Title: Staff VP Operations - AIM
Location: Chicago, IL or Nashville, TN preferred
Responsible for developing the strategic vision, goals, objectives, policies, and decision-making for the organization related to performance and operational issues. Provide management and leadership to Service Experience to drive results and achieve targeted goals.
Responsible for business unit oversight of the account services staff and directing account management activities for large-scale, multi-state/region, and business. Owns the plan P&L and the operational design of cross-sell and renewal opportunities. Develops a deep knowledge of market drivers and develops plans to ensure their team meets or exceeds annual retention and revenue goals through providing operational excellence and building support systems.
Primary duties may include but are not limited to:
Oversight of all operational areas for the entire book of business; inclusive of but not limited to claims payments and encounter submissions, network, reporting, IT and infrastructure, performance guarantees, and corrective action plans.
Provides leadership and strategic direction to ensure the business meets profitability standards.
Collaborates with matrix leaders to develop strategies and manage plans to achieve client operational and financial goals.
Responsible for financial planning/budget programs and the coordination of operations expenses. Develop and ensure the continued effectiveness of financial reporting, planning, and infrastructure. Provides input to the Product Development team on opportunities to create profitable and efficacious products that meet the strategic operational needs of clients.
Hires, trains, coaches, counsels, develops, motivates, and evaluates the performance of direct reports.
Requires a BA/BS and 8 years of professional leadership and managerial experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
UM and prior authorization experience
Experience in one or more of these areas would be desirable:
MSK, Radiology, Sleep, Cardiology, Oncology, Rehab, Interventional pain 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. A Fortune 20 company with a longstanding history in the healthcare industry, 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 in certain patient/member-facing roles 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 2022, has been ranked for five years running as one of the 2023 World’s Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. 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 email@example.com for assistance.