Staff VP CX Solutions

Location:   May be located in Indianapolis, IN, Atlanta, GA, Chicago, IL or Woodland Hills, CA.

This role requires associates to be in-office at least 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.

Summary

Responsible for defining the value stream strategy to redesign and implement end to end stakeholder journeys.

Position Responsibilities

Lead Enterprise-Level Strategic Initiatives Across HBO

Drive the strategy and execution of key initiatives within Health Benefits Operations (HBO), ensuring alignment with enterprise priorities and market growth goals. This includes:

• Identifying new business models that fundamentally disrupt the status quo

• Bringing an externally informed, market-driven strategy to revenue cycle, claims integrity, and digital enablement

• Serving as a senior-level thought partner to SVPs and other executives

Develop and Oversee Revenue Cycle Management (RCM) Strategy

Own the end-to-end strategy for shifting from reactive “pay-and-chase” models to proactive “avoidance-first” models, including:

• Partnering with medical policy, clinical, SIU, provider engagement, and network teams

• Designing upstream interventions to eliminate avoidable overpayments

• Building monitoring mechanisms that track reductions in recoveries, adjustments, and leakage

• Influencing platform enhancements and data use that enable “first-pass right” outcomes

Build and Lead External Vendor & Partnership Strategy

Establish and mature a vendor ecosystem that supports the future-state RCM and claims strategy through:

• Strategic sourcing and vendor selection

• Evaluating niche, emerging, and tech-forward partners (AI, RPA, EDI, integrity, analytics, platform innovators)

• Driving integration and performance management models

• Setting a vision for vendor consolidation or diversification based on ROI and scalability

Focus on creating shared-risk models, performance guarantees, and innovative value structures aligned to “avoidance” and improved first-pass payment accuracy.

Champion EDI & Data Partnerships to Achieve “Claims in Good Order”

Lead EDI, clearinghouse, and data partnership strategies that fundamentally improve claim quality at the point of submission. Responsibilities include:

• Creating alignment across providers, TPAs, clearinghouses, and internal edit engines

• Moving the enterprise toward universal “right first time” claims through better data flow, pre-adjudication checks, and digitally enforced requirements

• Embedding claim-quality expectations into provider contracts and enablement programs

• Scaling “front-door integrity” and EDI rulesets

This leader will drive interoperability and partner solutions that reduce rework, appeals, adjustments, and post-pay audit pressures.

Oversee Platform Migrations Within Key Subsidiaries

Guide transformation strategies and execution related to platform shifts across subsidiaries, including:

• Defining future-state platform capabilities

• Aligning journey redesign with platform modernization

• Prioritizing platform investments based on business value and ROI

• Ensuring readiness plans, migration playbooks, capability mapping, and phased rollout strategies

• Driving consistency, reuse, and value capture across markets and subsidiaries

This includes working with Technology, Digital, Market Leadership, and cross-functional SMEs to ensure platform migrations enhance—not just replicate—current state operations.

Serve as an Enterprise Innovator and Disruptor

Bring a forward-thinking view that challenges legacy operating models and fosters:

• Outside-in innovation

• Data-driven decision making

• Partnerships with startups, fintech, healthtech, and RCM innovators

• Accelerated piloting and scaling of disruptive capabilities

This leader must thrive in ambiguity and drive bold transformation that moves the enterprise beyond incremental improvement.

Deliver Value Realization Through HBO Transformation Roadmaps

Tie every initiative to clear financial, experience, and operational outcomes, including:

• Hard-dollar value capture

• Claims accuracy uplift

• Administrative cost reduction

• Provider satisfaction

• Employee productivity

• Scalable, repeatable processes

This role will operationalize a disciplined value realization framework and ensure each initiative has clear KPIs, baselines, and targets.

Position Requirements

Requires a BA/BS and a minimum of 10 years of experience managing large scale projects in a complex business and systems environment, including minimum 5 years of management experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences

• Approximately 10–15 years of progressive leadership experience, preferably within healthcare operations, strategy development, and enterprise-level transformations.

• Master’s degree preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $187,520.00 $337,536.00.

Locations: California, Illinois

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.