Elevance Health

Solutions Management Manager

Elevance Health$90K — $120K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • BA/BS required, 5+ years in a related field, with 2+ years in solutions management.
  • Graduate degree or relevant professional certification preferred.
  • Project management experience is a plus.
  • Utilization management experience in Cardiovascular or Radiology preferred.
  • Strong analytical skills with attention to detail.
  • Effective communication and interpersonal abilities.
  • Familiarity with Jira and Confluence is advantageous.

Responsibilities

  • Lead planning and implementation of Cardiovascular and Radiology Benefits Management solutions.
  • Serve as the primary contact for operational, technical, and business partner interactions.
  • Consult with Product Development on enhancements and new clinical solutions based on analytics.
  • Coordinate implementation schedules for contracted products and services.
  • Oversee business partner specifications and modifications for services provided.
  • Analyze business partner data to identify opportunities for performance improvements.
  • Maintain up-to-date knowledge of clinical measures and support business partners in selection and updates.

Benefits

  • Hybrid work model promotes work-life balance with 3 days in the office.
  • Dynamic and adaptable workplace culture with collaborative environment.
  • Resources, training, and services provided to support product utilization.
Full Job Description
Anticipated End Date:
2026-06-08

Position Title:
Solutions Management Manager

Job Description:

JR193081 Solutions Management Manager

Leads planning and implementation of Cardiovascular and Radiology Benefits Management solutions. 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.

LOCATION: Hybrid 2: 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.

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.

How will you 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.
  • Utilization management experience in Cardiovascular or Radiology.
  • Highly organized and analytical with strong attention to detail.
  • Ability to manage multiple priorities while maintaining accountability.
  • Strong communication and interpersonal skills; approachable and team oriented.
  • Experience using Jira and Confluence preferred.
  • Proven track record of learning quickly and adapting in a fast-paced environment.
  • Ability to work with agility, flexibility, and willingness to participate in hands-on training and daily collaboration.
  • Ability to support a work schedule aligned to 8:00 AM - 5:00 PM CST preferred.
  • Experience collaborating with cross-functional teams and stakeholders preferred.
  • Candidates from all states are welcome, but they must reside within commuting distance of a Pulse Point office location where we have an office to be considered Travels to worksite, client locations, and other sites as necessary.


Job Level:
Non-Management Exempt

Workshift:
1st Shift (United States of America)

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.

About Elevance Health

Epoch Health represents the next evolution in comprehensive healthcare specifically for men. Our philosophy is a clinical approach designed to help men enhance their quality of life through truly personalized and professional clinical care. At Epoch we stress appropriate health treatments, proactive screenings and lifestyle modifications.

Elevance Health Careers

Join the vibrant team at Elevance Health, a leader in healthcare solutions, where we prioritize innovation, leadership, and the well-being of our communities. At Elevance Health, we offer more than just job opportunities; we provide a pathway to a fulfilling career in a diverse and inclusive environment.

Work You’ll Do

At Elevance Health, you will be part of a team dedicated to reshaping the future of healthcare through outstanding service and cutting-edge technology. Our professionals enjoy a culture of collaboration and respect that supports both personal and professional growth.

Explore Career Opportunities

Whether you're seeking your first internship or a seasoned professional position, Elevance Health offers a range of employment opportunities across various specialties. Our team is growing, and we are hiring individuals who are passionate about making a difference in healthcare. Explore positions that match your skills and interests in our dynamic company.

Innovate and Lead

Join us and contribute to a culture of innovation and continuous improvement. At Elevance Health, you will work alongside industry leaders and have the chance to develop leadership skills that are crucial in today’s fast-paced healthcare environment. Our leadership and diversity training ensure that all team members are equipped to lead, inspire, and thrive.

Develop Your Career

Elevance Health is committed to the professional growth of our employees. With access to comprehensive benefits, career development programs, and networking opportunities, you can expand your skills and advance your career within a supportive and nurturing environment. Our commitment to professional development is reflected in our robust training programs and our focus on promoting from within.

Benefits and Culture

We understand that the well-being of our employees is paramount. Elevance Health offers competitive benefits designed to support the health, financial security, and work-life balance of our team members. Our inclusive culture fosters innovation and is one of our greatest strengths.

Join Our Team

Ready to make a significant impact in healthcare? Search for open job opportunities at Elevance Health that align with your skills and career ambitions. We are looking for curious, creative, and solution-driven team players who are ready to drive change and deliver solutions.

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Keep up to date with the latest in career opportunities and company news by subscribing to our job alert emails. Tailor your subscription to receive updates that align with your career preferences and see what exciting and rewarding opportunities await at Elevance Health.

Apply Now

Start your journey with Elevance Health by exploring our career portal for available job opportunities. Submit your resume, prepare for your interview, and take the first step towards a rewarding career that makes a real difference.

Elevance Health Careers

Empowering your future in healthcare. Join us and be part of a team that is dedicated to improving lives and communities every day.
Learn more about Elevance Health
Size
3,969 employees
Market Cap
$116.9 billion
Industry
Net Income
$4.5 billion
Founded
1944
5 Year Trend
+10.3%
Revenue
$121.8 billion
NASDAQ

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