Business Change Manager Senior - Payment Integrity
About The Position
This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. The Business Change Manager Senior will be working within our Carelon Insights Complex & Clinical Audit/Payment Integrity team. The Business Change Manager Senior – Payment Integrity is responsible for working with management to identify and implement varied projects, programs and plans that support achievement of business unit and enterprise goals.
Requirements
- Requires a BA/BS in a related field and minimum of 8 years process improvement, business change or project related experience; or any combination of education and experience which would provide an equivalent background.
Nice To Haves
- Experience in successfully developing and managing projects with fairly significant operating budget and knowledge of process redesign strongly preferred.
- Proven experience with driving digital change and end-to-end implementations.
- Previous project management experience, including meeting deadlines while working alongside cross-functional teams.
- Previous experience within a managed care/healthcare organization and strong knowledge base of regulatory and compliance regulations.
- Significant experience understanding business requirements and UAT.
- Payment Integrity and healthcare claims experience.
- Candidates from all states are welcome to apply provided they reside within commuting distance of a Pulse Point office location.
- Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Responsibilities
- Identifies potential issues, project change, and scope.
- Leads efforts to identify best practices.
- Identifies impacted parties, business partners, and resources required.
- Develop and design processes and systems that support business needs.
- Designs methods for integrating function and process.
- Conducts cost/benefit analysis.
- Builds support for business change throughout the business unit.
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical, dental, vision, short and long term disability benefits
- 401(k) +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
Senior
