at Elevance Health in Chicago, Illinois, United States
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Payment Innovation Director (US)
+ Job Family: Digital and Technology
+ Type: Full time
+ Date Posted:Sep 20, 2023
+ Req #: JR85485
+ GA, ATLANTA
+ Georgia, Midland
+ Minnesota, Mendota Heights
+ Louisiana, Metairie
+ Minnesota, Gilbert
+ New York, New York City
+ New York, Middletown
+ Ohio, Seven Hills
+ New Jersey, Iselin
+ Ohio, Mason
+ New York, Latham
+ Kentucky, Louisville
+ Ohio, Columbus
+ Tennessee, Nashville
+ Ohio, Cincinnati
+ Indiana, Indianapolis
+ Rhode Island, Smithfield
+ Florida, Tampa
+ North Carolina, Winston
+ New Hampshire, Manchester
+ District of Columbia, Washington
+ Delaware, Wilmington
+ Iowa, West Des Moines
+ Connecticut, Wallingford
+ Virginia, Roanoke
+ Texas, Houston
+ Virginia, Richmond
+ Nebraska, Lincoln
+ Texas, Grand Prairie
+ Illinois, Chicago
+ Wisconsin, Waukesha
+ North Carolina, Cary
+ Missouri, St. Louis
+ Maryland, Hanover
+ Florida, Miami
+ Virginia, Norfolk
+ West Virginia, Charleston
+ Maine, South Portland
+ New Jersey, Morristown
The Payment Innovation Director is responsible for the design, development, and conceptualization of innovative, value-based care payment solutions for healthcare providers thru provider collaboration and coordination across clinical operations, quality, reporting, information systems, legal, and contracting teams for the Commercial and Medicare lines of business.
Location: This role will work a hybrid model (remote and office). The ideal candidate will reside within 50 miles of one of our Elevance Health locations.
How you will make an impact:
+ Project Management: engages cross functional teams, collects business requirements, creates Value-Based payment concepts, writes detailed Business Requirements documents, creates business case and ROI analysis.
+ Creates and initiates business solution development, works with other business partners to guide and support solution development, pilot and solution launch activities, and develops and strategic roadmaps that drive business solutions.
+ Creates presentations, program documents and analysis, and presents to leadership as needed.
+ Leads value-based care program planning, implementation, and monitoring. Develops and designs processes and systems that support business needs.
+ Oversees interdisciplinary response to contractual expectations including representation from contracting, business, legal, quality, information systems, compliance, population health, and clinical operations.
+ Leads the development, definition, and implementation of program outcome measures along with ongoing reporting and monitoring processes to continually assess program effectiveness, identify areas of over and under-utilization in specific populations, and identify opportunity for program involvement.
+ Remains current with new trends and best practices and incorporates into payment models.
+ Aligns Payment Models and strategies.
+ Requires BA/BS in business or related field and a minimum of 7 years of experience in healthcare systems, and 5 years of experience in a strategy role; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
+ MBA degree
+ Project Management experience with 5+ years of Multi-Million dollar project or program management experience, including leading end-to-end program/project development, implementation, and monitoring.
+ Excellent verbal and written communication skills with the ability to present to all levels of leadership.
+ Advanced PowerPoint, Excel, and Word.
+ Previous experience with end to end Medicare and Commercial Value-Based Payment models strongly preferred.
+ Ability to work independently.
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $104,800 to $188,640.
Locations: Jersey City, NJ; New York
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
*The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company’s sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a rel