Director II, Digital Claims Operations

Director II, Digital Claims Operations

Join to apply for the Director II, Digital Claims Operations role at Elevance Health.

This role requires associates to be in-office 3 days per week
, fostering collaboration and connectivity while providing flexibility to support productivity and work‑life balance.

$/yr - $/yr

• Lead digital transformation initiatives that improve claims operations and overall service delivery.
• Partner with leaders across the organization to implement strategic plans and shared goals.
• Lead overall strategic work streams for transformational priorities requiring significant accountability and management of numerous special projects.
• Plan, direct, and control the resources and efforts within a blended Digital Claims Operations organization.
• Effectively manage the resolution of intra‑organizational issues in the best interests of the business.
• Execute objectives of the company and the blended Digital Ops organization.
• Implement and manage digitization initiatives that demonstrate understanding of current and future operational processes.
• Ensure compliance with state and federal regulations.
• Oversee strategic planning, budget development, and management for a large or multiple cost centers, contract compliance, and integration of regulatory requirements.
• Manage an enterprise suite of applications by developing digitization forecast and delivery plan.
• Ensure disaster recovery and business continuity plans are implemented, monitored, and updated regularly.
• Deliver operational guidance and offer system solutions that support operations 24x7x365.
• Plan and execute annual projects while maintaining profit and loss responsibility.
• Develop a strong team through training and effective organizational development practices.
• Implement company policies, practices, and procedures for digital and operations organizations.
• Manage direction of information system and programming activities of technical staff.
• Leverage reporting and analytics tools to monitor procedures and metrics.
• Build strong partnerships with market and digital leads, Benefits Administration, Provider Engagement and Contracting, Sales and Internal Audit.
• Hire, train, coach, counsel, and evaluate performance of direct reports.

• BA/BS degree in Information Technology, Computer Science or related field and a minimum of 8 years leading technology teams or cross‑functional project teams.
• 7 years’ management experience.

• Experience leading Claims Operations teams and strategy within a large health payor environment.
• Track record of leading Digital Transformation in a Claims operational setting.
• Digital literacy.
• Health insurance industry experience.
• Claims operational experience.
• Process improvement/Six Sigma skillset.

Locations:
Illinois;
California;
Minnesota

Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution. The salary range above may be modified in the future and actual compensation may vary based on geographic location, experience, education and skill level.

Elevance Health is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender, 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 requiring accommodation to participate in the job application process may contact elevancehealthj for assistance.

Qualified applicants with arrest or conviction records will be considered in accordance with federal, state, and local laws.