Carelon Solutions Innovation Director - Clinical Digital Transformation

• 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.
  

• 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.
  

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

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.

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 operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact View email address on us.fitly.work for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act