Ombudsman Liaison

Anticipated End Date:

2026-06-18

Position Title:

Ombudsman Liaison

Job Description:

Ombudsman Liaison

Location: Dallas, TX

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. 

The Ombudsman Liaison is responsible for coordinating services with local community organizations and working with local advocacy organizations to assure benefit awareness. Responsible for interacting with State and local agency equivalent ombudsman staff and submitting relevant reports.

How you will make an impact: 

• Develops and executes statewide ombudsman strategy for the STAR Kids and STAR+PLUS programs through strategic planning, collaborations, and strategic alliances. Improves understanding of local advocacy organizations, philosophies, stakeholders, legislators and providers that interact with or influence members and policy.
• Serves as an informal information resource, communication channel, complaint handler, facilitator, consultant, and practitioner for dispute resolution.
• Seeks fair/equitable solutions to member/provider problems.
• Recommends dispute resolution processes to address and manage conflicts; recommends policy and procedural changes.
• Brings issues to health plan executive leadership to address care delivery improvement efforts and promote effective relationships/communication between members and providers.
• Initiates, directs, and facilitates activities.
• Develops partnerships that are in concert with the company's overall strategy to improve our collaboration across agencies.

Minimum Qualifications: 

• Requires a BA/BS degree and a minimum of 7 years of related experience; or any combination of education and experience, which would provide an equivalent background.
• Experience in developing programs and services for individuals with disabilities is required.

Preferred Skills, Capabilities and Experiences:

• LTSS experience, including auditing and compliance, is strongly preferred.
• Experience with community outreach is preferred.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

MKT > Community Rel/Outreach & Educ

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 should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. 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.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.