Business Performance Management Director - Enterprise HEDIS
 

Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of an Elevance Health PulsePoint location. 
 

The Business Performance Management Director - Enterprise HEDIS provides strategic analysis of all internal performance reporting on a business unit and overall, HOO HEDIS basis. Facilitates the achievement of all corporate financial requirements by identifying, implementing and tracking key metrics and performance indicators for all aspects of the business.
 

How you will make an impact:

•    Creates methodologies and processes to implement and track key performance metrics across all segments of the business. 
•    Leads the development of key performance indicators and scorecards and ensures that progress against all metrics is reported uniformly across all segments of the business. 
•    Synthesizes and assimilates external sales, financial, economic/demographic, and industry conditions to advise the leadership team on tracking and identifying opportunities to achieve growth targets. 
•    Creates and maintains clear lines of communication with business leaders, finance, and actuarial. 
•    Collaborates on the standardization, maintenance and optimization of comprehensive performance reporting. 
•    Contributes to the strategic planning process throughout the SBU by integrating financial and operational targets with strategic business performance analysis. 
•    This position will frequently work with other members of the Comprehensive Health Solutions Leadership Team to prepare or assess presentations or other documents for senior leadership that require broad scope as well as intimate knowledge of the detailed workings of the company.
 

Minimum Requirements:

Requires a BA/BS and a minimum of 10 years of increasingly responsible financial, project and/or operational experience in healthcare; or any combination of education and experience which would provide an equivalent background.
 

Preferred Skills, Capabilities and Experiences:

The following experience is strongly preferred:
o    Data governance structures
o    HEDIS audits and Primary Source Verification (PSV)
o    Improving data quality of large source systems
o    Working with HEDIS software, coding and specifications
o    Intimate knowledge of HEDIS regulatory requirements  
o    Working in a matrixed environment
o    Government quality programs, inclusive of Medicaid value capture, Medicare Stars, and Exchange QRS and QTI measures.  

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 and Influenza. 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.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.