Anticipated End Date:2026-08-31
Position Title:Provider Economics - Solutions Management Manager
Job Description:Provider Economics - Solutions Management ManagerLocation: This role requires associates to be in-office 1-2 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.
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
Provider Economics - Solutions Management Manager is responsible for leading the planning and implementation of products and services for a line of business enterprise wide. Serves as the single point of contact and subject matter expert on all aspects of planning, implementing and managing day to day operational, technical and business partner interactions for existing programs and works together with Product Development to consult on enhancements to existing products and development of new clinical solutions based on analytics.
How you will make an impact:- Provides consultation and advice to business partners regarding benefits of products and analytics.
- Explains timelines and measures of success for implementing these products.
- Coordinates with the Physician Liaison regarding clinical issues related to clinical measure implementation or customization by line of business and communicates changes to Product Development for consideration in product performance and financial analyses.
- Schedules and coordinates implementation of contracted products and services for assigned business partners.
- Coordinates data requirements, production schedules and deliverables with the business partner.
- Oversees all business partner specifications and/or modifications for contracted products and services.
- Provides business partners with the resources, training and services necessary to effectively utilize the products that the department provides.
- Analyzes business partner data for QA and identification of opportunities for business partners to utilize products and services to improve plan performance.
- Maintains detailed knowledge of current clinical measures and future clinical measure development plans, communicates this information to business partners, assists in the selection of clinical measures to be utilized in pilot and full rollout of products and services, and guides business partners in continually reviewing and updating clinical measure sets.
- Maintains detailed knowledge of all current systems, products and services and basic understanding of future system and product development plans to allow appropriate level of communication with business partner.
- Leads department projects and mentors solutions management staff.
Minimum Requirements:- Requires a BA/BS and minimum of 5 years experience in a related field, including minimum of 2 years experience in solutions management; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:- Graduate degree and/or professional designation related to field preferred.
- Project management experience preferred.
Job Level:Non-Management Exempt
Workshift:Job Family:BSP > Business Support
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.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.
