Strategic Planning Director – Payment Integrity
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Indianapolis • Ohio • Virginia • United States
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Job Level
About the role
- Managing the enterprise wide planning process for a VP and above
- Advancing payment integrity strategy
- Strengthening end-to-end processes
- Driving measurable improvements in cost avoidance, recovery, and prevention
- Directing the monthly/quarterly reporting process and annual operating plan development
- Ensuring alignment with payment integrity performance goals
- Developing the annual business plan and quarterly forecast materials
- Coaching business planning participants on requirements, analysis, and deadlines
- Managing strategic payment integrity projects, reports, and analyses
Requirements
- Requires a BA/BS degree in a related field
- Minimum of 10 years of related experience
- 3-5 years of experience in Payment Integrity is strongly preferred
- Experience in claim editing, recoveries, cost of care, or financial project management is highly desired
- Experience in successfully developing and managing projects with significant operating budgets
- Knowledge of process redesign is strongly preferred
- Project management experience desired
- Experience with claims processing systems, such as GBD Facets and/or WGS highly desired
- Experience facilitating presentations to large audiences preferred
Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short term disability benefits
- Long term disability benefits
- 401(k) + match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
payment integrityclaim editingrecoveriescost of carefinancial project managementprocess redesignproject managementbudget managementreportingbusiness planning
Soft Skills
coachinganalysiscommunicationpresentation skillsstrategic thinkingleadershiporganizational skillsdeadline managementcollaborationproblem-solving