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Staff VP, Disease Management Technologies

Location:

  • OH, Mason
  • GA, Atlanta
  • VA, Norfolk

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Description

Staff Vice President – Disease Management Technologies

The sVP of Disease Management Technologies will be responsible for leading Whole Health Digital Product initiatives including but not limited to Disease Management, Digital Therapeutics, Remote Monitoring, Virtual Health, and Home Health.  The sVP will also have direct responsibility for all relevant program development, implementation and monitoring in accordance with business needs and State and/or Federal mandates.  Additionally, the leader will strategically recommend, develop, and implement initiatives and evaluate outcomes, objectives, policies and procedures related to Disease management performance and quality improvement, and coordinate services with other departments.  The leader will have the responsibility for the strategic integration of clinical initiatives using DM resources. The sVP will be serve as a subject matter expert in Disease Management to business leaders and stakeholders throughout the organization and provide strategic insights including the use of predictive analytical insights. The sVP will be a leader for strategy development that includes staff models with finance and other line of business partners. This position reports to the CTO of Whole Health Advocacy & Provider Engagement Platforms.

Duties/Responsibilities

  • Provides oversight of and leadership with minimal guidance to Whole Health Disease Management teams, including:
    • Creating a high performing team
    • Assisting with budget planning, preparation, and adherence.
    • Driving initiatives and activities to reduce preventable admissions and readmissions across targeted lines of business
    • Collaborating with other departments to improve health outcomes and quality measure performance
    • Continuously improves effectiveness and efficiency of processes and programs, including leveraging new technology, improving predictive models, etc.
    • Providing information and knowledge to team, including access to intercanal and external resources that are helpful towards achieving organizational and personal development goals
  • Develops, implements, and monitors new Disease management programs relative to applicable lines of business and any product/benefit change
  • Establishes a measured change management
  • Coordinates and advises other stakeholders and business owners of Disease Management initiatives
  • Works as a liaison with external organizations to assure lines of communication are in place for member engagement and communicates directly with families, physicians and community providers as needed.
  • Participates and represents Disease Management on business implementation of new products, various committees, and policy workgroups.
  • Responsible for monitoring all work product to ensure it is in compliance with all State and/or Federal mandates
  • Other tasks as assigned

Core Competencies

  • Strong program and project management skills
  • Strong understanding of patient engagement and Disease management programs; Understand the analytical methods related to measuring the outcomes and effectiveness of such programs. 
  • Proven track record and experience interfacing with external key business stakeholders/partners to achieve performance and/or clinical quality objectives
  • 10+ years progressive, related business management experience in a high-impact role, with a track record of success leading regional or national operations of managed Disease services.
  • Prior experience overseeing a medical management/clinical services organization desired, with a track record of creating new strategies that support new consumer Disease management
  • Strong understanding of the employer, government, and commercial insurance industry, including value-based risk models
  • Effectively meet and exceed practice/provider needs; build productive relationships with physicians, practice leadership, and take responsibility for practice loyalty and success
  • Demonstrate interpersonal/verbal communication skills
  • Strong consultation and influencing skills
  • Ability to multi-task and work in a fast-paced environment with changing priorities
  • Experience activating a lean start up within a fortune 500 healthcare payer or provider organization
  • Demonstrated experience in technology breadth and depth in AI, data, mobile experiences, and building distributed scalable platforms

Minimum Qualifications

  • Master's Degree in a Health-related field
  • MD in a Health-related field
  • Experience as a senior leader with Health Disease Plan Programs or Companies
  • Demonstrated strategic thinking, process improvement, innovative thinking and team management expertise
  • Demonstrated experience in the usage of data to guide decision making

Preferred Qualifications

  • Experience in Health Plan or Provider-based Disease Management

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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