Hybrid Manager, Process Improvement – Payment Integrity

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About the role

  • 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.

Benefits

  • merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs
  • medical benefits
  • dental benefits
  • vision benefits
  • short and long term disability benefits
  • 401(k) + match
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources

Job title

Manager, Process Improvement – Payment Integrity

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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