Director, Long-Term Services & Supports (LTSS) (New Mexico)

Job description

Job Description Job Summary: This position will allow for remote work flexibility, but the selected candidate must reside in New Mexico. Leads and directs a multidisciplinary team of healthcare services professionals supporting members with long-term services and supports (LTSS) needs - ensuring members reach desired outcomes through integrated delivery and coordination of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Job Duties: - Oversees team responsible for delivering long-term services and supports (LTSS) member care. - Represents as a deep LTSS subject matter expert for Care Coordination and Utilization Management, and provides direction and guidance to long-term services and supports (LTSS) care coordination team, and ensuring timely delivery of appropriate/quality services delivery and compliance with regulatory timelines. - Ensures compliance with the state-specific memorandum of understanding (MOU)/contract scope of work for Care Coordination and Utilization Management. - Assists senior leadership with state-specific LTSS reporting requirements. - Collaborates with leadership to operationalize LTSS activi...