Solutions Management Manager

Elevance Health • Atlanta, GA

4d • $113,256 - $169,884 • Hybrid

About The Position

The Solutions Management Manager 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. How you will make an impact: Collaborate with developers and business partners in an Agile environment to build an industry-leading Health Economics platform. Understand requirements of the evolving Value Based Health program ecosystem and translate those business requirements to partner IT teams in an Agile Environment. Works in an Agile environment to define business needs, prioritize stories, perform User Acceptance Testing (UAT), define milestones and deliverables, and identify and mitigate risks to the plan. Translates product roadmaps into defined story requirements including detailed Acceptance Criteria, technical descriptions and test plans. Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies. Provides consultation and advice to business partners regarding benefits of products and analytics. Explains timelines and measures of success for implementing these products. 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 schedules and deliverables with the business partner. Oversees all 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 detailed 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. Leads department projects and mentors solutions management staff.

Requirements

• BA/BS and minimum of 5 years experience in a related field
• Minimum of 2 years experience in solutions management
• Ability to manipulate large sets of data
• Strong analytical, organizational, presentation, and problem-solving skills

Nice To Haves

• Experience with Agile methodology
• Experience with value-based care
• Experience with UAT
• Experience with relational databases
• Knowledge of query tools (SAS, SQL, R, Python)
• Knowledge of statistical software
• Experience with Medicare/Medicaid data

Responsibilities

• Serve as an expert in Value Based Health program data, data analysis, reporting and formulating recommendations.
• Provide guidance to Agile development teams.
• Collaborate with developers and business partners in an Agile environment to build an industry-leading Health Economics platform.
• Understand requirements of the evolving Value Based Health program ecosystem and translate business requirements to partner IT teams in an Agile Environment.
• Define business needs, prioritize stories, perform User Acceptance Testing (UAT), define milestones and deliverables, and identify and mitigate risks to the plan.
• Translate product roadmaps into defined story requirements including detailed Acceptance Criteria, technical descriptions and test plans.
• Develop and analyze business performance reports (e.g. for claims data, provider data, utilization data) and provide notations of performance deviations and anomalies.
• Provide consultation and advice to business partners regarding benefits of products and analytics.
• Explain timelines and measures of success for implementing these products.
• Coordinate with the Physician Liaison regarding clinical issues related to clinical measure implementation or customization by line of business and communicate changes to Product Development for consideration in product performance and financial analyses.
• Schedule and coordinate implementation of contracted products and services for assigned business partners.
• Coordinate data requirements, production schedules and deliverables with the business partner.
• Oversee all business partner specifications and/or modifications for contracted products and services.
• Provide business partners with the resources, training and services necessary to effectively utilize the products that the department provides.
• Analyze business partner data for QA and identification of opportunities for business partners to utilize products and services to improve plan performance.
• Maintain detailed knowledge of current clinical measures and future clinical measure development plans, communicate this information to business partners, assist in the selection of clinical measures to be utilized in pilot and full rollout of products and services, and guide business partners in continually reviewing and updating clinical measure sets.
• Maintain detailed 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.
• Lead department projects and mentor solutions management staff.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• 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