Program Manager – Electronic Visit Verification

Location:
  • KS-OVERLAND PARK, 5901 COLLEGE BLVD STE 275, United States of America
  • Kansas - Kansas City
  • Kansas - Leawood
  • KS-TOPEKA, 1133 SW TOPEKA BLVD
Job Reference:
JR148214
Date Posted:
05/09/2025
Anticipated Date Close:
06/07/2025

Program Manager – Electronic Visit Verification

Sign On Bonus Eligible

Locations: Overland Park, Kansas or Topeka, Kansas

In Office Expectation: Hybrid 1: This role requires associates to be in-office 1 - 2 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.

The Program Manager – Electronic Visit Verification (EVV) is responsible for the development and ongoing management of one or more multi-year external client facing programs within a business unit. Program managers typically support business strategies through an integrated portfolio of external client facing projects or initiatives. A program manager may have responsibility for a piece of a larger enterprise/regional external client facing program.

How You Will Make an Impact

Primary duties may include, but are not limited to:

  • Manages and coordinates the development, approval, implementation and compliance of on-going external client facing programs.

  • Works collaboratively with internal departments-Physical Health Utilization Management, Long Term Services and Supports Utilization Management, Claims, and Operations.

  • Provides subject matter expertise in response to day-to-day external client facing business issues.

  • Research applicable subject matter practices and remains aware of industry trends.

  • Manages external client facing relationships and partners with corporate and regional business areas.

  • Coordinates training related to external client facing program; develops program success measures and performs periodic assessments of program success.

  • Collaborates with service coordination and provider relations teams to ensure compliance with EVV regulations.

  • Monitors day-to-day EVV operations and supports issue resolution in collaboration with local IT Account Manager and Operations Lead.

  • Monitors daily file performance, reviews EVV response files, and leads reconciliation of rejected authorization records from Vendor; this includes reviewing daily Healthy Blue fallout report to ensure errors are resolved and all authorizations are accounted for.

  • Acts as Healthy Blue’s EVV Lead to external State Partners and Vendors, attending EVV Town Halls and other EVV-related State meetings to stay abreast on trends, upcoming changes, and provider concerns.

Minimum Qualifications:

  • Requires a BA/BS and minimum of 5 years external client facing experience in program/project management; or any combination of education and experience, which would provide an equivalent background.

Preferred skills, qualifications and experiences:

  • Project management certification preferred.

  • JIRA knowledge and experience is strongly preferred.

  • FACETS knowledge and experience is strongly preferred.

  • Managed Care organization experience is strongly preferred.

  • Knowledge and experience in Kansas EVV system and understands what is needed to meet requirements is preferred.

  • Understands how a claims system works in conjunction with the State of Kansas EVV Aggregator to support seamless claims adjudication preferred.

  • Knowledge of standard billing practices and how to support providers with troubleshooting claims issues for EVV-required billing codes preferred.

  • Comfortable with reviewing and trending EVV data from both internal sources as well as the State sponsored EVV aggregator preferred.

 

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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 elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.