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Elevance Health
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**Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _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._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon
Job Source: Elevance HealthIndianapolis
**JR116412 Director II Carelon Account Management**
The Director II for Carelon Account Management will lead the nationally recognized Crisis Center of Excellence, focusing on elevating evidence-based practices and fortifying crisis systems across various markets. With Carelon's recent enlargement in Nevada, Crisis and Peer Warm Line services are now offered in 10 states throughout the U.S. The Director will play a key role in propelling ongoing growth and guaranteeing robust member experiences and outcomes.
**Location:** This position will work a hybrid model (remote and office) and must live within 50 miles of one of our Pulse Point office locations.
**How will you make an impact:**
+ Owns the plan P&L and the strategic design of cross-sell and renewal opportunities.
+ Develops a deep knowledge of market drivers and develops plans in order to ensure their team meets or exceeds annual retention and revenue goals.
+ Provides leadership and strategic direction to ensure business meets profitability standards.
+ Collaborates with matrix leaders to develop strategies and manage plans to achieve client membership and financial goals.
+ Provides input to the Product Development team on opportunities to create profitable and efficacious products that meet the strategic needs of clients.
+ Hires, trains, coaches, counsels, develops, motivates, and evaluates performance of direct reports.
+ The Crisis Center of Excellence (COE) will help serve as the touch point to help connect the corporate enterprise, states, health plans, larger industry, and those served.
+ The COE leader will lead a team focused on providing evidence-based best practices, research, support, training, and analytic insights.
+ The COE leader will be responsible for macro-system level advocacy and policy promulgation and promotion in conjunction with Elevance’s Public Policy and external Affairs teams along with external trade organizations.
+ The COE Dir 2 will serve as the Account Management lead for all stand-alone crisis opportunities and support the success and performance of all integrated states where crisis services are offered.
+ The COE will host monthly Crisis super utilizer workgroups to lend best practices and share ideas and information.
+ The COE will work internally with specific Crisis customer groups to provide expert consultation, training, and support.
+ The COE will lead the advancement of a corporate analytic view of crisis service delivery into recommendations for payment and reimbursement of services, ROI, and Cost of Care strategies.
**Minimum requirements:**
+ Requires a BA/BS and a minimum of 8 years of professional/leadership experience; or any combination of education and experience which would provide an equivalent background.
**Preferred Skills, Capabilities, and Experiences:**
+ Business-line experience in Crisis is necessary for this position.
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $225,360 to $270,432.
Locations: California; New York
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 Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.
Email Alert for Director II Carelon Account Management_ jobs in Indianapolis
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