Hybrid Director, Medical Cost Intelligence, AI

at Elevance Health

• Job title: Director, Medical Cost Intelligence, AI
• Job type: Full Time
• Experience level: Lead
• Salary: $178,200 - $291,600 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, United States

About the role

• Director leading enterprise AI and analytics strategy to manage medical costs at Elevance Health. Aligning technology, finance, and provider/payer insights to drive affordable healthcare.

Responsibilities

• Responsible for strategy, planning and execution of technology solutions to proactively manage medical costs through the use of AI & analytics focused capabilities
• Comprehensively look at the provider and payer landscape to identify and drive innovative approaches for understanding medical cost trends, provider behavior, provider billing behavior, and healthcare industry operations to streamline medical costs for health plan members
• Develop and execute overall technology, inclusive of AI & analytics, strategies at the enterprise level driving alignment across various business unites to ensure enterprise financial goals & priorities are enables by technology delivery
• Partner with senior planning leaders and executive leadership to create sound multi year plans with clear planning assumptions and accurate financial insights for the technology function
• Monitor and conduct research of related technology and business trends, using data and qualitative performance measures, to advise senior management relative to IT strategy
• Synthesize annual and multi-year plans to demonstrate tie-back to corporate and senior leadership-level strategies and goals
• Conduct external research and engage partners across multiple departments within the broader enterprise to frame up potential strategic initiatives for investment or execution support
• Use forecast models and scenario analysis to analyze performance and develop action plans to address emerging market and technological opportunities
• Research new ventures and prospective service expansion opportunities
• Create executive reports that decipher complex technical issues

Requirements

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study
• Minimum of 10 years experience in Data Collection and Analysis, IT Consulting, IT Performance Management, Strategy or Financial Planning, Business Intelligence and Analytics, or Business Process Design
• Healthcare experience within the provider systems, healthcare insurers , or services companies that support providers systems or healthcare insurers strongly preferred
• Experience implementing analytics solutions including use of advance AI/ML techniques strongly preferred
• For candidates working in person or virtually in the below location(s), the salary range for this specific position is $178,200 to $291,600
• Associates required to be in-office 3 days per week
• Candidates not within a reasonable commuting distance from the posting location(s) will not be considered unless accommodation is granted as required by law

Benefits

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