Responsible for managing and coordinating the activities of revenue and cost of care initiatives enterprise wide (e.g. local, within each state, across business segments and at the enterprise level) to accomplish the financial objectives for Carelon and our Health Plan clients. Develops, manages, oversees, and executes new and innovative initiatives to manage rising costs and enhance the company's market competitiveness. Oversees the identification of potential cost of care savings opportunities... more details
Anticipated End Date:
2024-05-20
Position Title:
Payment Innovation Director II
Job Description:
Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of an Elevance Health PulsePoint location.
Hybrid Workplace Strategy: 1-2 days in office per week
The Payment Innovation Director II is responsible for Payment Innovation business solution research, design, development, and conceptualizing innovative payment solutions for healthcare providers thru provider collaboration and strategy, validating and framing the business requirements. Responsible for a diverse portfolio of payment innovation solutions and leading large, multi-stakeholder teams.
How you will make an impact:
- Responsible for managing and coordinating the activities of revenue and cost of care initiatives enterprise wide (e.g. local, within each state, across business segments and at the enterprise level) to accomplish the financial objectives for Carelon and our Health Plan clients.
- Develops, manages, oversees, and executes new and innovative initiatives to manage rising costs and enhance the company's market competitiveness.
- Oversees the identification of potential cost of care savings opportunities through complex analytics via partnering with the cost of care analytics team, to developing action plans, benefits and risk assessments and overseeing and partnering with the actuarial team to develop and ensure accurate savings quantification.
- Manages and presents cost of care projects to senior leadership including Carelon and State Plan Leadership, e.g. Presidents, Medical Directors, Finance Directors, etc.
- Responsible for reporting and delivery of key information to senior management to generate cost saving or revenue enhancement ideas and achievement of financial targets.
- Drives the execution of payment innovation strategies.
- Creates and initiates business solution development, works with other business partners to guide and support solution development, pilot and solution launch activities, and develops and strategic roadmaps that drive business solutions.
- Develops and designs processes and systems that support business needs.
- Translates complex information and coordinates the communication and implementation of key decisions and accomplishments.
- Leads special projects/initiatives.
- Represents the company in external meetings and provides influence in the payer and healthcare industry.
Minimum Requirements:
Requires BA/BS in business or related field and a minimum of 12 years of experience in healthcare systems, and 8 years of experience in a strategy role; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, & Experiences:
- Previous experience leading design and execution of Value Based Payment Models preferred strongly preferred.
- Cost of care experience
- Health outcomes experience
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $122,640 to $220,752.
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.
Job Level:
Director Equivalent
Workshift:
Job Family:
PND > Value Based Solutions
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.com for assistance.
