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Staff VP - Engineering, Provider Platform Technology

Location:

  • VA, Norfolk

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Description

Staff VP, Digital Product, Provider Platform Technology

Are you looking for a technology platform product leader role with a focus for driving digital transformation from the core?  We in seeking an action-oriented individual with an infectious passion for taking the complexity out of healthcare, allowing providers and care givers to focus on the whole health of our consumers. 

Reporting directly to the CTO, Whole Health, Advocacy, and Platforms, this role will lead the technology product organization responsible for E2E provider self service capabilities across interoperability (EDI) and portal channels, with a strategic focus on improving the digital experience through:

Ensuring the information shared is meaningful, trusted, and actionable Creating transactional and relational digital solutions and B2B services with a customer advocacy bias- personalized, proactive, omni-channel preference (eg Revenue Cycle Management, Smart Claims, UM, Grievance and appeals, Consumer whole health journey manager, etc) Simplifying and unifying the digital experience with tightly integrated, customer centric workflows Aggressive orchestration of Omni-channel adoption- Availity portal, EDI (X12 and FHIR), chat, AI chat, telephony, IVR, EMR

Job Description:

Responsible for overseeing the product lifecycle from concept to delivery: Technical R&D, team leadership, Program increment planning, requirements and analysis, UX/UI design, QA and Testing, and go to market launch planning of enterprise provider facing capabilities, across all lines of business and across the end to end provider value stream including:

Enrollment & Onboarding Contracting and Credentialing Provider Demographics Mgt Pricing Pre-service (Benefit inquiry, ID card, cost transparency, appt scheduling) UM (UM rules, intake, referrals, workflow) Care (CM, DM, whole health) Claims (HIPAA 1-7 edits, claims acknowledgement) Post Service (claim status, request for information, remittance, payment) Inquiry Resolution

Oversees strategy and implementation of new products or product changes/enhancements. Monitors product performance and the competitive environment. Ensures products meet competitive and legislative needs. Establishes product development policies to guide product development. Monitors product development for compliance. 

Primary duties include, but not limited to:

Obtains resources (people, funding, material, support) to get things accomplished. Provides leadership in motivating subordinates to accomplish application design and delivery goals and objectives. Develops a strong team through training and effective organizational development practices. Implements the policies, practices, and procedures of the company and Information Technology organizations. Has fiscal responsibility for IT application budgets. Establishes relationships with business users. Hires qualified staff for assigned areas or functions. Oversees entire business unit or all aspects of a centralized function. Participates with other executives to establish strategic plans and objectives. Makes final decisions at the business unit level and ensures operations' effective achievement of objectives. Accountable for budgets. Coordinates product/project management across department & divisional lines. Hires, trains, coaches, counsels, and evaluates performance of direct report.

Qualifications:

Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 15 years of leadership experience in programming environment; or any combination of education and experience, which would provide an equivalent background required.

Preferred Skills and Experience:

  • 10 years leading health tech/digital product organizations w/ 40+ staff in size
  • Strong ‘End to End’ business operations understanding the payer- provider value stream
  • 7 Years experience leading EDI teams (X12, FHIR), and trading partner management
  • Previous experience negotiating and managing strategic contract relationships with 3rd party admin and clinical interoperability/exchange vendors
  • Previous consulting experience associated with optimizing Provider Lifecycle Management and Revenue Cycle Management pain points
  • Expertise in healthcare interoperability and standards (HIPAA/X12, FHIR, etc)
  • Uncanny ability to understand, diagnose, and lead the remediation of ‘Voice of the Provider’ concerns driving increased AR, call volumes, and satisfaction scores- using Digital and EDI tools
  • Previous payer experience working in a product lead/engagement with Availity strongly preferred
  • Experience with leading strategic CRM implementation within a payor-provider model using PEGA or Salesforce (preferred)

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates 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.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.com. 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 ability@icareerhelp.com for assistance.

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