Elevance Health
Business Change Director-Claims/Payment Integrity Use-Case Lead
Elevance Health, Atlanta, Georgia, United States, 30383
Business Change Director-Claims/Payment Integrity Use-Case Lead
Location:
This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of a PulsePoint location.
The
Business Change Director-Claims/Payment Integrity Use-Case Lead
is responsible for collaborating with business stakeholders and our IT department to ensure we are leveraging our clinical data (HealthOS) assets to drive downstream use cases for Payment Integrity. This role will ensure that we are correctly utilizing the data we receive, model out and monitor the value it is driving for the business stakeholder, and build a roadmap to continue to improve on the process. The Business Change Director is responsible for working with management to identify and implement varied projects, programs, and plans that support the achievement of business unit and enterprise goals.
How you will make an impact:
May specialize in one area of organization effectiveness (Claims/Payment Integrity) or be assigned to directly support a business unit and ensure activities are aligned with corporate strategy.
Identifies potential issues, project change, and scope data.
Leads efforts to identify best practices.
Identifies impacted parties, business partners, and resources required.
Develop and design processes and systems that support business needs.
Design methods for integrating functions and processes.
Conducts cost/benefit analyses.
Builds support for business change throughout the business unit. Provides process, project, and change management methodology coaching/consulting support to both local and enterprise-wide initiatives.
Leads the project prioritization and scheduling activities for the business unit.
Provides expertise to the business areas in culture/change management activities.
Provides expertise in process planning and portfolio management activities.
Supports the execution of the operating plan.
Minimum Requirements:
Requires a BA/BS in a related field and minimum of 10 years managing mid to large-scale change/project initiatives; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
Risk Adjustment Data experience is strongly preferred.
Knowledge of planning models and methodology, project management, and change management experience (strategic and execution) strongly preferred.
Master’s degree preferred.
Six Sigma or PMP certification is a plus.
Salary:
For candidates working in person or remotely in the below location, the salary range for this specific position is $121,176 to $181,764.
Location:
Denver, CO
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).
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.
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.
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Location:
This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of a PulsePoint location.
The
Business Change Director-Claims/Payment Integrity Use-Case Lead
is responsible for collaborating with business stakeholders and our IT department to ensure we are leveraging our clinical data (HealthOS) assets to drive downstream use cases for Payment Integrity. This role will ensure that we are correctly utilizing the data we receive, model out and monitor the value it is driving for the business stakeholder, and build a roadmap to continue to improve on the process. The Business Change Director is responsible for working with management to identify and implement varied projects, programs, and plans that support the achievement of business unit and enterprise goals.
How you will make an impact:
May specialize in one area of organization effectiveness (Claims/Payment Integrity) or be assigned to directly support a business unit and ensure activities are aligned with corporate strategy.
Identifies potential issues, project change, and scope data.
Leads efforts to identify best practices.
Identifies impacted parties, business partners, and resources required.
Develop and design processes and systems that support business needs.
Design methods for integrating functions and processes.
Conducts cost/benefit analyses.
Builds support for business change throughout the business unit. Provides process, project, and change management methodology coaching/consulting support to both local and enterprise-wide initiatives.
Leads the project prioritization and scheduling activities for the business unit.
Provides expertise to the business areas in culture/change management activities.
Provides expertise in process planning and portfolio management activities.
Supports the execution of the operating plan.
Minimum Requirements:
Requires a BA/BS in a related field and minimum of 10 years managing mid to large-scale change/project initiatives; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
Risk Adjustment Data experience is strongly preferred.
Knowledge of planning models and methodology, project management, and change management experience (strategic and execution) strongly preferred.
Master’s degree preferred.
Six Sigma or PMP certification is a plus.
Salary:
For candidates working in person or remotely in the below location, the salary range for this specific position is $121,176 to $181,764.
Location:
Denver, CO
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).
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.
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.
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