Payment Integrity Transformation Leader (Hybrid)

Elevance Health; Latham (NY); Hybrid; USD 137,000 - 236,000; Full time

Job summary

Elevance Health in the United States is seeking an Initiative Project Leader to drive the Payment Integrity Unified Ecosystem. You will coordinate business and technology partners and develop new PI solutions and applications, leading end-to-end transformations for improved member and provider experiences.

The role requires strong leadership across matrixed teams, strategic roadmapping, and expert communication to executive and technical audiences. Hybrid in-office 3 days weekly with flexibility.

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.
• Preferred experience leading large-scale enterprise transformation initiatives involving business, product, operations, digital, and technology partners.

Responsibilities

• Serves as a thought leader regarding improvements to end-to-end processes with our 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 internal and external best practices.
• Establishes and manages program milestones, dependencies, risks, decisions, and recovery plans to keep the development of new Payment Integrity solutions and applications moving forward.

Skills

Leadership

Stakeholder management

Data fluency

Executive communication

Agile / product development

Strategic roadmaps

Education

BA/BS degree in related field

Tools

Aha!

Jira

Smartsheet

Job description

Elevance Health in the United States is seeking an Initiative Project Leader to drive the Payment Integrity Unified Ecosystem. You will coordinate business and technology partners and develop new PI solutions and applications, leading end-to-end transformations for improved member and provider experiences.

The role requires strong leadership across matrixed teams, strategic roadmapping, and expert communication to executive and technical audiences. Hybrid in-office 3 days weekly with flexibility.