AI-Driven Digital Claims Transformation VP

Elevance Health, Inc.; Norfolk (VA); Hybrid; USD 202,000 - 348,000; Full time

Job summary

Elevance Health is seeking a Staff Vice President, Digital Claims Operations to lead the digital transformation of claims processes within Health Benefits Operations. Reporting to the Vice President, Claims Operations, this executive aligns strategy, analytics, AI and automation to improve efficiency, accuracy and service quality across claims management.

The role requires 15+ years in claims operations and digital transformation, enterprise leadership experience in a large healthcare company,

Qualifications

• Requires BA/BS in IT, CS or related field.
• Minimum 15 years in claims operations management and digital transformation.
• Executive-level leadership in a large healthcare enterprise.
• Strong analytical and communication abilities.
• Experience with AI, automation, and data analytics.

Responsibilities

• Develop and execute digital claims strategy and transformation roadmap.
• Lead claims analytics domain and support actuarial reserving and Cost of Care.
• Oversee digital claims operations and end-to-end solution delivery.
• Partner with Finance, Actuarial, Analytics, Technology, and Claims leaders.

Skills

Leadership

Digital transformation

AI & automation

Stakeholder engagement

Education

BA/BS degree in Information Technology, Computer Science or related field

Job description

Elevance Health is seeking a Staff Vice President, Digital Claims Operations to lead the digital transformation of claims processes within Health Benefits Operations. Reporting to the Vice President, Claims Operations, this executive aligns strategy, analytics, AI and automation to improve efficiency, accuracy and service quality across claims management.

The role requires 15+ years in claims operations and digital transformation, enterprise leadership experience in a large healthcare company,