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Ombudsman Liaison

  • Job Family: Communications
  • Type: Full time
  • Date Posted:
  • Req #: JR38478

Location:

  • GA, Atlanta

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Description

Ombudsman Liaison

JOB SUMMARY:
Responsible for coordinating services with local community organizations and working with local advocacy organizations to assure that the Foster Care Adoption Assistance Program (FCAAP) and Department of Juvenile Justice Program (DJJP) members have access to Covered Services and non-covered services. 
PRIMARY DUTIES:
Responsible for interacting with the Department of Community Health (DCH) equivalent ombudsman staff and submitting reports to DCH. 
Primary duties may include, but are not limited to: 
•    Develops and executes statewide ombudsman strategy for the Foster Care Adoption Assistance Program (FCAAP) and Department of Juvenile Justice Program (DJJP) through strategic planning, collaborations, and strategic alliances. 
•    Improves understanding of local advocacy organizations, philosophies, stakeholders, legislators, and providers that interact with or influence members and policy. 
•    Serves as an informal information resource, communication channel, complaint handler, facilitator, consultant, and practitioner for dispute resolution. 
•    Seeks fair/equitable solutions to member/provider problems. 
•    Supports the overall quality of the GF360 Program through participation and development of quality initiatives and programs.
•    Recommends dispute resolution processes to address and manage conflicts; recommends policy and procedural changes. 
•    Brings issues to health plan executive leadership to address care delivery improvement efforts and promote effective relationships/communication between members and providers. 
•    Initiates, directs, and facilitates activities within the FCAAP/DJJP Steering. 
•    Builds and develops partnerships that are in concert with the company's overall strategy to improve our collaboration within the Foster Care (FC), Adoption Assistance (AA), and Department of Juvenile Justice (DJJ) communities.

REQUIREMENTS: 
Requires a BA/BS degree and a minimum of 7 years of related experience; or any combination of education and experience, which would provide an equivalent background. 
Proven track record of developing programs and services for Children at risk or in Foster Care.
Must be a Georgia resident 
PREFERRED QUALIFICATIONS:
Previous QI experience
 


Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. 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 ability@icareerhelp.com for assistance.

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