Carelon Solutions Innovation Director - Clinical Digital Transformation

Elevance Health • Mendota Heights, MN

5d • $205,040 - $307,560 • Hybrid

About The Position

The Carelon Solutions Innovation Director is responsible for leading the clinical digital transformation strategy across Clinical Operations, advancing AI-enabled capabilities, modernizing clinical workflows, and improving operational performance. This role aligns enterprise clinical priorities with digital, technology, and AI initiatives and executes a multi-year roadmap that strengthens Utilization Management, Care Management, and Whole Health while improving the member and provider experience.

Requirements

• Requires a BA/BS degree in a related area and a minimum of 10 years of increasingly responsible business and professional experience including 3 years of leadership experience in a related field; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• Master's degree in Business Administration, Healthcare Administration, Public Health, Nursing, Health Informatics, or a related discipline preferred.
• Experience leading enterprise digital transformation, innovation strategy, or technology-enabled healthcare initiatives, including artificial intelligence, automation, predictive analytics, or generative AI solutions at scale preferred.
• Demonstrated experience partnering with Digital, Product Management, Technology, Engineering, Clinical Operations, and executive leadership to develop and operationalize innovative healthcare solutions across complex matrixed organizations preferred.
• Strong knowledge of Utilization Management, Care Management, value-based care, clinical operations, healthcare strategy, and business process redesign with experience driving measurable operational excellence through Lean, Six Sigma, Agile, or continuous improvement methodologies preferred.
• Proven ability to build strategic partnerships, influence senior executives without direct authority, establish governance frameworks, and successfully lead cross-functional transformation initiatives that deliver measurable business value preferred.
• Experience developing innovation roadmaps, evaluating emerging healthcare technologies, managing enterprise portfolios, and using data-driven insights to improve productivity, quality, cost of care, and member and provider experiences preferred.

Responsibilities

• Leads the development and execution of Carelon Health's enterprise solution innovation strategy by identifying and advancing digital, AI-enabled, and technology-driven capabilities that improve clinical decision-making, operational performance, and business outcomes.
• Partners across Carelon Digital, Enterprise AI, and Technology teams to design, pilot, scale, and operationalize innovative solutions that support Utilization Management, Care Management, and other clinical programs.
• Provides strategic analytic and business insight to identify transformation opportunities, evaluate market trends, measure innovation outcomes, and support executive decision-making across the Carelon Health enterprise.
• Leads cross-functional initiatives focused on workflow modernization, intelligent automation, process optimization, and continuous improvement to enhance member, provider, and associate experiences.
• Investigates and manages complex internal and external issues, including provider, clinical, regulatory, and business partnership inquiries, while developing executive-level recommendations and driving organizational alignment.
• Applies Lean, Agile, and continuous improvement methodologies across clinical operations.
• Provides executive leadership, governance, and oversight for strategic initiatives, enterprise partnerships, project teams, and external consultants to ensure successful implementation, adoption, and measurable business value.

Benefits

• a 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

What This Job Offers

• Job Type: Full-time
• Career Level: Director