Payment Innovation Director II

Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). Must live within 50 miles/1 hour commute of an Elevance Health location.

The Payment Innovation Director II is responsible for Payment Innovation business solution research, design, development, and conceptualizing innovative payment solutions for healthcare providers thru provider collaboration and strategy, validating and framing the business requirements. Responsible for a diverse portfolio of payment innovation solutions and leading large, multi-stakeholder teams.

How you will make an impact:

• Drives the execution of payment innovation strategies.

• Performs complex market and competitive analysis, engages provider technical and clinical teams and cross functional teams, collects business requirements, creates Value Based Payment concepts, writes High Level 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.

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

• Translates complex information and coordinates the communication and implementation of key decisions and accomplishments.

• Leads special projects/initiatives.

• Represents the company in external meetings and provides influence in the payer and healthcare industry.

Minimum Qualifications:

• Requires BA/BS in business or related field and a minimum of 12 years of experience in healthcare systems, and 8 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.

• Previous experience leading design and execution of Value Based Payment Models with Medicaid preferred.

• Proficient in creating financial models and skilled in conducting financial analysis.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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. Unless 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 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.