Manager II Claims at Elevance Health

Indianapolis, Indiana, United States

Elevance Health Logo
Not SpecifiedCompensation
Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries

Requirements

  • BA/BS degree
  • Minimum of 3 years management experience
  • Minimum of 2 years claims experience (or any combination of education and experience providing equivalent background)
  • Ability to work in-office 1-2 days per week (candidates must reside within reasonable commuting distance from posting location(s), unless accommodation granted)

Responsibilities

  • Provide oversight of claims staff
  • Establish departmental policies and procedures
  • Audit/monitor efficiency and compliance with policies
  • Prepare specialized reports
  • Serve as subject matter expert for other areas of the company and within the department
  • Provide policyholder relationship management
  • Manage operational risk
  • May be accountable for deliverables of a third party or vendor
  • Manage multiple functions requiring unique sets of knowledge or significant fiscal accountability beyond routine people/equipment costs
  • Hire, train, coach, counsel, and evaluate performance of direct reports

Skills

Key technologies and capabilities for this role

Claims ManagementPolicy DevelopmentCompliance AuditingReportingRisk ManagementVendor ManagementStaff ManagementPerformance EvaluationPolicyholder Relationship Management

Questions & Answers

Common questions about this position

What is the work arrangement for this role?

This role requires associates to be in-office 1-2 days per week to foster collaboration, while providing flexibility for virtual work. Candidates must reside within a reasonable commuting distance from the posting location(s), unless an accommodation is granted.

What are the minimum education and experience requirements?

The role requires a BA/BS, a minimum of 3 years management experience, and a minimum of 2 years claims experience, or any combination of education and experience providing an equivalent background.

What does the Manager II Claims role entail?

The role involves providing oversight of claims staff, establishing departmental policies and procedures, auditing efficiency and compliance, preparing reports, serving as a subject matter expert, managing policyholder relationships, and managing operational risk.

What is the salary or compensation for this position?

This information is not specified in the job description.

What makes a strong candidate for this role?

Strong candidates will have a BA/BS with at least 3 years of management experience and 2 years in claims, plus experience hiring, training, coaching, and evaluating staff. Preferred candidates may have skills suitable for Government Business Division roles involving stringent background checks and sensitive data handling.

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters
1944Year Founded
$309.4MTotal Funding
IPOCompany Stage
Enterprise Software, Social Impact, HealthcareIndustries
10,001+Employees

Benefits

Medical, dental, & vision insurance
401(k) + match
Paid holidays
Paid Time Off
Incentive bonus programs
Stock purchase plan
Life insurance
Wellness Programs
Financial education resources
Adoption & Surrogacy Assistance
Dependent-care Flexible Spending Account (DCFSA)
Parental Leave
Parental Transition Week
Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.
Lawsuit against CMS over MA Star Ratings could lead to financial penalties.
CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.
Acquisition of CareBridge enhances home health services within Carelon division.
Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.
Predictive analytics support early disease detection, aligning with Elevance's whole health approach.
Telehealth expansion offers opportunities to reach more patients remotely.

Land your dream remote job 3x faster with AI