Business Change Director - Carelon Payment Integrity

Elevance Health•Tampa, FL

1d•Hybrid

About The Position

The Business Change Director works with management to identify and implement projects, programs, and plans that support business-unit and enterprise goals. The role may specialize in organizational effectiveness—such as planning, project portfolio, or culture and change—or directly support a business unit, ensuring activities align with corporate strategy. This position leads project prioritization and scheduling, identifies impacted parties and required resources, develops processes and systems to support business needs, and designs ways to integrate functions and processes. It also conducts cost-benefit analyses, builds support for business change, provides process, project, and change-management coaching and consulting to local and enterprise initiatives, offers expertise in culture/change management and process planning and portfolio management, and supports execution of the operating plan. The position follows a hybrid arrangement requiring associates to work in-office three days per week. Candidates must live within reasonable commuting distance of a posting location unless an accommodation is granted as required by law.

Requirements

Bachelor's degree in a related field and at least 10 years managing mid- to large-scale change or project initiatives, or an equivalent combination of education and experience.
Knowledge of planning models and methodology, and strategic and execution-level project and change management experience are strongly preferred.
Three to five years of Payment Integrity experience is strongly preferred.
Experience in Payment Integrity, including data mining, recoveries, cost of care, or financial project management, is highly desired.
Experience developing and managing projects with significant operating budgets and knowledge of process redesign are strongly preferred.
Project management experience is desired.
Experience with claims processing systems such as GBD Facets and/or WGS is highly desired.
Experience facilitating and presenting to large audiences is preferred.

Nice To Haves

Master's degree.
Six Sigma Black Belt.
Knowledge of planning models and methodology, and strategic and execution-level project and change management experience.
Three to five years of Payment Integrity experience.
Payment Integrity experience in data mining, recoveries, cost of care, or financial project management.
Experience managing projects with significant operating budgets and process redesign.
Project management experience.
Experience with claims processing systems such as GBD Facets and/or WGS.
Experience facilitating and presenting to large audiences.

Responsibilities

Work with management to identify and implement projects, programs, and plans supporting business-unit and enterprise goals.
Specialize in organizational effectiveness areas or directly support a business unit, aligning activities with corporate strategy.
Identify potential issues, project changes, and scope data.
Lead efforts to identify best practices.
Identify impacted parties, business partners, and required resources.
Develop and design processes and systems that support business needs.
Design methods for integrating functions and processes.
Conduct cost-benefit analyses.
Build support for business change throughout the business unit.
Provide process, project, and change-management methodology coaching and consulting for local and enterprise-wide initiatives.
Lead project prioritization and scheduling activities for the business unit.
Provide expertise in culture and change-management activities.
Provide expertise in process planning and portfolio-management activities.
Support execution of the operating plan.