Strategic Payment Integrity Initiative Lead

Elevance Health; Wilmington (DE); Hybrid; USD 137,000 - 236,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase plan

401(k) contribution

Job summary

Elevance Health in the United States seeks an Initiative Project Leader for Payment Integrity to analyze, standardize, and drive end-to-end process improvements to enhance value for members, providers, and end-users.

The role strengthens operating strategy, roadmap visibility, and alignment across Payment Integrity and enterprise partners, with a BA/BS and 8+ years experience, including leading large projects. Hybrid in-office 3 days weekly; salary within stated range.

Qualifications

• Requires a BA/BS degree in a related field and at least 8 years of operations experience, including 7 years leading large enterprise projects.
• Experience serving in chief of staff, executive business partner, enterprise strategy, business operations, portfolio management, or transformation leadership capacity preferred.
• Exceptional executive communication and storytelling skills, including the ability to translate complex information into clear presentations, transformation updates, get to the "so what" and value proposition, release management, prioritization and leadership communications preferred.
• Experience developing and managing enterprise roadmaps, organizational priorities, capacity plans, budgets, release schedules, and executive-level status reporting preferred.
• Demonstrated ability to operate as a highly accountable and detail-oriented self-starter who can navigate ambiguity, identify gaps, and independently drive work to completion preferred.
• Ability to build trusted relationships, influence without direct authority, and coordinate priorities across highly matrixed business, operations, product, digital, finance, and technology organizations preferred.

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 and the broader Payment Integrity portfolio through integration points in Claims, Health Plans, Operations, PE&C, PSCCR, Finance, Actuary, Digital, and IT.
• Leads strategic initiatives from assessment through implementation and ensures business controls are in place to monitor the sustainability of process improvements.
• Builds consensus across organizational functional areas, leads root cause analysis, uncovers trends, contributes to solution definition, and determines internal and external best practices.
• Creates greater visibility into organizational priorities, budgets, capacity plans, release schedules, risks, and dependencies to support leadership decision-making.
• Plans and manages the organization’s rhythm of business, including leadership reviews, State of the State meetings, all-hands meetings, newsletters, release notes, and follow-up actions.
• Articulates strategic priorities, roadmap status, risks, decisions, and results through clear communications tailored to executive, operational, and technical audiences.
• Creates and maintains an end-to-end Payment Integrity roadmap that enables leadership to prioritize, rebalance resources, and keep shared organizations focused on the highest-value work.

Skills

Chief of staff

Executive partner

Strategy leadership

Enterprise roadmaps

Communication skills

Ambiguity navigation

Influence across matrixed orgs

Education

BA/BS degree

Job description

Elevance Health in the United States seeks an Initiative Project Leader for Payment Integrity to analyze, standardize, and drive end-to-end process improvements to enhance value for members, providers, and end-users.

The role strengthens operating strategy, roadmap visibility, and alignment across Payment Integrity and enterprise partners, with a BA/BS and 8+ years experience, including leading large projects. Hybrid in-office 3 days weekly; salary within stated range.