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Director I Payment Innovation, Specialty Care

Anthem Blue Cross & Blue Shield

Anthem Blue Cross & Blue Shield

London, UK · New York, NY, USA · Dallas, TX, USA · United States · Seattle, WA, USA · McLean, VA, USA · Reston, VA, USA · New York, USA · Washington, DC, USA · Washington, USA · Herndon, VA, USA · Texas, USA · Washington, DC, USA · Oregon, USA · New Jersey, USA · Palo Alto, CA, USA · Massachusetts, USA · Indiana, USA · Illinois, USA · East Chicago, IN, USA · Georgia, USA · Florida, USA · Irvine, CA, USA · California, USA · Mountain View, CA, USA · Bellevue, WA, USA · Indianapolis, IN, USA · Maryland, USA · Remote
Posted on Friday, November 17, 2023

Position Title:

Director I Payment Innovation, Specialty Care

Job Description:

Director I Payment Innovation, Specialty Care

The Director I Payment Innovation, Specialty Care develops, implements, and manages enterprise provider performance measurement and reward programs for hospitals and physicians.

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

How you will make an impact:

  • Designs and manages infrastructure and strategies related to performance measurement reporting and reward programs for physicians and hospitals.
  • Determines the financial/utilization data and clinical data required to assist our providers in rendering evidenced based, high quality health care that is cost effective.
  • Develops specialty specific physician payment innovation program models to compliment PC2 efforts and to support transparency initiatives.
  • Oversees the development of end to end process requirements, toolkits including contract templates and serves as a subject matter expert in the deployment of programs in the markets.
  • Hires, trains, coaches, counsels and evaluates performance of direct reports.

Minimum Requirements:

  • Requires a BS/BA degree and a minimum of 8 years experience in strategic planning and project management, preferably in the health insurance industry; experience with network management, data operations, managed care operations and competitive Healthcare delivery environment; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

  • Strongly preferred Master's degree.
  • Management experience preferred
  • Experience with building technical financial models and risk arrangements
  • Experience leading design and execution of Value Based Payment models within the specialty provider space (e.g., oncology, maternity, cardiac, musculoskeletal, etc.)

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $131,800 to $249,102.

Locations: California; Colorado; Nevada; New York, Washington State; Jersey City, NJ

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

*The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Job Level:

Director

Workshift:

Job Family:

PND > Value Based Solutions

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

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, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and 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. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.