Strategic Leader: Payment Integrity Unified Ecosystem

Elevance Health

Severn (MD)

Hybride

USD 137 000 - 236 000

Plein temps

Il y a 10 jours

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Résumé du poste

Elevance Health is seeking an Initiative Project Leader to standardize and optimize end-to-end Payment Integrity processes within the Unified Ecosystem. You will coordinate business and technology partners, drive new PI solutions, and deliver measurable value to members, providers, and internal users.

The role emphasizes strategic roadmaps, cross-functional leadership, and data-driven decision making, with a hybrid work model and a salary range reflective of a senior leadership position.

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.
  • Proven experience leading large-scale, multiyear enterprise transformation initiatives involving business, product, operations, digital, and technology partners.
  • Strong project leadership experience, including developing project plans, milestones, managing dependencies and risks, and driving cross-functional work through implementation.
  • Demonstrated ability to navigate ambiguity, independently determine next steps, solve complex problems, and move initiatives forward with limited direction.
  • Strong business, systems, data, and digital fluency, including ability to analyze information, identify trends, and translate findings into actionable recommendations.
  • Exceptional executive communication and storytelling skills, including experience developing compelling business cases and ROI narratives.
  • Proven ability to build trusted relationships, influence without direct authority, and drive alignment across matrixed organizations.

Responsabilités

  • 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 internal and external 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 objective color status updates.

Connaissances

Project leadership
Executive communication
Data analysis
Strategic roadmaps
Cross-functional collaboration

Formation

BA/BS degree

Outils

Jira
Aha!
Smartsheet

Description du poste

Elevance Health is seeking an Initiative Project Leader to standardize and optimize end-to-end Payment Integrity processes within the Unified Ecosystem. You will coordinate business and technology partners, drive new PI solutions, and deliver measurable value to members, providers, and internal users.

The role emphasizes strategic roadmaps, cross-functional leadership, and data-driven decision making, with a hybrid work model and a salary range reflective of a senior leadership position.

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