Anticipated End Date:

2026-02-03

Position Title:

Business Change Manager Sr

Job Description:

Business Change Manager Sr 

Location: This role is required to live in Puerto Rico. 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. When reporting to the office, the location will be in Puerto Rico-SAN JUAN, 411 CALLE SEGARRA MARGINAL AVE.

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.

MMM Holdings, LLC is a company that provides Medicare Advantage and Medicaid plans in Puerto Rico. Currently, MMM Holdings, LLC operates in Puerto Rico under Elevance Health, Inc. a leading health company dedicated to improving the quality of life of communities in the United States. Through its affiliated companies, they serve more than 118 million people.

The Business Change Manager Sr is responsible for working with management to identify and implement varied projects, programs and plans that support achievement of business unit and enterprise goals. This role mainly will be focusing on the quality and experience framework, and serves as the liaison between the Quality Management and Stars Operations Department, the plans and the MSO to achieve those company objectives.

How you will make an impact:

Primary duties to include, but are not limited to:

Assumes leadership and responsibility for specific projects and facilitates development of such projects for enhancement of quality and stars measures outcomes.Identifies process improvement opportunities across the organization, that can help enhance quality outcomes for clinical, operational or experience measures monitored by our regulators under the Medicare or Medicaid Lines of Business quality programs.Collaborates with the different units of the department for the creation and implementation of educational activities, and communication materials aimed at improving compliance with preventive care, the quality measures associated with the Stars Rating methodology, improving the experience of members, among others, depending on the department need.Identifies potential issues, project change, and scope.Leads efforts to identify best practices.Identifies impacted parties, business partners, and resources required.Develops and designs processes and systems that support business needs.Designs methods for integrating function and process.Conducts cost/benefit analyses.Builds support for business change throughout the business unit.

Minimum Qualifications:

Requires a BA/BS in a related field and minimum of 8 years process improvement, business change or project related experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

Experience in successfully developing and managing projects with fairly significant operating budget and knowledge of process redesign strongly preferred.Healthcare industry experience preferred.STARS and HEDIS quality measures experience strongly preferred.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

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.

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.

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 and Influenza. 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. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.