Job Description:
Location: Open to any location but must meet the hybrid workplace model.
Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint sites used for collaboration, community, and connection, with the minimum in-office commitment being 1-3 days in an office per week.
Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
Responsible for Payment Innovation/payment model business solution research, design, development and ongoing strategy.
PRIMARY DUTIES:
- Conceives innovative payment solutions for healthcare providers thru provider collaboration, providing guidance on the development of payment systems and how provider contracting drives provider behavior.
- Analyzes market and competitive data, supports collection of business requirements, business case and ROI analysis.
- Works with business owner and other business partner to develop Payment Innovation solutions, pilot and launch strategic activities.
- Supports engagements with provider technical and clinical teams and cross functional teams.
- Contributes to the creation of roadmaps.
- Makes pragmatic decisions as a business owner and constantly evolves the solution to meet the needs of the company and the provider in support of the value-based care payment models and special projects.
Minimum Requirements: Requires a BA/BS in business or related field and a minimum of 5 years of experience in healthcare systems, including 3 years of experience in a strategic role; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experience:
- MBA, MPH, or other related master's degree preferred.
- Previous experience designing, managing, or implementing alternative payment models (APMs) and value-based care programs strongly preferred.
- Ability to work independently and as part of a team on multiple projects; detailed-oriented and solution focused.
- Highly efficient in written and verbal communication; ability to engage, influence, and drive consensus.
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