Carelon Solution Innovation Director 

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

The Carelon Solutions Innovation Director will work with the Carelon Analytics, Actuarial and Sales team to streamline opportunity analysis, reporting and reconciliation process for risk-based deals for all Carelon Business Units. This position is responsible for driving support for and external sales of Carelon solutions, including Medical Benefits Management, Post-Acute Solutions, Behavioral Health, and Palliative Care. The role also includes measuring, tracking, reporting, and reconciling the performance of Carelon solutions for external clients.

How you will make an impact:

• Provides comprehensive analytic, actuarial and business insight across Carelon Business Units.

• Develops reporting and risk reconciliation packages across all Carelon solutions

• Provides analytic and business insight across Carelon Business Units

• Have detailed technical/actuarial conversations around savings methodology with external clients

• Investigates and manages internal and external issues on an ad hoc basis including provider issues, clinical issues, and other inquiries.

• May provide leadership and/or oversight of projects, project teams and/or external consultants.

Minimum Requirements:

Requires a BA/BS degree in a related area and a minimum of 10 years of increasingly responsible business and professional experience including 3 years of leadership experience in a related field; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experience:

• Fellow of Society of Actuaries (FSA) and Member of American Academy of Actuaries (MAAA) highly preferred.

• Work experience in product development, marketing or project management experience preferred.

• Leadership experience working in the managed care/healthcare insurance industry strongly preferred. 

• Exceptional strategic thinking, decision-making, problem-solving skills, and adaptability highly preferred.

• Experience interacting confidently with senior management and executive level stakeholders, as a subject matter expert and comfortable with influencing decision-making preferred.

• Experience and knowledge of data analytics, project execution, process improvement and change management experience (strategic and execution) strongly preferred.

• Excellent written, oral, presentation and interpersonal communication skills with the proven ability to negotiate expectations between multiple parties strongly preferred. 

• Proficient of Microsoft Office products Excel, Teams, Outlook, PowerPoint, and Word strongly preferred.

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.