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Provider Economics - Solutions Management Manager

Elevance Health (Anthem)

Provider Economics - Solutions Management Manager Location: 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, 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. The Provider Economics - Solutions Management Manager is responsible for leading the planning and implementation of products and services for a line of business enterprise wide. 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. How you will make an impact: 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. Minimum 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. Preferred Skills, Capabilities, and Experiences: Graduate degree and/or professional designation related to field preferred. Project management experience preferred. Job Level: Non-Management Exempt Workshift: Job Family: BSP > Business Support Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. Benefits We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health opera #J-18808-Ljbffr Elevance Health (Anthem)

Vacancy posted 5 days ago
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