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Senior Implementation Specialist


  • North Carolina, North Carolina
  • Kentucky, Kentucky
  • Florida, Florida
  • Illinois, Illinois
  • Ohio, Ohio



Senior Implementation Specialist

Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

The Senior Implementation Specialist i s responsible for overseeing the development, implementation, evaluation, and ongoing enhancements to business systems. Will also provide support, configuration, design, testing, and implementation for claims editing systems. Works on projects with significant financial, retention, and compliance impact. 

How you will make an impact:

•    Provides strategic direction for developing enterprise project plans specifying goals, strategy, staffing, scheduling, identification of risk, contingency plan, and allocation of resources.
•    Provides expert knowledge of project management methodology approaches, techniques, and tools to senior management. 
•    Directs system analysts, software designers, and programmers to determine the best methods to achieve project objectives.
•    Coaches and mentors project team members; mentors other project managers around project management methodology; determines project scope.
•    Participates in and manages validation and accomplishment of business systems requirements.
•    Identifies short and long-range strategies to ensure maximum system performance and prompt delivery of services. 
•    Manages the testing process for claims edit implementations and deployments. 
•    Ensures issues with the implementation of system enhancements are effectively communicated and resolved.
•    Translates the most highly complex and varied business needs into application software functionality. These needs typically involve a significant expenditure or cost savings and impact a wide range of functions. 
•    Works with business owners to identify and analyze requirements and processes with Information Technology and the vendor to ensure quality and timeliness of systems/project deliverables.  
•    Configures new designs/updates in the system. 
•    Monitors system and business functionality and performance. 
•    Documents and tracks product defects. 
•    Coordinates problem resolution with development and/or product vendors. 
•    May implement rates, rating formulas, product, and benefit configuration/information as directed by the appropriate business unit. 
•    Analyzes, develops and validates data. Researches, documents and completes very diverse and complex projects and work processes to ensure business continuity and consistency.
•    Formulates and defines system scope and objectives based on user-defined requirements. 
•    Supports and maintains the systems post-implementation.
•    Provides end-user support, consultation, liaison communications, helpdesk triage, training, reporting, auditing, application security, and ad hoc inquiries and requests. 
•    Provides expertise to lower-level analysts.

Minimum Requirements:

Requires a BA/BS degree in Information Technology, Computer Science, or a related field of study and a minimum of 15 years of enterprise project management experience in broad-based information systems managing increasing project size and complexity that are transformational in nature for the organization, full life-cycle application development and/or building enterprise applications; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences: 

•    Claims editing experience strongly preferred
•    Experience working in an effective team environment, building strong relationships, negotiating, solving problems and issues, resolving conflicts, managing resources in a matrix environment, communicating, and influencing effectively at all levels of an organization required, and/or data warehouse planning and development.
•    Certified Professional Coder (CPC) certification is strongly preferred.
•    Agile experience preferred. 
•    Some travel may be required.

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 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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