Payment Innovation Director II (US)

Position Title:

Payment Innovation Director II (US)

Job Description:

The Payment Innovation Director II is responsible for the Payment Innovation Portfolio of Value Based Payment Models with oversight of strategy, design, development, and conceptualizing of innovative payment solutions for healthcare providers.

Location: This role will work a hybrid model (remote and office). The ideal candidate will reside within 50 miles of one of our Elevance Health locations.

How you will make an impact:

• Drives the execution of payment innovation strategies for the Medicare and Medicaid LOB
• Serves as Subject Matter Expert in VBC Primary Care Medicare Uplift and Medicaid.
• Meets with stakeholders and markets on Payment Model initiatives.
• Team Lead over the Government Business Division LOB teams. Manages and oversees the day-to-day activities of the team members. This includes assigning tasks, setting priorities, and ensuring that work is completed on time and to the required standard. Provides guidance, support, and mentorship. Assist in problem-solving, decision making, offer advice, and provide necessary resources or training to help team members perform their duties effectively.
• Identifying Process Flows; coordinates with Director on what is needed for team assignment.
• Implements quality control measures to ensure accuracy of deliverables meeting the expectations of stakeholders.
• Leads cross functional teams (technical, clinical, and other teams) for major initiatives.
• Writes Detailed Business Requirements, program collateral, executive level presentations.
• Works with finance and actuary on Payment Model performance.
• Creates and initiates business solution development, works with other business partners to guide and support solution development, pilot and solution launch activities, that drive business solutions.
• Develops and designs processes and systems that support business needs.
• Translates complex information and coordinates the communication, implementation of key decisions and accomplishments.
• Manages small to large scale multi-million dollar projects/initiatives utilizing project management methodology.
• Evolves and maintains the Value Based Payment Models.

Minimum Qualifications:

• 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 and Experiences:

• MBA/Master's degree
• Strong verbal and presentation skills.
• Ability to analyze and synthesize data
• Proven experience in managing large scale projects and teams.
• In depth, end to end Medicare/Medicaid Value Based Payment Models experience.
• Experience with systems (ie PIMS, PCMS, Contraxx, etc.) and analysis
• Strong time management skills to work within tight deadlines and multiple projects.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $119,360 to $225,590.

Locations: California; Colorado; 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

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

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, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and 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 - and Elevance Health approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World's Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. 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 [email protected] for assistance.