Director of CHOICES, GBD Special Programs Services

Director of CHOICES, GBD Special Programs Services

Location: Nashville, TN

Hybrid 2: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Tennessee residency is a requirement for this position.

The Director of CHOICES, GBD Special Programs Services is responsible for directing and overseeing the operations in alignment to a special product/programs, such as long term service and supports (LTSS), with a focus on program performance, operating policies, process improvements, program enhancements, managing interdependencies and risks, program status and evaluation reporting, and growth/expansion.

How You Will Make an Impact

Primary duties may include, but are not limited to:

• Directs and oversees program operations in support of State and health plan requirements in execution of clinical service delivery.
• Monitors national and local health plan market trends relative to the clinical span of the CHOICES program.
• Leads and/or participates in cross-functional workgroups created to maintain and develop clinical programs.
• Evaluates all facets of the CHOICES clinical program to improve efficiency of operations, financial return, customer service, and provider engagement.
• Develops, communicates, and monitors program schedule, budget, and resources plan; coordinates program deliverables and resolves issues that may hinder the CHOICES clinical program success.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Minimum Requirements:

• Requires a BA/BS and minimum of 8 years experience in a related field, including prior management experience and clinical, quality, and/or utilization management experience in a managed care setting; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• 8 years of experience in the CHOICES program or related field highly preferred
• MBA preferred.
• RN, LSW, or LPN/LVN license preferred.
• Experience working with senior leadership and state stakeholders.
• Experience presenting reports to state stakeholders.

Job Level: Director

Workshift: 1st Shift (United States of America)

Job Family: BSP > Program/Project