CFSP I / DD and Traumatic Brain Injury Statewide Director

Cfsp I / Dd And Traumatic Brain Injury Statewide Director

We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), regardless of where a member lives, they will have access to the same basic benefits and services, including physical health, behavioral health, pharmacy, intellectual / developmental disabilities (I / DD) services, long term services and supports, unmet health-related resource needs, and integrated care management. We envision a North Carolina where all children and families thrive in safe, stable, and nurturing homes.

Location : North Carolina. 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. 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 accommodation is granted as required by law. $5000 Sign-on Bonus

The CFSP I / DD and Traumatic Brain Injury Statewide Director is responsible for the clinical vision, development, and coordination of I / DD and Traumatic Brain Injury (TBI) programs and services in the state of North Carolina. The Director will work in partnership with external stakeholders, as well as the internal clinical and provider teams, to provide leadership and oversight for programs, training and services designed to support individuals with I / DD and / or TBI needs. They ensure that operational needs are met and ensure compliance with state / federal health plan requirements, Medicaid guidelines, and health plan requirements.

How you will make an impact :

• Directs and oversees innovation initiatives, data analysis activities, and evaluation strategies for clinical programs including, but not limited to, pilot projects, grant-funded research projects, and publication endeavors.
• Collaborate effectively with colleagues, state partners (e.g., DSS, Department of Public Instruction, Division of Juvenile Justice and Delinquency Prevention, DMH / DD / SUS), and diverse community stakeholders.
• Innovates and implements new or revised models for clinical strategy functions in response to evolving trends in healthcare delivery and / or emerging models of care.
• Provides subject matter expertise in response to day-to-day business issues; research applicable subject matter practices; and remains aware of industry trends to build new programs and initiatives for network members.
• Build alliances across the business including Care Management, Utilization Management, Network, Clinical, Pharmacy, and Quality teams to ensure a collaborative, efficient and viable operating model.
• Supports cost management projects through analysis of medical expense to determine savings for both proposed and implemented initiatives.

Minimum Qualifications :

Preferred Skills, Capabilities and Experiences :