AddressDescription
Medicare Strategy Innovation Director Sr.
Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
The Medicare Strategy Innovation Director Sr. is responsible for developing and overseeing an enterprise wide Medicare strategy (e.g. STARS performance, Duals: Medicare and Medicaid) and implementation through influencing external entities (e.g. government agencies) and internal entities (e.g. government relations) and through providing innovative product/program design, support and guidance across the enterprise to promote profitable membership growth and/or increased performance, working with all Regional Medicare Plan Presidents and their teams to design plans, benefits and programs for the applicable region.
How you will make an impact:
- Defines the strategy and works directly with internal and external entities to influence and provide guidance and direction on the strategy, design, and implementation of products (e.g. duals programs, dual-eligible members) or processes (e.g. improving STARS performance).
- Serves as the subject matter expert and primary Product Development contact across the enterprise and for all Regional Medicare and Medicaid Plan Presidents. Influences, coordinates, and facilitates enterprise product/process innovation and product/process development activities (e.g. evaluating internal/external capabilities, identifying market leading performance strategies, creating product strategies, developing proposals), in partnership with the regional Market Innovation Directors.
- Utilizes partnerships with Product Development Support team, industry connections and/or external partners to identify best practices and develop cutting edge strategies.
- Develops a 3 to 5 year product strategy and plan for the specific business products (e.g. Duals) and/or processes (STARS performance).
- Collaborates and coordinates work with peers, other departments within Medicare, and matrix/shared service partners (e.g. Finance, Actuarial, IT, Digital Operations, Quality, Pharmacy, HCM, CSBD, CAO, and CarelonRx) to identify capability enhancements and innovative solutions, establish accountabilities and ensure connectivity between shared services and enterprise business initiatives (e.g. creating innovative duals products/programs, increasing specific STARS results across the company footprint through duals, MA and Med Supp populations/products).
Minimum Requirements:
- Requires a BA/BS degree and a minimum of 10 years of related experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
- Thorough Medicare and Medicaid knowledge strongly preferred.
- MBA preferred.
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.
