Description

Position Title: Mandate Plan/Evaluation Director

Location: Chicago, IL

The Mandate Plan/Evaluation Director is responsible for serving as a subject matter expert and providing enterprise-wide planning, intake, analysis, and business requirement development for complex State, Federal, Corporate, and Blue Cross Association mandates.

How you will make an impact:

Primary duties may include but are not limited to:

Recommends, develops, leads, and implements enterprise mandate strategies and process improvement opportunities.
Collaborates with compliance, regulatory and legal stakeholders to identify emerging mandates and align with mandate intake and forecasting tools.
Collaborates with stakeholders (i.e. business, IT, Legal, Government Affairs, Compliance) to ensure the successful evaluation of mandates by facilitating the development of detailed scope statements and high level business requirements.
Identifies business owners and subject matter experts to participate on project teams and to determine business impact of mandate.
Develops a plan which includes scope, requirements, schedule, issues, risks and business readiness for business-only management or hand-off to Execution PM/applicable Agile role.
Partners with stakeholders to drive customer focus while aligning business and systems with mandate compliance.
Guides stakeholders to balance the strategic needs of the organization with mandate compliance resulting in flexible solutions and minimum impact to business and to the customer.
Serves as a subject matter expert and negotiator who provides insights and recommendations and guides and influences the decision process and innovative thinking.
May represent the company to external organizations.
Coaches and mentors team members.
Associates in the role may be expected to travel.
Must be able to perform all duties of lower level positions as directed by management.

Minimum Requirements

Requires a BA/BS degree and a minimum of 10 years of related experience including 2 years of regularity/compliance oversight; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences

JD strongly preferred.
Healthcare experience preferred.
Utilization management experience preferred.
Trending analysis and trending capabilities experience preferred.
Prior leadership of complex initiatives involving a matrix managed team and experience in the area of mandate interpretation/analysis strongly 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.

Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

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.