Strategy Director, Payment Integrity

Description

Strategy Director, Payment Integrity

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.

Hybrid Workplace Strategy: 1-2 days in office per week

Carelon Payment Integrityis a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending .

The Strategy Directoris responsible for working for a VP and above to identify, develop and propose planning and strategy to improve results based on continuous needs assessment.

How you will make an impact:

• Partners with executive leadership to define our strategy and success criteria for the future.
• Translates strategy into defined tactics, programs/projects, priorities and timelines and ensures alignment and attainment of both the regions and the enterprises strategic plans to turn strategy into reality.
• Creates and presents extremely high quality presentations to executive levels.
• Oversees definition development of areas such as the PI Product Scorecard, partner intake and preliminary questionnaire, evaluation criteria, research, etc.
• Monitors, measures and communicates delivery against business strategic plan and the quality of outcomes during evaluation process
• Researches relevant trends and activities in their area of expertise and works with business leadership to further define business strategy and sustain a competitive advantage in the marketplace.
• Partners with legal, sourcing, digital, product, business and other teams to establish partner agreements, share data, evaluate criteria for Proof of Concept (POC), implement process/streamline review
• Develop, define, and help coach others in process creation in the overall Strategic Partner lifecycle
• Develops, monitors and tracks metrics to track budget and spending.
• Collaborates with senior team and staff to develop tactical plans and communication strategies.
• Often acts as decision maker on projects or provides guidance to senior team on complex issues.
• Serves as a representative on enterprise and inter-regional initiatives.
• Provides coaching and mentoring to other leaders in the organization on strategic thinking and on projects that deliver high return and high strategic value.
• Champion's breakthrough projects to transform our current business environment into industry leading best practice organization.
• Manages vendor interaction and management, including vendor selection, contract and rate negotiation, issue resolution, developing and reviewing statements of work, representation on vendor business and Executive committees, speaking engagements, etc.
• Often serves as the subject matter expert in projects and initiatives.
• Often takes responsibility for approval of all projects sponsored by their Executive Sponsor.

Minimum Requirements:

Requires a BS/BA degree in a related field and a minimum of 10 years of related experience including 3 years of leadership/management experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills & Abilities:

• Master’s degree preferred.
• Prior strategic planning, project/program management, and vendor management experience strongly preferred.
• Business knowledge in multiple disciplines within a Healthcare organization strongly preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $122,160 to $219,888

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.