Initiative Project Leader - Payment Integrity Product

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Initiative Project Leader - Payment Integrity Product

Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. 

Alternate locations may be considered if candidates reside within a commuting distance from an office, with ideal candidates being able and willing to work Eastern or Central Time Zone business hours.

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 an accommodation is granted as required by law.

The Initiative Project Leader - Payment Integrity Product is responsible for analyzing, determining and driving opportunities to standardize, eliminate waste and improve end-to-end processes to transform Payment Integrity solutions that will enable value and improve member, end-user, and provider experience.

This Leader will strengthen operating strategy, roadmap visibility, organizational communications, and alignment across Payment Integrity and its enterprise partners.

How You Will Make an Impact

Primary duties may include, but are not limited to:

• Serves as a thought leader regarding improvements to end-to-end processes with our providers, members, and internal end-users in mind.
• Connects critical dots across matrixed organizations and the broader Payment Integrity portfolio through integration points in Claims, Health Plans, Operations, PE&C, PSCCR, Finance, Actuary, Digital, and IT.
• Leads strategic initiatives from assessment through implementation and ensures business controls are in place to monitor the sustainability of process improvements.
• Builds consensus across organizational functional areas, leads root cause analysis, uncovers trends, contributes to solution definition, and determines internal and external best practices.
• Creates greater visibility into organizational priorities, budgets, capacity plans, release schedules, risks, and dependencies to support leadership decision-making.
• Plans and manages the organization’s rhythm of business, including leadership reviews, State of the State meetings, all-hands meetings, newsletters, release notes, and follow-up actions.
• Articulates strategic priorities, roadmap status, risks, decisions, and results through clear communications tailored to executive, operational, and technical audiences.
• Creates and maintains an end-to-end Payment Integrity roadmap that enables leadership to prioritize, rebalance resources, and keep shared organizations focused on the highest-value work.

Minimum Requirements:

Requires a BA/BS degree in a related field and a minimum of 8 years of professional experience in an operations environment including 7 years of leading and directing large enterprise-wide projects; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, & Experiences:

• Experience serving in a chief of staff, executive business partner, enterprise strategy, business operations, portfolio management, or transformation leadership capacity preferred.
• Exceptional executive communication and storytelling skills, including the ability to translate complex information into clear presentations, transformation updates, get to the “so what” and value proposition, release management, prioritization and leadership communications preferred.
• Experience developing and managing enterprise roadmaps, organizational priorities, capacity plans, budgets, release schedules, and executive-level status reporting preferred.
• Demonstrated ability to operate as a highly accountable and detail-oriented self-starter who can navigate ambiguity, identify gaps, and independently drive work to completion preferred.
• Ability to build trusted relationships, influence without direct authority, and coordinate priorities across highly matrixed business, operations, product, digital, finance, and technology organizations preferred.
• Strong business, systems, data, and digital fluency, including the ability to analyze information, identify trends, assess risks, and develop actionable recommendations preferred.
• Experience planning and managing leadership rhythms of business, including operating reviews, organizational meetings, strategic planning activities, and follow-up actions preferred.
• Payment Integrity, healthcare payer, claims, cost-of-care, healthcare technology, or other complex regulated enterprise experience preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $136,800.00 to $235,980.00.

Locations: California; Columbus, OH; Connecticut; Illinois; Maryland; Massachusetts; Nevada; New Jersey; New York; Virginia; and Washington State.

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, paid time off, stock, 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.

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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.