Norfolk, VA, 23509, USA
20 hours ago
Strategy Director - Payment Integrity Strategy & Planning
**Strategy Director - Payment Integrity Strategy & Planning** **Location:** 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._ The **Strategy Director** for Payment Integrity at Carelon plays a critical role in steering long-term strategic initiatives that align with both the operational objectives of the Coordination of Benefits (COB) business unit, as well as the overarching goals of Carelon and Elevance Health. The Strategy Director collaborates closely with Coordination of Benefits (COB) leadership to identify strategic opportunities and propose robust plans for sustained business improvement through diligent needs assessment and strategic alignment. The **Strategy Director** acts as a key liaison with executive leadership, fostering robust business relationships and delivering insightful presentations to C-level stakeholders. Success in this role is characterized by a proactive approach to identifying and mitigating risks, ensuring timely submission of business cases and funding proposals, and delivering initiatives that meet business expectations. The role demands exceptional executive presence and the ability to navigate complex stakeholder interactions with confidence and precision. **How you will make an impact:** + Strategic Partnership & Planning: Work closely with executive leadership to define success criteria and develop strategic plans that align with the enterprise's and the region's strategic goals, transforming strategy into actionable plans. + Tactical Translation & Alignment: Convert high-level strategy into specific tactics, programs/projects, and timelines, ensuring alignment with business goals and the seamless achievement of strategic milestones. + Executive Communication: Expertly develop and present high-quality presentations to executive leaders, aligning with best practice industry standards and influencing strategic direction. + Performance Monitoring: Oversee the development and implementation of metrics that measure and communicate progress against strategic goals, ensuring initiatives meet desired outcomes and maintain alignment with financial modeling and IT plans. + Trend Research & Competitive Analysis: Conduct thorough research on industry trends, leveraging insights to refine business strategies and maintain competitive market positioning. + Financial Oversight: Develop and track budget metrics to ensure strategic initiatives are financially sustainable and identify areas for cost optimization. + Leadership and Team Collaboration: Partner with senior staff to develop tactical and communication strategies, acting as a key decisionmaker and providing guidance on complex issues and projects. + Project and Vendor Management: Lead breakthrough projects to transform the business environment while managing vendor interactions, including selection, negotiation, and relationship management to support strategic goals. + Subject Matter Expertise & Approval Authority: Serve as a strategic expert on enterprise projects, taking responsibility for approval and direction concerning initiatives sponsored by executive leaders. + Mentorship and Executive Coaching: Provide coaching to organizational leaders on strategic thinking and high-impact projects, fostering a culture of excellence and innovation. **Minimum Requirements:** Requires a BS/BA degree in a related field and a minimum of 10 years of related experience including 3 years of leadership/management experience; or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:** + Master’s degree preferred. + Experience in a strategic planning, project/program management, or consultative-type role working directly with an Executive leader or Executive team to deliver outcomes preferred. + Expertise in designing and delivering communications to C-level audiences preferred. + Executive presence, gravitas, C-level communication skills are preferred. + Domain experience in Payment Integrity, PI Data Mining Organization, PI Operations is most preferred. + Health Insurance business and data mining can also be preferred. + Experience with business case development, financial modeling, and advanced Excel and PowerPoint skills preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $134,728 to $220,464. Locations: **Chicago, IL; Mendota Heights, MN; New York, NY** 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. 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.
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