Job Info
Description
Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
Hybrid Workplace Strategy: 1-2 days in office per week
The Business Change Advisor Senior is responsible for assisting the senior leadership team within the business unit and the organization in bridging the gap between the current and desired business performance levels and balancing short-term business needs with long-term perspectives on success to ensure that our change journey produces desired results.
How you will make an impact:
- Facilitates and coordinates annual planning process for the business unit.
- Facilitates identification of leadership's priorities and establishment of goals within the context of a designated journey plan.
- Develops journey plan and maps to reach goals and educates key stakeholders in use of these tools.
- Oversees utilization of additional management tools and processes.
Minimum Requirements: Requires a BA/BS in a related field and minimum of 3 years related experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills & Abilities: - Understanding and knowledge of post-pay review, validation, and recovery processes in the healthcare industry.
- Understanding and knowledge of universally adopted medical coding systems such as the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) are key.
- Understanding and comprehension of medical billing guidelines and regulations are required.
- Operational knowledge of healthcare payer systems, the lifecycle of a claim, and reimbursement methodologies.
- Analytical abilities with the capacity to extract insights from intricate data sets.
- Problem-solving capabilities - troubleshooting issues, hypothesizing solutions, and testing them.
- Positive attitude, be trustworthy and adaptable to changes.
- Multitasking skills are needed to handle multiple responsibilities concurrently.
- Strong investigatory instinct
- Self-starters and proactive in executing tasks.
- Clear and effective conversations with stakeholders.
- Experience in crafting Business Requirements for data mining queries and auditing outcomes.
- Experience in process Improvement, focusing on enhancing current procedures for better outcomes.
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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