Business Change Manager – Grievance and Appeals

Description

Business Change Manager – Grievance and Appeals

Location: This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of an Elevance Health PulsePoint locations and be willing to work Eastern Standard Time (EST) to meet the needs of our clients.

The Business Change Manager is responsible for working with management to identify and implement varied projects, programs and plans that support the achievement of business unit and enterprise goals.

How you will make an impact:

• Identifies potential issues, project charge, and scope.
• Leads efforts to identify best practices.
• Identifies impacted parties, business partners, and resources required.
• Develops and designs processes and systems that support business needs.
• Designs methods for integrating function and process.
• Conducts cost/benefit analyses.
• Builds support for business change throughout the business unit.

Minimum Requirements:

• Requires a BA/BS in a related field and a minimum of 5 years of process or project- related experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences :

• Prior experience in healthcare Claims Operations experience preferred.
• Prior experience working in healthcare Grievance and Appeals preferred.
• Prior experience in change management (e.g., ADKAR, ProSci, etc.) preferred.
• Prior experience in project management or business analysis (e.g., Lean, Agile, etc.) preferred.
• Prior experience in learning program management, instructional design, or learning technologies preferred.
• Experience in successfully developing and managing process improvement projects is strongly preferred.
• Experience using Next Gen software preferred.
• Strong written and oral communication skills, problem solving skills, and strong attention to detail preferred.

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 ability@icareerhelp.com for assistance.