Director, Payment Integrity Transformation

Elevance Health; Costa Mesa (CA); Hybrid; USD 142,000 - 236,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Job summary

Elevance Health in California is seeking an Initiative Project Leader to drive Payment Integrity initiatives across a unified ecosystem. The role requires coordinating business and technology partners, building roadmaps, and delivering end-to-end transformations that improve member and provider experiences.

Ideal candidates bring 8+ years leading enterprise programs in healthcare operations, with strong executive communication, strategic planning, and delivery discipline.

Qualifications

• BA/BS degree in a related field and at least 8 years of professional experience in an operations environment.
• 7+ years of leading and directing large enterprise-wide projects.
• Experience in healthcare operations, payer landscape, and Payment Integrity preferred.
• Strong business, systems, data and digital fluency with analytical insights.
• Excellent executive storytelling and business-case development abilities.

Responsibilities

• Lead the PI Unified Ecosystem initiative from assessment through implementation.
• Coordinate business and technology partners to develop new Payment Integrity solutions.
• Establish milestones, manage risks, and drive cross-functional work to implementation.
• Communicate program health with data-driven status updates to executives.

Skills

Payment Integrity

Healthcare payer

Claims

Cost-of-care

Executive communication

Analytics

Roadmapping

Agile / Scrum

Education

BA/BS degree in related field

8+ years operations leadership

Tools

Aha!

Jira

Smartsheet

Job description

Elevance Health in California is seeking an Initiative Project Leader to drive Payment Integrity initiatives across a unified ecosystem. The role requires coordinating business and technology partners, building roadmaps, and delivering end-to-end transformations that improve member and provider experiences.

Ideal candidates bring 8+ years leading enterprise programs in healthcare operations, with strong executive communication, strategic planning, and delivery discipline.