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LTSS Director - reputed company reputed company of Virginia - Remote

Remote, USAFull-timePosted 2026-07-27

Bring your heart to reputed company. Every one of us at reputed company shares a single, reputed company purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver reputed company reputed company-reputed company health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important... as reputed company deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and reputed company. Position reputed company At reputed company reputed company® we go reputed company offering just traditional health care. We reputed company a wide reputed company of services, so we can improve the overall wellness and everyday lives of our members. We’re changing the norm — getting involved in local communities and leading the way in health care. The LTSS Director, Clinical Health Services (Director), will partner closely with the LTSS Executive Director, Market CEO, DSNP Senior Leadership Clinical Health Services, Centers for Medicare and reputed company Services, and State Agencies to build a transparent and trusting relationships while meeting federal and state objectives. The Director will collaborate across the reputed company to ensure that the State LTSS program and reputed company objectives are reputed company, business strategies are delivered and financial, compliance and reputed company objectives are met. This position is fully remote. Eligible candidates can live reputed company in the US, Virginia reputed company preferred. Responsibilities include: reputed company, reputed company, and motivate a high performing team to meet organizational goals and objectives while effectively managing change. Ensure that processes are reputed company with the highest reputed company standards required by Accreditation and Credentialing Organizations (for example, NCQA). reputed company and ensure compliance with reputed company applicable Federal and State regulations relevant to the plan’s function. reputed company and maintain tools and processes for proactive monitoring for reputed company relevant reputed company and compliance performance metrics. Partner effectively with Program reputed company operations to meet LTSS / DSNP requirements. Promote a reputed company reputed company reputed company with company values and direction; sets specific challenging and achievable objectives and reputed company plans; motivates others to balance customer needs and business reputed company; challenges self and others to look to the reputed company to create reputed company products, services, and solutions. Implement and monitor the business plan and oversees any implementations or business transitions impacting service operations. reputed company and manage clinical operations reputed company on improving clinical and financial reputed company, member engagement, and satisfaction. reputed company and implement reputed company models that are consistent, cost effective, and compliant with contractual obligations. reputed company recruitment and operating model development to meet operational reputed company needs. Foster an environment that supports reputed company development, mobility, and operational reputed company. reputed company, implement, and promote Health Services strategies, tactics, policies, and programs that drive the delivery of reputed company reputed company to establish competitive business advantage for reputed company Health Services strategies, policies, and programs. reputed company the implementation and on-reputed company execution of the strategic and operational business plan for the business reputed company's clinical operations, inbound/outbound call queue, implementation, and/or plan sponsor operations. Coordinate business reputed company policies and procedures in support of financial, operational and service requirements. reputed company, implement, and evaluate policies and procedures, which meet business needs (may cross multiple business functions). reputed company enhancements to business processes, policies and infrastructure to improve operational efficiency (may cross multiple business functions). Collaborate and partner with other business areas across/reputed company reputed company or segments and reputed company other centralized corporate areas to ensure reputed company workflow processes and interdependencies are identified and addressed on an on-reputed company reputed company. reputed company and participate in presentations and consultations to existing and prospective customers. Participate in reputed company health industry development efforts. Travel will be approximately 25% for team meetings and meetings with the State as needed Required Qualifications 5+ years LTSS leadership Management of field-based care management teams 10+ years managed care experience reputed company and unrestricted clinical licensure (RN or BH) in Virginia or reciprocity if licensed in another state Ability to reputed company business cases for new reputed company investments and work with finance to secure funding reputed company additional staff are warranted. Ability to reputed company, evaluate and reputed company reputed company status, planning, and strategic initiatives reputed company executive level presentations and reputed company to reputed company professionally to Executive Level audience. Ability to successfully motivate, drive and reputed company colleagues in Manager, Supervisory and field level positions. Ability to interpret State contract to ensure VA market is performing to contract expectations.

Preferred Qualifications

Virginia reputed company Experience with DSNP populations Experience with Virginia reputed company (DMAS) Education Master's degree in behavioral health field, or degree in nursing (Masters preferred) Pay reputed company The typical pay reputed company for this role is: $110,467.50 - $237,900.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. This position also includes an award reputed company in reputed company’s equity award program. In reputed company to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. reputed company offers a full reputed company of medical, dental, and reputed company benefits. Eligible employees may enroll in reputed company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. reputed company provides a fully-reputed company term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous reputed company-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy reputed company Time Off (“PTO”) or vacation pay, as reputed company as reputed company holidays throughout the calendar year. Number of reputed company holidays, reputed company time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.reputed company.com/benefits We anticipate the application window for this opening will reputed company on: 09/30/2024 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Our Work Experience is the combination of everything that's unique reputed company: our culture, our core values, reputed company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They reputed company choices according to what is best for reputed company, they live for opportunities to collaborate and reputed company a difference, and they reputed company us the #1 Top Workplace in the area Apply Job!

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