Payment Innovation Director II

Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of an Elevance Health location.

The Payment Innovation Director II is responsible for negotiating value-based contracts with strategic provider partners. Plans, manages, and implements strategy for value-based program expansion in a market across all lines of business.

How you will make an impact:

• Primary focus of contracting efforts will be to support Elevance Health’s Advanced Primary Care Strategy through risk arrangements with national aggregators, senior focused clinics and care extender providers.

• Guide/direct the implementation of risk deals to ensure clean, effective execution to increase provider confidence taking on risks, in support of Elevance Health’s highest strategic goals.

• Help identify best practices with managing risk deals ongoing and spread best practices quickly to increase Elevance Health’s results.

• Develops and designs processes and systems that support business needs.

• Translates complex information and coordinates the communication and implementation of key decisions and accomplishments

• Drives the execution of payment innovation strategies.

• Performs complex market and competitive analysis, engages provider technical and clinical teams and cross functional teams, collects business requirements, creates Value Based Payment concepts, writes High Level Business

• Creates and initiates business solution development, works with other business partners to guide and support solution development, pilot and solution launch activities, and develops and strategic roadmaps that drive business solutions.

• Actively participate in network strategy meetings and develop a 1-2 year pipeline for risk contracting.

• Support effective negotiation of complex risk contracting agreements for all products throughout the region, including FPCC and risk deals.

• Represents the company in external meetings.

Minimum Qualifications:

• BA/BS in business or related field and a minimum of 12 years of experience in healthcare systems, including contracting and provider relations and 8 years of experience in a strategy role; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Experience with both Medicare and Medicaid Value Based contract negotiations.

• Experience and comfort working on fast-paced, agile and dynamic projects

• MBA degree.

• Previous experience leading design and execution of Value Based Payment Models preferred strongly preferred.

For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $134,904 to $202,356.

Locations: Chicago, Illinois.

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 .

• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

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 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.