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Staff VP Growth (Payment Integrity)

Location:

  • National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint
  • Texas, Texas
  • Virginia, Virginia
  • Nevada, Nevada
  • Florida, Florida
  • Illinois, Illinois
  • New York, New York
  • California, California

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Description

Staff VP Growth (Payment Integrity)

We are currently seeking a Staff Vice President PI Commercial Growth who will lead and develop Carelon’s Payment Integrity (PI) external growth strategy.

This role is responsible for identification and acquisition of new business that will meet the company’s revenue and profitability goals.  Primary duties and responsibilities include but not limited to:

  • Identify market opportunities that resonate with our clients, understand the competitive landscape, set goals, and drive product vision and profitability. 

  • Translate external input into product requirements for Carelon and boldly influence senior management and internal cross-functional teams to rally around common cause to offer innovative products to capture market-share.

  • Craft and develop solutions to business challenges by communicating requirements to key partners (for example, Business leaders, Sales/Marketing, Product, Digital); engage with key partners to deliver and support initiatives; and communicate status/insights related to product performance to stakeholders. 

  • Ensure product activities are directly aligned with the Carelon business plan and financial objectives: serving as the business solution consultant in strong partnership with Sales and Product.

  • Develop and enhance our PI product offerings by driving product roadmaps; gathering and documenting requirements; prioritizing product features; executing on user and business acceptance criteria; and influencing the roll out of product features.

  • Develop relationships with key stakeholders to support plans and initiatives to meet customer and business needs.   

  • Identify clearly and communicate objectives, build accountability for and measure progress in achieving results; and address improvement opportunities that promote continuous learning & discovery. 

  • Ensure strong pipeline to expand product-line and product usage. 

  • Oversee client operations including implementation and on-going performance improvement. 

  • Provide supervision and development opportunities for a team of business leaders through training; mentoring; assigning duties; and providing recognition.

You will be partnered with world class co-workers and resources:

  • Data Science / Analytics team optimizing data needs

  • Sales team who are adding new clients to rapidly scale the business

  • Industry leading subject matter expertise supporting 40+ health plans

  • Product / Digital team who can build and maintain what new innovations

Key Responsibilities

  • Developing growth strategy to drive $70M revenue

  • Building innovative PI solutions that drive efficient growth for clients

  • Translating proven single-client solutions into industry leading external product offerings

  • Developing compelling business cases to demonstrate ROI for product investment

  • Defining compelling client pricing models to capture market

  • Tuning our product to deliver continuous improvement for higher client ROI

  • Creating a supportive culture that builds high-performance growth oriented team

Qualifications

Requires a BA/BS degree and a minimum of 10 years of related experience; or any combination of education and experience, which would provide an equivalent background. MBA or MHA preferred.

Desired Experience / Skills:

  • Entrepreneurial / growth driven leader.

  • Tenacity to create something new and innovative.

  • Demonstrated experience as an influencer in a highly matrixed organization.

  • Deep understanding of Payment Integrity market and client needs and existing pain points.

  • Client centric focus and the ability to prioritize and manage trade-offs while aligning on business objectives.

  • Strong communication skills for articulating strategy and roadmap, and working with leaders both within the company as well as externally with clients.

  • Operate with a data-driven mindset to drive results.

  • Great team player and ability to work cross functionally.

Official Title: Staff VP Product Strategy


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.ElevanceHealth.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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