Vice President Carelon Jobs (NOW HIRING)

Anticipated End Date:

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Job Description:

Assistant Vice President Analytics & Innovation

Location: This role requires associates be in the office 2-3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

***It is required to live in the state of Connecticut to hold this position.

The Assistant Vice President Analytics & Innovation is responsible for managing staff who are implementing and executing national clinical quality program initiatives across all lines of business. Programs may be focused on such areas as Patient Safety, population-based clinical quality measures and clinical performance. These initiatives are designed to identify, measure, and reduce preventable harm and improve care across the healthcare continuum. This role reports to the Sr Vice President of Quality, Analytics, & Innovation, and is responsible for leading and overseeing the Health Research Scientists and Health Services Data Analysts in Connecticut. Will provide guidance and direction in enhancing Carelon BH CT's analytical capabilities toward ever-increasing levels of sophistication and effectiveness.

How you will make an Impact:

• Assist the executive management team in determining innovative areas for exploration via data analytics and identifying the best approaches to answer data-related questions posed by state partners and other stakeholders.

• Assists in overseeing and directing studies of clinical outcomes, working on Performance Targets, interpreting trends, utilizing advanced analytics for specialty population identification and analysis, and evaluating program effectiveness.

• Oversee the development of methodology for indicators, studies, pilots, and performance targets used in any activities completed by the Carelon BH CT.

• Manage staff who are implementing and executing clinical quality program initiatives. Programs may be focused on such areas as the Rural Health Transformation, the statewide Connecticut Behavioral Health Homes, the CCBHC, the Child & Family division, the SUD 1115 Waiver , performance standards, population-based clinical quality measures and clinical performance.

• Hire, train, coach, counsel, mentor, and evaluate the performance of direct reports.

• Oversees resources supporting enterprise clinical quality priorities.

• Translating clinical quality strategies into actionable workplans and measurable outcomes across multiple patient safety domains.

• Leads cross-functional collaboration across such areas as clinical, analytics, provider, care management, product, payment integrity, legal, compliance, and operational teams to ensure successful delivery of initiatives.

• Oversees provider engagement, intervention implementation, care management integration, performance monitoring, regulatory compliance, and continuous improvement activities while supporting the development of scalable programs and operational best practices.

Minimum Requirements:

• Requires a bachelor's degree in nursing, healthcare administration, public health, health sciences, healthcare management, or a related healthcare field.

• A minimum of 7 total years of experience in healthcare quality improvement, managed care, healthcare operations, care management, program management, population health, or related healthcare experience.

• At least three of those years leading cross-functional healthcare initiatives, care management programs, and complex project or program implementations required.

Preferred Skills, Experiences and Competencies:

• PhD preferred

• Prefer experience with program evaluation analytics and longitudinal outcomes-based research in behavioral health

• Current unrestricted clinical license, Certified Case Manager (CCM), Project Management Professional (PMP), Certified Professional in Healthcare Quality (CPHQ), and/or advanced degree in a healthcare-related field or business preferred.

• Any combination of education and experience which would provide an equivalent background may be accepted.

• Medicaid claims knowledge and background

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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.

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 and Influenza. 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 should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.