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Elevance Health

Sells health insurance and pharmacy benefits

Director 2 Carelon Account Management - CEO Maryland Market

Account ManagementConfirmed live in the last 24 hours
Full-timeHanover, MD, USA

About the Job

Requirements

  • A Bachelor of Arts or Bachelor of Science degree and at least 8 years of professional or leadership experience, or an equivalent combination of education and experience.
  • Extensive experience leading complex Medicaid behavioral health programs, Behavioral Health Administrative Services Organization contracts, managed care organizations, or public sector healthcare programs with executive client ownership is preferred.
  • Demonstrated success managing executive-level relationships with state Medicaid agencies, behavioral health authorities, public sector clients, or government stakeholders while serving as the primary client executive is preferred.
  • Proven experience leading highly matrixed organizations by influencing cross-functional leaders across clinical, operations, network management, quality, finance, and shared services without direct reporting authority is preferred.
  • Strong financial acumen with experience owning or influencing profit-and-loss performance, forecasting, budget management, contract financial performance, and delivery against operational key performance indicators, service level agreements, and performance guarantees is preferred.
  • Demonstrated ability to identify, develop, and successfully execute contract expansion, regulatory-driven solutions, and strategic growth opportunities that increase client value and revenue while maintaining strong customer satisfaction is preferred.
  • Executive presence, communication, organizational, and change leadership skills, including the ability to build trusted relationships, lead through ambiguity, drive accountability, and represent the organization with state agencies, provider organizations, and community stakeholders, are preferred.

Responsibilities

  • Provide executive leadership and strategic direction for a complex state Medicaid behavioral health account, ensuring financial performance, operational excellence, contractual compliance, and achievement of profitability standards.
  • Serve as the executive face of the client relationship by partnering with state leadership, clinical stakeholders, and internal matrix partners to deliver contractual commitments, exceed service level agreements, and achieve customer satisfaction goals.
  • Collaborate with matrix leaders across clinical, operations, network, quality, finance, grievances and appeals, marketing, and product teams to drive accountability, execute strategic initiatives, identify contract expansion opportunities, and develop behavioral health solutions addressing evolving client and regulatory needs.
  • Lead, hire, train, coach, counsel, develop, motivate, and evaluate direct reports while influencing a highly matrixed leadership team to foster accountability, collaboration, operational excellence, continuous improvement, and successful execution of strategic and client objectives.
  • Own the plan profit-and-loss performance, serve as the executive relationship leader for the client, and drive strategic development of contract expansion, renewal, and value-added solutions.
  • Develop a deep understanding of behavioral health market drivers, Medicaid regulatory changes, and client priorities to support operational excellence, contract performance, long-term client satisfaction, and annual retention and revenue goals.

About the Company

Elevance Health

Sells health insurance and pharmacy benefits

Elevance Health is one of the largest U.S. health insurers, covering people through employers, individual plans, Medicare and Medicaid. It is the Blue Cross Blue Shield licensee in 14 states, where it sells plans under the Anthem name, and it runs government plans under the Wellpoint name in other markets. Its Carelon division runs the CarelonRx pharmacy benefit manager and sells behavioral health, care management and other services to its own plans and outside clients. Elevance earns most of its revenue from premiums paid by employers, members and government programs, plus fees for Carelon services. The company is headquartered in Indianapolis, Indiana.

Company size
10,001+
Company stage
IPO
Headquarters
Indianapolis, IN
Founded
1944

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