant field, or licensure as a registered nurse and minimum 5 years of experience in community health improvement, public health or closely related relevant field such as whole health, service coordination, ambulatory care, case, or care management and or coordinating care within multiple settings and with multiple provider types.


Highly preferred skills and experiences:


-Behavioral Health focused fully licensed clinician (e.g., LCSW, LCMHC, RN, MD, DO, LMFT)


-Reside in North Carolina


-5+ years of demonstrated Care Management/population health experience in a healthcare organization serving Medicaid beneficiaries.


-5+ years of experience working with children, youth and families served by the child welfare system and/or familiarity with the State agencies that are involved with their care (e.g., DSS, Department of Public Instruction, Division of Juvenile Justice and Delinquency Prevention, DMH/DD/SUS)


-Expertise with evidence-based treatment for outpatient behavioral health care


-Expertise with public health, child welfare, IDD, and Medicaid waivers


-Experience working inside Local Management Entities / Managed Care Organizations (LME-MCOs) serving North Carolina


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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

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. 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 elevancehealthjobssupport@elevancehealth.com for assistance. Apply Now