Director Service, Quality, & Training

Description

CareMore is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.

Director Service, Quality, & Training

Responsible for developing the strategic vision, goals, objectives, policies and decision making for the organization related to performance and operational issues. Provide management and leadership to Service Experience to drive results and achieve targeted goals. 

How will you make an impact: 

• Accountable for claims and/or member services and may also be accountable for adjustments, provider database, provider service and member service for local group membership.  
• Host service and individual member service will also be a part of this leadership role.
• Develop and implement short and long-range vision that will enhance internal operating efficiency, identify synergies across lines of business and bottom-line accountability.  
• Identify and address root causes and primary trends in order to initiate plans for correction and improvements.
• Establish plans to enhance operational collaboration and shared goals in order to achieve a high performing, cross-functional team.
• Responsible for financial planning/budget programs and the coordination of operations expenses.
• Develop and ensure the continued effectiveness of financial reporting, planning and infrastructure.
• Lead re-engineering and other organizational improvements designed to increase efficiency, improve service and strengthen departmental relationships.
• Promote continuous quality improvement throughout the organization.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.
• Travels to worksite and other locations as necessary.

**This a hybrid opportunity. Candidate must be willing to report to the office a minimum of 1-2 days a week**

**Monday-Friday 8 am- 5 pm (flexibility is a MUST as the selected candidate will be interfacing with stakeholder outside of the US)**

Minimum Requirements:

• Requires a BA/BS degree in a related field and a minimum of 9 years of Services Operations experience; and a minimum of 5  years of management experience in healthcare operations with budgeting and forecasting, process improvement, or planning experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• MBA preferred.
• Candidate with a strong background in the area of strategy and organizational design is strongly preferred.
• Ability to scale and set a vision in Quality environments is strongly preferred.
• Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
• Travel a minimum of 25%.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $171,130 to $256,694

Locations:  California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.  The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

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. 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.comfor assistance.