Elevance Health
Cost of Care Manager
– Elevance Health
Locations:
Waukesha, WI; Indianapolis, IN; Wallingford, CT; Iselin, NJ; Grand Prairie, TX; Mason, OH; Costa Mesa, CA; St. Louis, MO
Hours:
Monday - Friday
Travel:
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 accommodation is granted as required by law.
Position Overview Leads and manages multiple cost of care initiatives enterprise wide (e.g. local, within each state, across business segments and at the enterprise level) and drives their execution. Understands, predicts and implements measures to control healthcare costs and to make healthcare more affordable for our customers. Develops, manages, oversees, and executes new and innovative initiatives to manage rising costs and enhance the company's market competitiveness.
How You Will Make An Impact
Identifies and develops best practices and cost of care improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual benefit design participation, and financial operations
Oversee the identification of potential cost of care savings opportunities through complex analytics via partnering with the cost of care analytics team, to develop action plans, benefits and risk assessments and overseeing and partnering with the actuarial team to develop and ensure accurate savings quantification
Champions cost of care initiatives, negotiates for human capital resources, and partners with care management, claims, IT, and business partners
Manages and presents cost of care projects to senior leadership including State Plan Presidents
Serves on local and enterprise committees
Plans, leads and oversees cost of care planning meetings and tracks and reports on cost of care projects
Required Qualifications
Requires a BS/BA degree and minimum of 5 years relevant experience in Health Care; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications
Prior experience with provider network contracting, provider networks, claims, finance, and operations
SQL experience strongly preferred
Experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical analysis and healthcare modeling preferred
MBA, MHA, MA preferred
PMP or Six Sigma Green Belt preferred
Salary Range:
$84,560 to $145,866 (locations: New Jersey, California)
In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity 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 elevancehealthjobssupport@elevancehealth.com 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.
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– Elevance Health
Locations:
Waukesha, WI; Indianapolis, IN; Wallingford, CT; Iselin, NJ; Grand Prairie, TX; Mason, OH; Costa Mesa, CA; St. Louis, MO
Hours:
Monday - Friday
Travel:
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 accommodation is granted as required by law.
Position Overview Leads and manages multiple cost of care initiatives enterprise wide (e.g. local, within each state, across business segments and at the enterprise level) and drives their execution. Understands, predicts and implements measures to control healthcare costs and to make healthcare more affordable for our customers. Develops, manages, oversees, and executes new and innovative initiatives to manage rising costs and enhance the company's market competitiveness.
How You Will Make An Impact
Identifies and develops best practices and cost of care improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual benefit design participation, and financial operations
Oversee the identification of potential cost of care savings opportunities through complex analytics via partnering with the cost of care analytics team, to develop action plans, benefits and risk assessments and overseeing and partnering with the actuarial team to develop and ensure accurate savings quantification
Champions cost of care initiatives, negotiates for human capital resources, and partners with care management, claims, IT, and business partners
Manages and presents cost of care projects to senior leadership including State Plan Presidents
Serves on local and enterprise committees
Plans, leads and oversees cost of care planning meetings and tracks and reports on cost of care projects
Required Qualifications
Requires a BS/BA degree and minimum of 5 years relevant experience in Health Care; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications
Prior experience with provider network contracting, provider networks, claims, finance, and operations
SQL experience strongly preferred
Experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical analysis and healthcare modeling preferred
MBA, MHA, MA preferred
PMP or Six Sigma Green Belt preferred
Salary Range:
$84,560 to $145,866 (locations: New Jersey, California)
In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity 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 elevancehealthjobssupport@elevancehealth.com 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.
#J-18808-Ljbffr