EH
Elevance HealthSenior Portfolio Manager
Portfolio Manager Senior overseeing complex project portfolios, ensuring alignment with budget objectives and operational goals at Elevance Health.
About the role
- Perform care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans
- Conduct assessments to identify individual needs and create specific care management plans
- Implement care plans by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements
- Coordinate internal and external resources to meet identified needs
- Monitor and evaluate effectiveness of care management plans and modify as necessary
- Interface with Medical Directors and Physician Advisors on development of care management treatment plans
- Assist in problem solving with providers, claims, or service issues
- Perform duties telephonically
- Work virtually full-time with required in-person training sessions and proximity to Indianapolis office
Requirements
- Requires BA/BS in a health related field
- Minimum of 3 years of relative clinical experience
- Or any combination of education and experience which would provide an equivalent background
- Current, unrestricted RN license in applicable state(s) required
- Multi-state licensure required if providing services in multiple states
- Case Management experience preferred
- Certification as a Case Manager preferred
- Minimum 3 years experience in acute care setting preferred
- Managed Care experience preferred
- Ability to talk and type at the same time
- Demonstrate critical thinking skills when interacting with members
- Strong computer skills (including Microsoft Office) and/or ability to learn new computer programs/systems/software quickly
- Ability to manage, review and respond to emails/instant messages in a timely fashion
- Strong organization and time management skills with the ability to work independently
- Must live within a reasonable distance of the Indianapolis, Indiana office or be able to commute as required by policy
- May be required to be vaccinated against COVID-19 and Influenza for certain patient/member-facing roles
Benefits
- merit increases
- paid holidays
- Paid Time Off
- 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
- financial education resources
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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