Cost of Care Manager

Anticipated End Date:

Position Title:

Job Description:

Locations: Waukesha WI Indianapolis IN Wallingford CT Iselin NJ Grand Prairie TX Mason OH Costa Mesa CA St. Louis MO

Hours: Monday - Friday

Travel: This role requires associates to be in-office 1 - 2 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 if candidates reside within a commuting distance from an office. 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 accommodation is granted as required by law.

Position Overview:

Leads and manages multiple cost of care initiatives enterprise wide (e.g. local within each state across business segments and at the enterprise level) and drives their execution. Understands predicts and implements measures to control healthcare costs and to make healthcare more affordable for our customers. Develops manages oversees and executes new and innovative initiatives to manage rising costs and enhance the companys market competitiveness.

How You Will Make an Impact:

• Identifies and develops best practices and cost of care improvement processes around physician hospital and ancillary network contract negotiation strategies utilization management efforts new products annual benefit design participation and financial operations

• Oversee the identification of potential cost of care savings opportunities through complex analytics via partnering with the cost of care analytics team to develop action plans benefits and risk assessments and overseeing and partnering with the actuarial team to develop and ensure accurate savings quantification

• Champions cost of care initiatives negotiates for human capital resources and partners with care management claims IT and business partners

• Manages and presents cost of care projects to senior leadership including State Plan Presidents

• Serves on local and enterprise committees

• Plans leads and oversees cost of care planning meetings and tracks and reports on cost of care projects

Required Qualifications:

• Requires a BS/BA degree and minimum of 5 years relevant experience in Health Care; or any combination of education and experience which would provide an equivalent background.

Preferred Qualifications:

• Prior experience with provider network contracting provider networks claims finance and operations

• SQL experience strongly preferred

• Experience in broad-based analytical managed care payor or provider environment as well as experience in statistical analysis and healthcare modeling preferred

• MBA MHA MA preferred

• PMP or Six Sigma Green Belt preferred

For candidates working in person or virtually in the below location(s) the salary* range for this specific position is $84560 to $145866

Locations: New Jersey California

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

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Workshift:

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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.