Manager Process Improvement leading team to deliver advanced analytics insights for payment integrity at Elevance Health. Responsible for team development, performance management, and high-quality analytics delivery.
Responsibilities
Oversees a team responsible for engaging the provider community using data-driven insights
Partners closely with Payment Integrity audit, analytics, operations, and market leadership to prioritize opportunities
Proactively identifies opportunities for improvement
Researches, develops, and implements related best practices
Develops metrics to track performance and goal achievement
Provides strategic oversight of provider-level analysis aligned by market and state
Accountable for team development, performance management, and ensuring consistent, high-quality delivery of analytics-informed provider engagement
Requirements
Requires a BA/BS in a related field
minimum of 5 years management experience with process improvement, project/program management, process engineering and/or performance improvement initiatives
5 years of experience in healthcare analytics, payment integrity, provider performance, operations, or related healthcare functions preferred
Demonstrated experience using data and trend analysis to identify anomalies, utilization patterns, and opportunities that drive measurable medical savings preferred
Experience partnering with operations, product, and technology teams to identify opportunities to automate, digitize, and streamline analytics- and provider-facing workflows
Proven experience working cross-functionally with operations, product, and technology teams to modernize processes through automation and digital enablement
Six Sigma Black Belt certification, related process improvement certification or PMI certification preferred.
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