Initiative Project Leader - Payment Integrity Product

Elevance Health•Tampa, FL

1d•$136,800 - $235,980•Hybrid

About The Position

The Initiative Project Leader - Payment Integrity Product is responsible for analyzing, determining and driving opportunities to standardize, eliminate waste and improve end-to-end processes to transform Payment Integrity solutions that will enable value and improve member, end-user, and provider experience. This Leader will strengthen operating strategy, roadmap visibility, organizational communications, and alignment across Payment Integrity and its enterprise partners.

Requirements

Requires a BA/BS degree in a related field and a minimum of 8 years of professional experience in an operations environment including 7 years of leading and directing large enterprise-wide projects; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

Experience serving in a chief of staff, executive business partner, enterprise strategy, business operations, portfolio management, or transformation leadership capacity preferred.
Exceptional executive communication and storytelling skills, including the ability to translate complex information into clear presentations, transformation updates, get to the “so what” and value proposition, release management, prioritization and leadership communications preferred.
Experience developing and managing enterprise roadmaps, organizational priorities, capacity plans, budgets, release schedules, and executive-level status reporting preferred.
Demonstrated ability to operate as a highly accountable and detail-oriented self-starter who can navigate ambiguity, identify gaps, and independently drive work to completion preferred.
Ability to build trusted relationships, influence without direct authority, and coordinate priorities across highly matrixed business, operations, product, digital, finance, and technology organizations preferred.
Strong business, systems, data, and digital fluency, including the ability to analyze information, identify trends, assess risks, and develop actionable recommendations preferred.
Experience planning and managing leadership rhythms of business, including operating reviews, organizational meetings, strategic planning activities, and follow-up actions preferred.
Payment Integrity, healthcare payer, claims, cost-of-care, healthcare technology, or other complex regulated enterprise experience preferred.

Responsibilities

Serves as a thought leader regarding improvements to end-to-end processes with our providers, members, and internal end-users in mind.
Connects critical dots across matrixed organizations and the broader Payment Integrity portfolio through integration points in Claims, Health Plans, Operations, PE&C, PSCCR, Finance, Actuary, Digital, and IT.
Leads strategic initiatives from assessment through implementation and ensures business controls are in place to monitor the sustainability of process improvements.
Builds consensus across organizational functional areas, leads root cause analysis, uncovers trends, contributes to solution definition, and determines internal and external best practices.
Creates greater visibility into organizational priorities, budgets, capacity plans, release schedules, risks, and dependencies to support leadership decision-making.
Plans and manages the organization’s rhythm of business, including leadership reviews, State of the State meetings, all-hands meetings, newsletters, release notes, and follow-up actions.
Articulates strategic priorities, roadmap status, risks, decisions, and results through clear communications tailored to executive, operational, and technical audiences.
Creates and maintains an end-to-end Payment Integrity roadmap that enables leadership to prioritize, rebalance resources, and keep shared organizations focused on the highest-value work.