Elevance Health (anthem) · Waukesha, N17w24222 Riverwood Dr., Ste 300, WIPrepare for this interview
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Anticipated End Date: 2026-06-16 Position Title: Solutions Management Manager Job Description: Shift: Monday - Friday, 8:00am - 5:00pm Location: Any PulsePoint location, Hybrid 1 Hybrid 1: 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. 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. Alternate locations may be considered if candidates reside within a commuting distance from an office The Solutions Management Manager is responsible for serving as an expert in Value Based Health program data, data analysis, reporting and formulating recommendations and providing guidance to Agile development teams. How you will make an impact: Collaborate with developers and business partners in an Agile environment to build an industry-leading Health Economics platform. Understand requirements of the evolving Value Based Health program ecosystem and translate those business requirements to partner IT teams in an Agile Environment. Works in an Agile environment to define business needs, prioritize stories, perform User Acceptance Testing (UAT), define milestones and deliverables, and identify and mitigate risks to the plan. Translates product roadmaps into defined story requirements including detailed Acceptance Criteria, technical descriptions and test plans. Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies. Provides consultation and advice to business partners regarding benefits of products and analytics. Explains timelines and measures of success for implementing these products. Coordinates with the Physician Liaison regarding clinical issues related to clinical measure implementation or customization by line of business and communicates changes to Product Development for consideration in product performance and financial analyses. Schedules and coordinates implementation of contracted products and services for assigned business partners. Coordinates data requirements, production schedules and deliverables with the business partner. Oversees all business partner specifications and/or modifications for contracted products and services. Provides business partners with the resources, training and services necessary to effectively utilize the products that the department provides. Analyzes business partner data for QA and identification of opportunities for business partners to utilize products and services to improve plan performance. Maintains detailed knowledge of current clinical measures and future clinical measure development plans, communicates this information to business partners, assists in the selection of clinical measures to be utilized in pilot and full rollout of products and services, and guides business partners in continually reviewing and updating clinical measure sets. Maintains detailed knowledge of all current systems, products and services and basic understanding of future system and product development plans to allow appropriate level of communication with business partner. Leads department projects and mentors solutions management staff. Minimum Requirements: Requires a BA/BS and minimum of 5 years experience in a related field, including minimum of 2 years experience in solutions management; or any combination of education and experience, which would provide an equivalent background. Preferred skills, capabilities, and experiences: Experience with Agile methodology, value-based care, UAT is preferred. Experience with relational databases and knowledge of query tools (SAS, SQL, R, Python) and statistical software is strongly preferred. Experience with Medicare/Medicaid data is strongly preferred. Ability to manipulate large sets of data. Strong analytical, organizational, presentation, and problem-solving skills. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $113,256 to $169,884 Locations: Illinois, Massachusetts 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 law
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