Business Strategy Plan Director - Risk Adjustment, Medicaid
Elevance Health

Description

Business Strategy Plan Director - Risk Adjustment, Medicaid

Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

The Business Strategy Plan Director - Risk Adjustment, Medicaid is responsible for Risk Adjustment strategy, project execution, and executive reporting of the programs within the Medicaid Individual and Small Group line of business.

How You Will Make an Impact:

• Understands all aspects of the Risk Adjustment business and partner with Medicaid executive leadership to define strategy and successful criteria for the future.
  
• Translates strategy into defined tactics, programs/projects priorities, and timelines and ensures alignment and attainment of enterprises strategic plans to turn strategy into reality.
  
• Leverage predictive analytics and other insights from Data Science and Analytics teams to identify opportunities and develop innovative interventions to improve risk adjustment and help ensure complete and accurate coding of our members' health.
  
• Documents strategic priorities such as external environment and reports on customer insight research initiatives.
  
• Ability to analyze data, spot trends and opportunities for improvement and can articulate findings and patterns to stakeholders.
  
• Identify opportunities in data collection and execute project management oversight for the proposed solutions.
  
• Prepares executive reporting that is informative, accurate and timely to ensure business partners are aligned with the work being performed and the risk adjustment team is fully aware of evolving business partner needs.
  
• Track the executive reporting and provide updates on the ongoing performance in a very succinct and organized manner.
  
• Builds and leverages relationships to provide innovative solutions to complex business problems.
  
• Proposes opportunities to improve results based on continuous needs assessment.
  
• Responsible for the development implementation and monitoring of line of business planning, project activities and execution oversight.
  

Minimum Requirements:

Requires a BA/BS degree in a related field and a minimum of 10 years of related experience including prior leadership experience and 3-to-5-year strategic planning; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Master's degree preferred.
  
• PMP certification preferred.
  
• Proven experience in leading large complex projects preferred.
  
• Experience with healthcare economics and/or risk adjustment at a health plan, preferred.
  
• Strong knowledge of the Medicaid Individual and Small Group business, preferred.
  
• Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills preferred.
  
• Strategy and planning experience preferred.
  
• Demonstrate a track record of driving initiatives in a matrix environment preferred.
  
• Able to travel to a worksite and other locations as necessary.
  

Please 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 Are

Elevance 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 Work

At 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.comfor assistance.

This job has expired.