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Staff VP Payment Modeling & Analytic Reporting


  • National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint



Leads the division responsible for analytics enablement and financial management of Elevance Health’s Value-Based Care (VBC) provider contracts.  

Primary duties may include, but are not limited to:

  • Leads the analytic strategy and financial operations execution for Elevance Health’s VBC programs across all lines of business.  This includes total cost contracts, bundled payments, and other specialty care programs.

  • Establishes financial management governance, and operational readiness plans, for program administration - including development of attribution model(s), definition of performance metrics, development of financial and quality targets, calculating monthly reconciliations and financial accruals, administering provider payments and designing reports/insights. 

  • Responsible for overseeing all of Elevance Health’s VBC financial reconciliations, representing over $60B at risk.

  • Accountable for multiple analytic products, including Enterprise VBC administration platform, and responsible for requirements, testing and lights on maintenance. 

  • Collaborates with senior leadership from Information Technology/Digital, Healthcare Networks, and Value Based Solutions business partners to ensure products deliver value and align/enable other related capabilities.

  • Oversees payment readiness and advisory functions for Elevance Health’s value-based programs.

  • Develops opportunity reporting, monitors key program financial metrics, identifies drivers of metric fluctuations and provides consultative services to Healthcare Networks local markets.

  • Ensures provider payments are issued accurately and timely.   

  • Represents the Vice President Health Economics at symposiums and key meetings with regulators, provider groups, customers, and internal business areas.  

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

Requires a BA/BS in a related field and a minimum of 10 years of progressive experience in managed care or integrated health services with an understanding of reimbursement methods including Fee For Service (FFS), Pay for Performance (P4P), bundles, capitation, and global budgets; minimum of 8 years of direct management experience of healthcare analytics teams, or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

  • MBA, JD or MHA strongly preferred

  • JOC experience

  • Strong leadership experience managing people and collaborating across matrixed organizations

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 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 for assistance.

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