Director II Payment Innovation (US)

at Elevance Health in Chicago, Illinois, United States

Job Description

WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online application for consideration of employment for any position. We will never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment.

Director II Payment Innovation (US)

+ Job Family: Digital and Technology

+ Type: Full time

+ Date Posted:Oct 27, 2023

+ Req #: JR89036



+ Georgia, Midland

+ Colorado, Denver

+ Washington, Seattle

+ Minnesota, Mendota Heights

+ Minnesota, Gilbert

+ Louisiana, Metairie

+ New York, New York City

+ New York, Middletown

+ Ohio, Seven Hills

+ New Jersey, Iselin

+ California, Woodland Hills

+ California, Walnut Creek

+ Georgia, Atlanta

+ 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

+ California, Costa Mesa

+ Delaware, Wilmington

+ Iowa, West Des Moines

+ Nevada, Las Vegas

+ Connecticut, Wallingford

+ Virginia, Roanoke

+ Texas, Houston

+ Virginia, Richmond

+ Texas, Grand Prairie

+ Illinois, Chicago

+ Wisconsin, Waukesha

+ North Carolina, Cary

+ Missouri, St. Louis

+ Maryland, Hanover

+ California, Palo Alto

+ Florida, Miami

+ Virginia, Norfolk

+ West Virginia, Charleston

+ Maine, South Portland

+ New Jersey, Morristown


Director II Payment Innovation

Location: This role will work a hybrid model (remote and office) and ideal candidate will reside within 50 miles or 1-hour commute of an Elevance Health PulsePoint location.

The Director II Payment Innovation is responsible for issue management and operational evaluation and support of payment model design, development, and innovative payment solutions for healthcare providers, including framing of business requirements. Responsible for broad scale issue resolution and operational capability assessment process management for a diverse portfolio of payment innovation solutions and leading large, multi-stakeholder teams.

How you will make an impact:

+ Drives the operational execution of payment innovation strategies.

+ Evaluates network and program issues, identifies root cause and optimal solutions, sets a path to resolution, and drives full execution.

+ Engages provider technical and clinical teams and cross-functional teams, collects business requirements, creates Value-Based Payment concepts, and writes High-Level Business Requirements documents.

+ Supports business solution development, works with other business partners to guide solution development, pilots and solutions launch activities, and develops strategic roadmaps that drive business solutions.

+ Develops and designs processes and systems that support business needs.

+ Translates complex information and coordinates the communication and implementation of key decisions and accomplishments (internally and externally).

+ Leads special projects/initiatives.

+ Represents the company in external meetings (as needed).

+ Hires, trains, coaches, counsels and evaluates performance of direct reports.

Minimum requirements:

+ Requires BA/BS (preferably in healthcare administration, economics or related field) and a minimum of 8 years of experience with healthcare delivery/payment design, strategic planning, budgeting and forecasting, process improvement, technical development processes, and provider contracting.

Preferred Skills, Capabilities and Experiences:

+ MBA, MHA or similar degree strongly preferred.

+ Previous experience leading design and execution of Value-Based Payment Models

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $165,760 to $313,286.

Locations: California; Colorado; Nevada; New York; Washington State; Jersey City, NJ

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 relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and

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Job Posting: JC248605331

Posted On: Sep 27, 2023

Updated On: Nov 04, 2023

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