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Director of Solutions Management, Provider and Member Data Team for AIM Specialty Health (Remote)

  • Job Family: Business Support
  • Type: Full time
  • Date Posted:
  • Req #: JR1711

Location:

  • IL, Chicago
  • Minnesota, Minneapolis
  • NJ, Morristown
  • CT, Wallingford
  • WI, Madison
  • IN, Indianapolis
  • CA, San Francisco
  • MO, St. Louis
  • Pennsylvania, Philadelphia
  • TX, Houston
  • TX, Fort Worth
  • OH, Columbus
  • CA, Sacramento
  • FL, Lauderdale Lakes
  • ME, South Portland
  • NH, Manchester
  • NY, New York
  • FL, Miami 5750 NW 183rd Street
  • VA, Norfolk
  • AZ, Phoenix
  • TX, San Antonio
  • KY, Louisville
  • GA, Atlanta
  • NV, Las Vegas
  • MN, Mendota Heights
  • CA, Los Angeles

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Description

Director of Solutions Management, Provider and Member Data Team for AIM Specialty Health

AIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health family of companies. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology.


Our successful candidate leads the Provider and Member Data team within AIM Product Solutions and is responsible for the overall success of product implementations relative to use of provider and member data.  Ensures data optimization, data model refinement, and continuous improvement with the efficient use of data so that the implementation of products and services for all lines of business enterprise wide is as expected.    S/he is responsible for managing all issues, projects, and initiatives across Solutions involving provider and member data.  S/he must successfully work cross-functionally to solve issues and launch projects effectively and timely.  S/he possesses strong business strategy acumen as well as deep provider and member data knowledge. S/he must have strong written and verbal communication skills to articulate roadmap, projects, and issues to all levels within the organization.  S/he must be able to lead a high-functioning team to optimize performance and morale.  We are looking for not only a pragmatic perspective to problem-solving, but also an innovative and flexible approach for continuous improvement and adoption of cutting-edge solutions.

[Role can work remotely from any US location]
 
Primary duties may include, but are not limited to: Analyzing complex lines of business and business partner requirements, overseeing business partner relationships, implementation reviewing to ensure business partner needs are met, coordinating and prioritizing needs of multiple business partners with Information Technology, having oversight of project plans, providing ongoing leadership and direction to Solutions Management staff.  Responsible for measuring and monitoring partner/ client satisfaction. Maintains in-depth knowledge of all current systems, products, and services and understanding of future system and product development plans to allow appropriate planning for production schedule and operational processes.  Hires, trains, coaches, counsels, and evaluates performance of direct reports.  
 
Requires a BA/BS in information systems, business, health sciences or related field with emphasis in analytical thinking and minimum of 10 years experience in project and customer relationship management, including minimum of 5 years experience in healthcare setting and/or working with healthcare related customers, 5 years of experience in managing staff, with the understanding of complex business processes; or any combination of education and experience, which would provide an equivalent background.
 
Highly preferred skills and experience:
-Hands on usage of provider and member data
-Product management experience
-Understanding of the Blues system and Blues network contracting
-Experience leading a team and developing talent


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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