Manager III Financial Operations

Anticipated End Date:

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Job Description:

Manager III Financial Operations

Work Hours: Mon-Fri 8-5 EST core business hours.

Virtual:This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. This approach promotes productivity supports work-life integration and ensures essential face-to-face onboarding and skill development.

Carelon Payment Integrity is a proud member of the Elevance Health family of companies Carelon Insights formerly Payment Integrity is determined to recover eliminate and prevent unnecessary medical-expense spending.

The Manager III Financial Operations is responsible for coordinating directing and managing several units of varying complexity that has multi-state or multi-functional impact within Finance.

How you will make an impact:

• Assists in the development and implementation of vision strategies and tactics to maximize the departments effectiveness while minimizing costs.
• Reviews statistical data of various systems in order to verify accuracy and timely processing.
• Ensures internal controls are appropriate and develops policies and procedures and ensures compliance with government regulations.
• Provides counsel to senior management.
• Works with other areas for solutions to complex problems and participates in critical interactions with both internal and external customers.
• Hires trains coaches counsels and evaluates performance of direct reports..

Minimum Requirements:

• Requires minimum of 7 years experience with operations financial reporting and analysis audit guidelines budgeting and multi-state operations and processes and minimum of 5 years management experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills Capabilities and Experience:

• Experience in law enforcement preferred.
• Experience with complex business environments including multiple entity and highly automated situations preferred.
• Leadership Experience:Years of experience managing direct reports and overseeing multiple work pillars with demonstrated success.
• Expertise in Payment Integrity:Extensive experience and subject matter expertise in post-pay review validation and recovery processes within the healthcare or health insurance industry.
• Medical Coding Systems Knowledge:In-depth understanding of internationally recognized medical coding systems such as ICD CPT and HCPCS.
• Billing and Regulation Understanding:Thorough comprehension of medical billing guidelines and healthcare regulations.
• Operational Insight into Payer Systems:Strong operational knowledge regarding healthcare payer systems the lifecycle of a claim and reimbursement methodologies.
• Advanced Problem-Solving Skills:Proficient in troubleshooting hypothesizing and testing solutions for various problems.
• Effective Communication:Excellent communication skills necessary for clear and effective dialogue with stakeholders at all levels.
• Process Improvement Experience:Significant background in process improvement focusing on enhancing current procedures for improved outcomes.
• Adaptability and Change Management:Ability to thrive in fast-paced and evolving environments demonstrating openness to organizational changes and new priorities.
• Multitasking Ability:Competence in managing multiple responsibilities concurrently without compromising quality.
• Presentation and Facilitation Skills:Skilled in preparing and delivering presentations capable of facilitating meetings and engaging effectively with executives and various stakeholders.
• Core Team Values:Commitment to open communication adaptability and transparency understanding the importance of feedback and updates in a dynamic deadline-driven work environment.

For candidates working in person or virtually in the below location(s) the salary* range for this specific position is $120120 to $180180.

Locations: Maryland

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 Companys sole discretion unless and until paid and may be modified at the Companys sole discretion consistent with the law.

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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 may contact for assistance. 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.