Specialty Provider Liaison- Children and Families Specialty Plan (CFSP)

Location: Must reside in the state of North Carolina (Field-Based).

3 Openings

Blue Cross and Blue Shield of North Carolina (Blue Cross NC) is excited to announce the launch of the Children and Families Specialty Plan (CFSP), a comprehensive Medicaid Managed Care health plan. This plan will deliver seamless, integrated healthcare to Medicaid-enrolled children, youth, and families engaged in the child welfare system. The CFSP aims to ensure timely and consistent access to quality services, including mental and physical healthcare, while maintaining continuity of service delivery for children and families across North Carolina. This pioneering plan underscores North Carolina's dedication to improving the short- and long-term health outcomes for children and families involved in the child welfare system, ultimately strengthening and supporting North Carolina families.

In collaboration with the North Carolina Department of Health and Human Services (NCDHHS), Blue Cross NC will administer this plan under the banner of Healthy Blue Care Together.

Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.

The Specialty Provider Liaison (CFSP) is a field-based role responsible for spearheading initiatives with specialty providers serving the child welfare population. Responsibilities include but are not limited to working with providers and internal teams to ensure timely provider contracting, education on specialty topics, developing value-based payment strategies, and aligning providers with quality and population outcomes. This position collaborates with each of the 100 Department of Social Services (DSS) and service providers across the state to meet the needs of children and families involved with child welfare services. This position works directly with our network of providers to identify and align with CFSP and NCDSS shared priorities and strategic visions. Primary duties include:

• Assist with provider contracting efforts

• Assist with implementing incentives and value-based arrangements

• Inform, develop, and execute strategy to address provider access and gaps in treatment

• Provider support including implementation of specialty training, identifying outcomes, consultation on complex needs and treatment models, and identifying opportunities to increase quality and service capacity  

Minimum Requirements:

• BA/BS degree and a minimum 3 years of related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, Experiences and Qualifications:

• Any combination of experience providing or implementing mental health, physical health, substance use, behavioral health, pharmacy, intellectual/ developmental disability (I/DD) services, and long-term services and supports are preferred.

• Master’s degree in counseling, social work, or health/human services preferred.

• Clinical licensure preferred. (i.e. LCSW, LCMHC, LCAS, LCAS, etc)

• Experience building relationships with Department of Social Services (DSS), service providers, and other stakeholders preferred.

• Experience working in payer space directly with providers 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.

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.