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.
Responsible for Payment Innovation/payment model business solution research, design, development and ongoing strategy.
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.
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.
