Business Change Director - Carelon Payment Integrity
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 focus on planning, project portfolio management, or culture and change, or directly support a business unit while ensuring activities align with corporate strategy. The director identifies potential issues, project changes, and scope data; identifies best practices, impacted parties, business partners, and required resources; and designs processes and systems that support business needs. The role also integrates functions and processes, conducts cost-benefit analyses, and builds support for change throughout the business unit. The position provides coaching and consulting in process, project, and change-management methodologies for local and enterprise initiatives. It leads business-unit project prioritization and scheduling, advises on culture and change management and process planning and portfolio management, and supports execution of the operating plan.
Requirements
- A BA/BS 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.
Nice To Haves
- Knowledge of planning models and methodology.
- Strategic and execution experience in project and change management.
- Master's degree.
- Six Sigma Black Belt.
- Three to five years of experience in Payment Integrity.
- Payment integrity experience in data mining, recoveries, cost of care, or financial project management.
- Experience developing and managing projects with significant operating budgets and knowledge of 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 that support business-unit and enterprise goals.
- Specialize in planning, project portfolio management, or culture and change, or directly support a business unit while aligning activities with corporate strategy.
- Identify potential issues, project changes, scope data, best practices, impacted parties, business partners, and required resources.
- Develop and design processes and systems that support business needs.
- Design methods for integrating functions and processes and conduct cost-benefit analyses.
- Build support for business change throughout the business unit.
- Provide coaching and consulting in process, project, and change-management methodologies for local and enterprise initiatives.
- Lead project prioritization and scheduling for the business unit.
- Provide expertise in culture and change management, process planning, and portfolio management.
- Support execution of the operating plan.
Benefits
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs, unless covered by a collective bargaining agreement
- Medical benefits
- Dental benefits
- Vision benefits
- Short- and long-term disability benefits
- 401(k) with company match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
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What This Job Offers
Job Type
Full-time
Career Level
Director
