Provder Operations Director
Anticipated End Date:
2024-05-03Position Title:
Provder Operations Director
Job Description:
Location:
Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint sites used for collaboration, community, and connection, with the minimum in-office commitment being 1-3 days in an office per week.
Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
Responsible for supporting business strategies through an integrated portfolio of external client facing programs, projects and initiatives, such as provider data management, implementation of new tool suites and operational processes, or other provider initiatives as well as market and regulatory driven updates.
PRIMARY DUTIES:
Provide subject matter expertise in regard to strategic initiatives, may act as a liaison to IT or other internal and external business partners, be a corporate single point of contact, and mentor regional subject matter experts.
Lead and defines standards for provider experience business applications.
Partners with management to identify high value initiatives.
Identifies and facilitates changes to provider experience processes to incorporate lessons learned from pre and post implementation claims audits.
Leads the standardization of operational readiness plans for provider experience initiatives and mentors team members on best practices.
Executes and delivers strategic initiatives effectively with focus on pricing, demographics or process improvements.
Responsible for overseeing large network file integrations within our SPS database.
Project manage incoming data files working directly with Healthplan leadership and business partners.
Conduct/facilitate data clean-up, remediation, process enhancements.
Support and lead large projects and initiatives.
Participate/influence success in new data file implementations.
Minimum Requirements:
Requires a BA/BS degree in business or a related field and a minimum of 7 years of management experience in healthcare operations, network management, enterprise level project management experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and
Experience:
MBA strongly preferredFor candidates working in person or remotely in the below locations, the salary range for this specific position is $125,280 to $187,920Locations:
California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJIn 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 EquivalentWorkshift:
Job Family:
PND > Provider Relationship Account MgmtPlease be advised that 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.
Who We AreElevance Health is a health company dedicated to improving lives and communities and making healthcare simpler.
We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We WorkAt Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
Our values and behaviors are the root of our culture.
They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
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.
Unless 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 an acceptable explanation.
Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and 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.
Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.
com for assistance.
SummaryLocation:
GA-ATLANTA, 740 W PEACHTREE ST NW; MO-ST LOUIS, 1831 CHESTNUT ST; CT-WALLINGFORD, 108 LEIGUS RD; MD-HANOVER, 7550 TEAGUE RD, STE 500; FL-MIAMI, 9250 W FLAGLER ST, STE 600; FL-TAMPA, 5411 SKY CENTER DR; IN-INDIANAPOLIS, 220 VIRGINIA AVE; OH-MASON, 4361 IRWIN SIMPSON RD; VA-RICHMOND, 2103 STAPLES MILL RD,; OH-SEVEN HILLS, 6000 LOMBARDO CENTER, STE 200; KY-LOUISVILLE, 13550 TRITON PARK BLVD; NY-NEW YORK, ONE PENN PLAZA, 35TH AND 36TH FLType:
Full time.
Estimated Salary: $20 to $28 per hour based on qualifications.
2024-05-03Position Title:
Provder Operations Director
Job Description:
Location:
Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint sites used for collaboration, community, and connection, with the minimum in-office commitment being 1-3 days in an office per week.
Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
Responsible for supporting business strategies through an integrated portfolio of external client facing programs, projects and initiatives, such as provider data management, implementation of new tool suites and operational processes, or other provider initiatives as well as market and regulatory driven updates.
PRIMARY DUTIES:
Provide subject matter expertise in regard to strategic initiatives, may act as a liaison to IT or other internal and external business partners, be a corporate single point of contact, and mentor regional subject matter experts.
Lead and defines standards for provider experience business applications.
Partners with management to identify high value initiatives.
Identifies and facilitates changes to provider experience processes to incorporate lessons learned from pre and post implementation claims audits.
Leads the standardization of operational readiness plans for provider experience initiatives and mentors team members on best practices.
Executes and delivers strategic initiatives effectively with focus on pricing, demographics or process improvements.
Responsible for overseeing large network file integrations within our SPS database.
Project manage incoming data files working directly with Healthplan leadership and business partners.
Conduct/facilitate data clean-up, remediation, process enhancements.
Support and lead large projects and initiatives.
Participate/influence success in new data file implementations.
Minimum Requirements:
Requires a BA/BS degree in business or a related field and a minimum of 7 years of management experience in healthcare operations, network management, enterprise level project management experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and
Experience:
MBA strongly preferredFor candidates working in person or remotely in the below locations, the salary range for this specific position is $125,280 to $187,920Locations:
California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJIn 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 EquivalentWorkshift:
Job Family:
PND > Provider Relationship Account MgmtPlease be advised that 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.
Who We AreElevance Health is a health company dedicated to improving lives and communities and making healthcare simpler.
We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We WorkAt Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
Our values and behaviors are the root of our culture.
They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
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.
Unless 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 an acceptable explanation.
Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and 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.
Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.
com for assistance.
SummaryLocation:
GA-ATLANTA, 740 W PEACHTREE ST NW; MO-ST LOUIS, 1831 CHESTNUT ST; CT-WALLINGFORD, 108 LEIGUS RD; MD-HANOVER, 7550 TEAGUE RD, STE 500; FL-MIAMI, 9250 W FLAGLER ST, STE 600; FL-TAMPA, 5411 SKY CENTER DR; IN-INDIANAPOLIS, 220 VIRGINIA AVE; OH-MASON, 4361 IRWIN SIMPSON RD; VA-RICHMOND, 2103 STAPLES MILL RD,; OH-SEVEN HILLS, 6000 LOMBARDO CENTER, STE 200; KY-LOUISVILLE, 13550 TRITON PARK BLVD; NY-NEW YORK, ONE PENN PLAZA, 35TH AND 36TH FLType:
Full time.
Estimated Salary: $20 to $28 per hour based on qualifications.
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