Solutions Management Manager

Elevance Health • Wallingford, CT

1d • Hybrid

About The Position

Leads planning and implementation of Cardiovascular and Radiology Benefits Management solutions. Serves as the single point of contact and subject matter expert on all aspects of planning, implementing and managing day-to-day operational, technical and business partner interactions for existing programs and works together with Product Development to consult on enhancements to existing products and development of new clinical solutions based on analytics.

Requirements

• Requires a BA/BS and minimum of 5 years experience in a related field, including minimum of 2 years experience in solutions management; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• Graduate degree and/or professional designation related to field preferred.
• Project management experience preferred.
• Utilization management experience in Cardiovascular or Radiology.
• Highly organized and analytical with strong attention to detail.
• Ability to manage multiple priorities while maintaining accountability.
• Strong communication and interpersonal skills; approachable and team oriented.
• Experience using Jira and Confluence preferred.
• Proven track record of learning quickly and adapting in a fast-paced environment.
• Ability to work with agility, flexibility, and willingness to participate in hands-on training and daily collaboration.
• Ability to support a work schedule aligned to 8:00 AM – 5:00 PM CST preferred.
• Experience collaborating with cross-functional teams and stakeholders preferred.
• Candidates from all states are welcome, but they must reside within commuting distance of a Pulse Point office location where we have an office to be considered
• Travels to worksite, client locations, and other sites as necessary.

Responsibilities

• 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.

Benefits

• 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