Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.
Staff VP Medical Expense Management
Location: Within commuting distance to an Elevance Health office location preferably in CA, CO, CT, GA, IN, KY, ME, NV, NH, NY, OH, PA, VA, WI.
Summary
Oversees and drives strategic planning and execution for Carelon Health's cost of care initiatives. Responsible to understand, analyze, manage and reduce cost of health care services at Carelon Health creating value optimization for both Elevance Health and our clients.
Team Scope
7 -15 direct reports
30+ across the U.S.
Key Partners
Carelon business leaders, Elevance cost of care leaders
Shared service leaders in Finance, Compliance, Business HR and Legal
Position Responsibilities
Leads the strategy formation, planning and execution, and ensure accountability for Carelon's initiatives to reduce cost spend
Collaborates with multi-disciplinary teams. to create and execute detailed planning schedules, assigning priority to cost of care program investment that considerably migrate cost trends
Promotes careful management of incremental costs in care progress to meet both immediate and future financial targets
Develops state-specific, business partner-specific and overall enterprise cost of care savings targets to optimize bottom-line impact of the cost of care programs working with all of our COC business partners.
Accountable for enterprise/local coca leads in the development, planning, prioritization, approval, and implementation of new and innovative cost of care programs.
Creates and drives a culture of collaboration enabling leaders and associates alike to thrive in a fast-paced environment.
Assesses talent and makes key decisions to hire and retain the best talent to drive results; serves as a talent incubator for the enterprise.
Leads a successful and transformative shift to a mission driven culture.
Position Requirements
BS/BA degree. MBA, MHA, MA preferred.
Financial, business and leadership acumen with 10-year relevant experience or combination education/experience.
Requires travel up to 20 percent.
Preferred Skills, Capabilities and Experiences
Strong analytical skillset to interpret complex financial data, trends, and metrics.
Excellent judgement and decision-making abilities, particularly when it comes to prioritizing, approving, and implementing CoC (Cost of Care).
Strong awareness of competitive landscape, opportunities for expansion, customers, markets and new industry developments.
Consistent top performer who exceeds significant stretch goals.
Demonstrates superior communication, persuasion, and negotiation skills.
CRITICAL LEADERSHIP CAPABILITIES
Strong financial acumen, verbal and written communication abilities, drive clarity in ambiguous situations
Personal accountability to meet goals and performance standards, courage to make difficult decisions and recommendations
Strategic thinking, reasoning and decision-making skills
Organizational awareness and business model knowledge
Influential leadership, foster strong working relationships with other roles and functions, drive results across all direct and indirect reports
Drives culture of continuous improvement, engaging leadership through high-impact and complex change.
Demonstrated ability to deliver outstanding operating and financial results in a healthcare service.
Inspires people to achieve organizational goals and make a difference.
Brings high integrity and values ethical behavior.
Consistently attracts and hires top talent.
Proven ability to coach, develop and engage strong teams.
Works at high pace with proven drive to succeed.
Corporate Title: Staff VP Cost of Care Execution
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $153,200.00 to $275,760.00
Locations: California; Colorado; Nevada; 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.
