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Elevance Health Medicaid QM Portfolio Director in Madison, Wisconsin

Medicaid QM Portfolio Director

  • Job Family: Customer Care

  • Type: Full time

  • Date Posted:Aug 02, 2022

  • Req #: JR12453


  • National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePoint


How you will make an impact:

Responsible for developing specific national strategies for Medicaid Quality domains in support of GBD, the Medicaid business, and State partner requirements.

Primary duties include but are not limited to:

  • Provides leadership to Quality Improvement projects that are cross-organizational in nature.

  • Supports various BU leads in developing tactical state-specific plans and strategies and promulgating best practices across the Medicaid business.

  • Assists executive leadership in assessing current environment, external factors, competitive landscape, and facilitates development of key strategies.

  • Coordinates with National Medicaid Quality VP and State Plan Presidents to align BU strategy with the overall GBD strategy and plan(s).

  • Identifies opportunities to coordinate across lines of business more effectively to optimize value.

  • Engages business planning leaders within the respective GBD and shared services areas (including but not limited to Enterprise Quality, Provider Services, and Clinical Services teams) to identify innovative solutions and efficiency opportunities to achieve performance targets, achieve market distinction, successfully deliver value-based payments from State partners, reduce and eliminate Quality-related sanctions, improve accreditation scores, and increase NCQA-STAR ratings.

  • Evaluates strategic options in the context of the GBD strategic direction, financial targets and market context. Helps evaluate/re-evaluate ongoing initiatives in light of the changing environment to recommend corrective action.

  • Supports the preparation and facilitation of planning sessions with the corporate leadership.

Minimum Requirements:

  • Requires a BA/BS degree in a related field; 10 years of experience with significant large-scale project management, strategic planning and/or consulting in the health care industry; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Expereinces:

  • Prefer a strategic thinker with a broad & deep understanding of the health care industry and the ability to develop and execute logical analysis to drive toward key decisions.

  • Master’s degree preferred.

  • Ability to travel may be required.

Applicable to Colorado Applicants Only

Annual Salary Range*: $131,360 - $164,200

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

  • 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. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. 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.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at 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.

EEO is the Law

Equal Opportunity Employer / Disability / Veteran

Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

  • EEO Policy Statement

  • EEO is the Law Postero

  • EEO Poster Supplement-English Version

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Elevance Health, Inc. is an E-verify Employer

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