Portfolio Director-HEDIS Care Gap Closure (US)

Description

Portfolio Director-HEDIS Care Gap Closure

Location: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of an Elevance Health location.

The Portfolio Director-HEDIS Care Gap Closure is responsible for multiple initiatives aimed at closing care gaps for HEDIS improvement. Will maintain a portfolio of interventions, develop KPI metrics, track and mitigate risks, solve coverage issues, rate maximization, and develop improvement strategies.

How you will make an impact:

• Manages multiple campaigns using automation to drive behavior changes and member experience.
• Partners with vendors to coordinate outreach and drive improvement in HEDIS performance.
• Leads strategic project planning and annual budgeting.
• Leads senior/executive management business partners to plan and ensure project objectives are met and budget aligns with IT budget objectives.
• Leads strategic direction for aligning a specific organizations project plan of record and annual goal objectives with annual operating budget by specifying goals, strategy, staffing, scheduling, identifying risks, contingency plans, identification of budget and achieving long-term and short-term financial objectives with the primary goal of ensuring that ROI thresholds are met.
• Leads and manages portfolio and project activities of the business unit and develops relationships with the business.
• Directs and coordinates budget activities of multiple projects and evaluates the impacts of changes from original portfolio plans across multiple projects to provide direction.
• Leads strategies to remove barriers to ensure that portfolio initiatives are delivered on time and within budget.
• Provides leadership to executive management to determine future systems direction for both internally developed and vendor maintained systems and performs feasibility studies.

Minimum Qualifications:

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 10 years of experience in organizing a series of large size projects into a single portfolio, multiple technical and business disciplines, planning and designing large complex project portfolios, technical systems Process Life Cycle or related field; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Masters degree preferred.
• HEDIS Improvement experience.
• Vendor management experience with an emphasis on HEDIS Improvement
• Medicare experience preferred.
• Clinical, IT, AI experience preferred

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $119,120 to $214,416.

Locations: New York, Jersey City, NJ

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.

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. A Fortune 20 company with a longstanding history in the healthcare industry, 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.

Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and 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 – 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 2022, has been ranked for five years running as one of the 2023 World’s Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. 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 ability@icareerhelp.com for assistance.

Salary : $119,120 - $214,416