Business Change Manager

Elevance Health•Norfolk, VA

1d•Hybrid

About The Position

The Business Change Manager works with management and functional areas across the enterprise to identify and implement claims and recovery projects and support existing Payment Integrity programs and plans. The role helps achieve business-unit and enterprise goals by identifying claims payment and adjudication issues, proposing solutions, and determining project scope. It also leads best-practice identification, coordinates impacted parties and resources, designs processes and systems, integrates functions and processes, conducts cost/benefit analyses, and builds support for business change. This is a hybrid role requiring associates to work in an office 1–2 days per week at an Elevance Health Pulse Point location. Candidates must reside within a reasonable commuting distance of an applicable office unless an accommodation is granted. The stated schedule is Monday through Friday during daytime, first-shift hours.

Requirements

A BA/BS in a related field and at least 5 years of process- or project-related experience, or an equivalent combination of education and experience.

Nice To Haves

At least 5 years of claims processing or payment integrity/appeals-related experience.
Experience successfully developing and managing projects with fairly significant operating budgets.
Knowledge of process redesign.

Responsibilities

Identify potential claims payment and claims adjudication payment issues, propose solutions, and identify scope.
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.
Work with management and enterprise functional areas to identify and implement claims and recovery projects and support Payment Integrity programs and plans.