Strategic Planning Director - Payment Integrity
Elevance Health, Indianapolis, IN, United States
Strategic Planning Director – Payment Integrity
Location:
The role requires in-office presence 3 days per week, with flexibility for virtual work. Alternate locations may be considered if within commuting distance.
Key Responsibilities
Directs the monthly/quarterly reporting process and annual operating plan development, ensuring alignment with payment integrity performance goals and value realization targets.
Ensures strategic rationale and initiatives are in sync with corporate direction and enterprise payment integrity objectives.
Develops the annual business plan and quarterly forecast materials and tools, incorporating process improvement priorities and operational efficiency metrics.
Coaches business planning participants on requirements, analysis, and deadlines, with emphasis on disciplined execution, root cause analysis, and continuous process improvement.
Manages strategic payment integrity projects, reports, and analyses, identifying opportunities to enhance accuracy, efficiency, and scalability.
Leads the development and direction of selected issues and projects, driving cross-functional process optimization and sustainable performance improvement.
Minimum Requirements
BA/BS degree in a related field and a minimum of 10 years of related experience; or an equivalent combination of education and experience.
Preferred Skills, Capabilities and Experiences
3-5 years of experience in Payment Integrity.
Experience in payment integrity: claim editing, recoveries, cost of care, or financial project management.
Experience in successfully developing and managing projects with significant operating budgets and knowledge of process redesign.
Project management experience.
Experience with claims processing systems such as GBD Facets and/or WGS.
Experience facilitating and presenting to large audiences.
Knowledge of process redesign.
Additional Information Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Elevance Health is an Equal Employment Opportunity employer; 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. Qualified applicants with arrest or conviction records will be considered in accordance with all federal, state, and local laws, including the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
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.
#J-18808-Ljbffr
The role requires in-office presence 3 days per week, with flexibility for virtual work. Alternate locations may be considered if within commuting distance.
Key Responsibilities
Directs the monthly/quarterly reporting process and annual operating plan development, ensuring alignment with payment integrity performance goals and value realization targets.
Ensures strategic rationale and initiatives are in sync with corporate direction and enterprise payment integrity objectives.
Develops the annual business plan and quarterly forecast materials and tools, incorporating process improvement priorities and operational efficiency metrics.
Coaches business planning participants on requirements, analysis, and deadlines, with emphasis on disciplined execution, root cause analysis, and continuous process improvement.
Manages strategic payment integrity projects, reports, and analyses, identifying opportunities to enhance accuracy, efficiency, and scalability.
Leads the development and direction of selected issues and projects, driving cross-functional process optimization and sustainable performance improvement.
Minimum Requirements
BA/BS degree in a related field and a minimum of 10 years of related experience; or an equivalent combination of education and experience.
Preferred Skills, Capabilities and Experiences
3-5 years of experience in Payment Integrity.
Experience in payment integrity: claim editing, recoveries, cost of care, or financial project management.
Experience in successfully developing and managing projects with significant operating budgets and knowledge of process redesign.
Project management experience.
Experience with claims processing systems such as GBD Facets and/or WGS.
Experience facilitating and presenting to large audiences.
Knowledge of process redesign.
Additional Information Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Elevance Health is an Equal Employment Opportunity employer; 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. Qualified applicants with arrest or conviction records will be considered in accordance with all federal, state, and local laws, including the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
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.
#J-18808-Ljbffr