Hiring: HCMS Director Company: Elevance Health Location: Hanover, MD Job Posted Time: 2026-09-16 11:27:35 Employment Type: Hybrid Target Skills & Keywords : Accessibility, Medicaid, Quality Assurance About the job Experience: •8 years clinical experience including prior management experience; or any combination of education and experience which would provide an equivalent background. •5+ years case management and clinical operations experience strongly preferred. Required Skills: •Is responsible for managing the utilization or care management process for one or more member product populations of Physical Health and/or Behavioral Health of varying medical complexity ensuring the delivery of essential services that address the total healthcare needs of members. Qualifications: •Requires a BA/BS degree in a health care field and a minimum of 8 years clinical experience including prior management experience; or any combination of education and experience which would provide an equivalent background. •Preferred Skills, Capabilities And Experiences •LICSW, LCSW, LPC, or, Psychiatric RN strongly preferred. •Advanced knowledge of Maryland Medicaid strongly preferred. •Extensive utilization management review experience strongly preferred. •Demonstrated capacity to partner and collaborate with key external and internal stakeholders strongly preferred. •National Committee for Quality Assurance (NCQA) accreditation and HEDIS reporting experience preferred. •Certified Case Manager preferred. •For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $115,080.00 - $172,620.00 USD Annual •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. Compensation: •$115,080 - $172,620 / year •Flexible work environment (work from home / hybrid options) •Competitive benefits and rewards package Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!