Staff VP Claims Operations

Location: Located within commuting distance to an Elevance Health office in: CA, CO, FL, GA, HI, IN, OH, VA, or WI.

Summary

Responsible for the strategic and operational business needs of the Government Business and Commercial Division to include claims adjudication, payment disputes, and adjustments that meets all compliance and regulatory requirements.

Position Responsibilities

• Oversees multiple claims processing units, executes strategies to deliver industry leading service results.
• Improves processes and partners across lines of business to develop consistency and share best practices.
• Drives results to improve member/provider satisfaction.
• Builds strong partnerships with Plan Presidents, collaborates with IT, Enterprise Benefit Administration, Provider Engagement and Contracting, Sales, and Internal Audit.
• Manages special projects and oversees budget.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.
  
  

Position Requirements

Requires a BA/BS in business administration or a related field and a minimum of 10 + years of management experience in claims that includes adjustments in the managed care and/or insurance industry, experience driving AI/RPA initiatives and transformations; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities And Experiences

• MBA preferred.
• Experience leading large operations teams.
  
  

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $182,400.00 to $328,320.00

Locations: California; Colorado; Hawaii

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.