Payment Innovation Manager

at  Elevance Health

Location: Open to any location but must meet the hybrid workplace model.
Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint sites used for collaboration, community, and connection, with the minimum in-office commitment being 1-3 days in an office per week.
Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

PREFERRED SKILLS, CAPABILITIES AND EXPERIENCE:

• MBA, MPH, or other related master’s degree preferred.
• Previous experience designing, managing, or implementing alternative payment models (APMs) and value-based care programs strongly preferred.
• Ability to work independently and as part of a team on multiple projects; detailed-oriented and solution focused.
• Highly efficient in written and verbal communication; ability to engage, influence, and drive consensus.
  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. 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 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

PRIMARY DUTIES:

• Conceives innovative payment solutions for healthcare providers thru provider collaboration, providing guidance on the development of payment systems and how provider contracting drives provider behavior.
• Analyzes market and competitive data, supports collection of business requirements, business case and ROI analysis.
• Works with business owner and other business partner to develop Payment Innovation solutions, pilot and launch strategic activities.
• Supports engagements with provider technical and clinical teams and cross functional teams.
• Contributes to the creation of roadmaps.
• Makes pragmatic decisions as a business owner and constantly evolves the solution to meet the needs of the company and the provider in support of the value-based care payment models and special projects.
  Minimum Requirements: Requires a BA/BS in business or related field and a minimum of 5 years of experience in healthcare systems, including 3 years of experience in a strategic role; or any combination of education and experience, which would provide an equivalent background.