Solutions Management Consultant

Elevance Health • Atlanta, GA

4d • $92,224 - $138,336 • Hybrid

About The Position

The Solutions Management Consultant is responsible for serving as an expert in Value Based Health program data, data analysis, reporting and formulating recommendations and providing guidance to Agile development teams. 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. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Requirements

• Requires a BA/BS in a related field and minimum of 3 years experience in a related field; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• Experience with Agile methodology, value based care, and UAT is preferred.
• Experience with relational databases and knowledge of query tools (SAS, SQL, R, Python) and statistical software is highly preferred.
• Ability to manipulate large sets of data preferred.
• Strong analytical, organizational, presentation, and problem solving skills preferred.

Responsibilities

• Serve as a subject matter expert in Value Based Health program data, analysis, reporting, and recommendation development to support business and technology decision-making.
• Understand the evolving Value Based Health program ecosystem and translate business needs into clear requirements for IT teams in an Agile environment.
• Define business needs, prioritize stories, perform User Acceptance Testing, establish milestones and deliverables, and identify and mitigate project risks.
• Translate product roadmaps into detailed user stories, acceptance criteria, technical descriptions, and test plans.
• Use analytic tools to evaluate patterns and trends within Value Based Program populations, including claims, provider, and utilization data.
• Develop and analyze business performance reports, identify deviations and anomalies, and provide actionable insights to business partners, leadership, and technical teams.
• Provides input to business partners regarding benefits of products and analytics.
• Explains timelines and measures of success for implementing these products.
• Works together with Product Development to consult on enhancements to existing products and development of new clinical solutions based on analytics.
• Coordinates with the Physician Liaison regarding clinical issues related to clinical measure implementation or customization by line of business and communicates changes to Product Development for consideration in product performance and financial analyses.
• Schedules and coordinates implementation of contracted products and services for assigned business partners.
• Coordinates data requirements, production schedule and deliverables with the business partner.
• Reviews business partner specifications and/or modifications for contracted products and services.
• Provides business partners with the resources, training and services necessary to effectively utilize the products that the department provides.
• Analyzes business partner data for QA and identification of opportunities for business partners to utilize products and services to improve plan performance.
• Maintains detailed knowledge of current clinical measures and future clinical measure development plans, communicates this information to business partners, assists in the selection of clinical measures to be utilized in pilot and full rollout of products and services, and guides business partners in continually reviewing and updating clinical measure sets.
• Maintains working knowledge of all current systems, products and services and basic understanding of future system and product development plans to allow appropriate level of communication with business partner.

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: Mid Level