Program Director - Process Improvement

Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Our Payment Integrity (PI) Operational Excellence organization is looking to hire a Program Director. This Director will partner with VPs and Directors across five functional PI areas (Data Mining, Coordination of Benefits, Complex and Clinical Audit, Claims Edits, and the Special Investigations Unit) operating as an internal consultant to build trusted executive relationships, assess the area for opportunities, use Lean Six Sigma tools and methodologies to execute opportunities, and drive change that will deliver current savings and efficiency targets while also identifying new targets. Our ideal candidate will have expertise in healthcare process improvement and operational excellence, encompassing planning, assessment, project management, business analysis, and leadership roles.

How you will make an impact:

• Works with leaders and stakeholders to proactively identify and prioritize opportunities for improvement.

• Research, develop, and implement related best practices.

• Develops metrics to track performance, progress, and goal achievement.

• Serves as an internal consultant relative to continuous improvement and cross-functional initiatives.

• Identifies and develops plans to improve and track performance and continuous improvement

• Leads workshops and working sessions as needed to facilitate continuous improvement.

• Teaches and coaches/mentors others in Process Improvement and Lean Six Sigma principles and project leadership.

• Provides subject matter expertise in response to day to day business issues; researches applicable subject matter practices; and remains aware of industry trends.

• Develops communication documents and training criteria related to program success measures.

• Develops documentation to support meeting presentations and the tracking and reporting of the programs success.

• Provides leadership to program managers and project managers.

• Program directors typically manage programs that require managing activities and resources of multiple departments or business areas of the organization.

Minimum Requirements:

Requires a BA/BS and minimum of 10 years experience in external client facing (not client facing) program management, project management; complex business processes, strategic and business planning; or any combination of education and experience, which would provide an equivalent background.  preferred.

Preferred Skills, Capabilities, and Experience:

• MBA preferred.

• Preferred experience in healthcare process improvement and operational excellence, including planning, assessment, project management, business analysis, and leadership roles, with specific knowledge in payment integrity, provider, and claims domains.

• Lean Six Sigma Black Belt certification; Master Black Belt preferred; experience in Kaizen leadership preferred.

• Preferred operational and end-to-end assessment experience to identify opportunities and unlock value.

• Experience in process automation and change management preferred.

• Exceptional strategic thinking, decision-making, problem-solving skills, and adaptability highly preferred.

• Experience interacting confidently with senior management and executive level stakeholders, as a subject matter expert and comfortable with influencing decision-making preferred.

• Excellent written, oral, presentation and interpersonal communication skills with the proven ability to negotiate expectations between multiple parties strongly preferred. 

• Proficient of Microsoft Office products Excel, Teams, Outlook, PowerPoint, and Word strongly preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $121,176 to $198,288.

Locations: California, Illinois, New York

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.  The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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. Unless 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.

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 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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 elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.