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Business Strategy Planning Director-Risk Adj. Use-Case Lead

Location: This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of a PulsePoint location.

The Business Strategy Plan Director-Use Case Lead for Risk Adjustment is responsible for collaborating with business stakeholders and our IT department to ensure we are leveraging our clinical data (HealthOS) assets to drive downstream use cases for Risk Adjustment. This role will ensure that we are correctly utilizing the data we receive, model out and monitor the value it is driving for the business stakeholders, and build a roadmap to continue to improve on the process.

How you will make an impact:

• Responsible for Use Case execution (oversight of Use Case Lead and associated responsibilities).

• Provide coaching and mentoring to other leaders in the organization on strategic thinking and on use cases that deliver high returns and high strategic value.

• Champions breakthrough use cases to transform the current business environment into an industry leading best practice organization.

• Accountable for centralized and standardized use-case development process; including business case development, ROI, and performance criteria; and ensuring operational and technical readiness for new use cases.

• Directs submission and discovery, evaluation and prioritization, and technology and operational readiness phases of use case development. Includes review of intake form and leading meetings with “consumer” team; use case governance council preparations and presentations; and supporting development of business use case plan/requirements documentation by the “consumer” team.

• Researches relevant trends and activities and advises the “consumer” team on use case development and business value of clinical data.

• Ensures alignment of use case with an enterprise strategy plan for identifying and realizing value from clinical data to sustain a competitive advantage in the marketplace.

• Creates and presents extremely high-quality presentations to senior and executive levels.

• Builds and leverages relationships to provide innovative solutions to complex business problems.

• Understands all aspects of the business and partners with executive leadership to define strategy and successful criteria for the future.

• Ability to travel may be required.

Minimum Requirements:

Requires a BA/BS degree in a related field and a minimum of 10 years of related experience including prior leadership experience and 3 to 5 years of strategic planning; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Prior Experience and a deep understanding of Risk Adjustment is strongly preferred.

• Master’s degree preferred.

• PMP or Six Sigma Certification preferred

For candidates working in person or remotely in the below location, the salary* range for this specific position is $145,640 to $218,460

Location: Denver, CO

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. 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.