Business Change Manager Senior - Payment Integrity

Anticipated End Date:

2026-06-06

Position Title:

Business Change Manager Senior - Payment Integrity

Job Description:

Work location - 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. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Position specific details: The Business Change Manager Senior will be working within our Carelon Insights Complex & Clinical Audit/Payment Integrity team.   

The Business Change Manager Senior – Payment Integrity is responsible for working with management to identify and implement varied projects, programs and plans that support achievement of business unit and enterprise goals.

Primary duties to include, but are not limited to:

• Identifies potential issues, project change, and scope.
• Leads efforts to identify best practices.
• Identifies impacted parties, business partners, and resources required.
• Develop and design processes and systems that support business needs.
• Designs methods for integrating function and process.
• Conducts cost/benefit analysis.
• Builds support for business change throughout the business unit.

Position requirements:

• Requires a BA/BS in a related field and minimum of 8 years process improvement, business change or project related experience; or any combination of education and experience which would provide an equivalent background.

Preferred qualifications, skills, and experiences:

• Experience in successfully developing and managing projects with fairly significant operating budget and knowledge of process redesign strongly preferred.
• Proven experience with driving digital change and end-to-end implementations.
• Previous project management experience, including meeting deadlines while working alongside cross-functional teams.
• Previous experience within a managed care/healthcare organization and strong knowledge base of regulatory and compliance regulations.
• Significant experience understanding business requirements and UAT.
• Payment Integrity and healthcare claims experience.
• Candidates from all states are welcome to apply provided they reside within commuting distance of a Pulse Point office location.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $93,760 to $161,736.

Location(s): California, Illinois

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 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.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

BSP > Business Support

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement wi