Business Change Director – Payment Integrity Ideation

Role Overview

• Work with management to identify and implement varied projects, programs, and plans that support achievement of business unit and enterprise goals
• Specialize in one area of organization effectiveness (planning, project portfolio, or culture/change)
• Identify potential issues and scope data
• Lead efforts to identify best practices
• Develop and design processes and systems that support business needs
• Conduct cost/benefit analyses
• Build support for business change throughout the business unit
• Provide coaching/consulting support to both local and enterprise wide initiatives
• Lead project prioritization and scheduling activities for the business unit
• Support execution of the operating plan
• Develop new audit concepts
• Create/audit reports and paid claims to identify overpayment of claims
• Integrate information from various sources and consider broader context
• Identify and solve problems by identifying errors and overpayments within the Elevance enterprise
• Implement cross-audit concepts to Elevance functional areas and stakeholders

Requirements

• Requires a BA/BS in a related field
• Minimum of 10 years managing mid to large-scale change/project initiatives
• Advanced understanding of the healthcare industry
• Proven track record of delivering results in creating new payment integrity overpayment ideas and concepts
• Knowledge of planning models and methodology
• Project management and change management experience (strategic and execution) strongly preferred
• Master's degree preferred
• Six Sigma Black Belt preferred

Benefits

• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs
• medical benefits
• dental benefits
• vision benefits
• short and long term disability benefits
• 401(k) +match
• stock purchase plan
• life insurance
• wellness programs
• financial education resources