Lead, Payment Integrity Unified Ecosystem

Elevance Health; Grand Prairie (TX); Hybrid; USD 137,000 - 236,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Incentive programs

Job summary

Elevance Health is seeking an Initiative Project Leader to drive the Payment Integrity Unified Ecosystem. The role coordinates business and technology partners, shaping new PI solutions and applications.

You will lead initiatives from assessment to implementation, aligning cross-functional teams and delivering actionable plans with strong governance. The position requires a BA/BS and 8+ years in operations, with previous enterprise-transformation leadership.

Qualifications

• Requires a BA/BS degree in a related field and a minimum of 8 years of professional experience in an operations environment including 7 years of leading and directing large enterprise-wide projects.
• Experience leading large-scale enterprise transformation initiatives involving cross-functional partners.

Responsibilities

• Serves as a thought leader regarding improvements to end-to-end processes with providers, members, and internal end-users in mind.
• Connects critical dots across matrixed organizations supporting the PI Unified Ecosystem through integration points in Claims, Health Plans, Operations, PE&C, PSCCR, Finance, Actuary, Digital, and IT.
• Leads the PI Unified Ecosystem from assessment through implementation, developing actionable project plans and ensuring business controls are in place to monitor sustainable results.
• Builds consensus across business and technology workstreams, leads root cause analysis, uncovers trends, contributes to solution definition, and determines best practices.
• Establishes and manages program milestones, dependencies, risks, decisions, and recovery plans to keep development moving forward.
• Uses data-supported reporting to communicate program health, identify delivery gaps, and provide status updates.

Skills

Payment Integrity

Healthcare payer

Claims

Cost-of-care

Healthcare technology

Healthcare operations

Enterprise transformation

Project leadership

Agile

Aha!

Jira

Smartsheet

Education

BA/BS degree in related field

Tools

Aha!

Jira

Smartsheet

Job description

Elevance Health is seeking an Initiative Project Leader to drive the Payment Integrity Unified Ecosystem. The role coordinates business and technology partners, shaping new PI solutions and applications.

You will lead initiatives from assessment to implementation, aligning cross-functional teams and delivering actionable plans with strong governance. The position requires a BA/BS and 8+ years in operations, with previous enterprise-transformation leadership.