Value Based and Rate Governance Manager
Elevance Health

Job Info

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Description

JR114186 Value Based and Rate Governance Manager

Responsible for supporting Payment Innovation value-based program operations, including contract development and maintenance, process development and management, market support, communications, training, requirement development, and user testing. Supports markets in fee schedule analysis and development including state and regulatory updates.

Location: This position will work a hybrid model (remote and office) and must live within 50 miles of one of our Pulse Point office locations in Texas, Colorado, and California.

How will you make an impact:

• Supports one or more operational components for one or multiple value-based programs.
  
• Provides support for business fundamental management of existing programs, enhancements to existing programs, and new program roll-out.
  
• Performs operational vetting end to end to identify impacts for new programs as well as existing program changes.
  
• Supports market contracting and resolves issues.
  
• Develops and manages internal and external communications and associated legal and regulatory approvals.
  
• Develops and manages contract material and schedule for value-based program.
  
• Writes business requirements.
  
• Works with other business partners to guide and support solution development, pilot, and solution launch activities.
  
• Develops and maintains process documentation.
  
• May manage small-scale program implementation efforts.
  

Minimum requirements:

• Requires BA/BS in business or related field and a minimum of 2 years health insurance industry experience; and 3 years program/project management experience; or any combination of education and experience, which would provide an equivalent background.
  

Preferred Skills, Capabilities, and Experiences:

• MBA degree and PMP certification strongly preferred.
  
• Experience with value-based agreements preferred.
  
• Fee for service rate rationalization or analysis experience preferred.
  

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. 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.comfor assistance.

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