Skip to main content

Staff VP, GBD Claims Operations

  • Job Family: Claims
  • Type: Full time
  • Date Posted:
  • Req #: JR19582

Location:

  • VA, Norfolk
  • Florida, Tampa

Share:

Description

Be part of an extraordinary team.

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?

Position Overview:

Responsible for the strategic and operational business needs of the Government Business Division including claims adjudication, payment disputes, and adjustments that meet all compliance and regulatory requirements.

Primary duties may include, but are not limited to:

  • Oversees multiple claims processing units, and executes strategies to deliver industry-leading service results.

  • Improves processes and partners across lines of business to develop consistency and share best practices.

  • Drives results to improve member/provider satisfaction.

  •  Builds strong partnerships with Plan Presidents, and collaborates with IT, Enterprise Benefit Administration, Provider Engagement and Contracting, Sales, and Internal Audit.

  • Manages special projects and oversees the budget.

  • Hires, trains, coaches, counsels, and evaluates the performance of direct reports.

Requires a BA/BS in business administration or a related field and a minimum of 10 + years of management experience in claims that includes adjustments in the managed care and/or insurance industry, or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

  • MBA preferred

  • Workforce Management experience

  • Demonstrated Strong c-suite relationship-building skills

  • Demonstrated strong strategic planning skills within a highly matrixed organization


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.

Apply Now