Solutions Management Director at Elevance Health

Indianapolis, Indiana, United States

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Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

BA/BS degree and minimum of 8 years experience in a related field, including minimum of 3 years Solutions Management experience; or any combination of education and experience which would provide an equivalent background
Reside in Chicago, IL., Nashville, TN., St. Louis, MO., or Indianapolis, IN. (or within reasonable commuting distance; candidates not meeting this will not be considered unless accommodation granted)

Responsibilities

Lead the planning and implementation of products and services for the most complex, diverse lines of business enterprise-wide
Serve as the single point of contact and subject matter expert on all aspects of planning, implementing, and managing day-to-day operational, technical, and business partner interactions for existing programs
Work with Product Development to consult on enhancements to existing products and development of new clinical solutions based on department analytics
Provide consultation and advice to business partners regarding benefits of products and analytics
Explain timelines and measures of success for implementing products
Coordinate with the Physician Liaison regarding clinical issues related to clinical measure implementation or customization by line of business and communicate changes to Product Development for consideration in product performance and financial analyses
Schedule and coordinate implementation of contracted products and services for assigned business partners
Coordinate data requirements, production schedules, and deliverables with the business partner
Oversee all business partner specifications and/or modifications for contracted products and services
Provide business partners with the resources, training, and services necessary to effectively utilize the products
Analyze business partner data for QA and identification of opportunities for business partners to utilize products and services to improve plan performance
Maintain expert knowledge of current clinical measures and future clinical measure development plans, communicate this information to business partners, assist in the selection of clinical measures for pilot and full rollout, and guide business partners in reviewing and updating clinical measure sets
Maintain expert knowledge of all current systems, products, and services and basic understanding of future system and product development plans to communicate appropriately with business partners
Lead department projects and mentor solutions management staff
Provide leadership to managers and consultants
Serve as subject matter expert for the department
Support business strategies through an integrated portfolio of programs, projects, and initiatives

Skills

Product Planning

Product Implementation

Stakeholder Management

Analytics

Clinical Solutions

Physician Liaison

Data Coordination

Business Partner Management

Financial Analysis

Program Management

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.

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