Business Strategy Plan Director - Carelon Health Clinical Excellence

Anticipated End Date:

2026-02-13

Position Title:

Business Strategy Plan Director - Carelon Health Clinical Excellence

Job Description:

Business Strategy Plan Director - Carelon Health Clinical Excellence

Location: 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. 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.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Business Strategy Plan Director will serve as Chief of Staff to the Carelon Health Clinical Excellence leadership team and the Chief Medical Officer. This role supports an organization of more than 6,000 clinical and non-clinical associates and ensures alignment across supported profit-and-loss (P&L) units, clinical and non-clinical operations, and business strategy to drive patient-centered outcomes and enterprise performance. The ideal candidate is a trusted, results-driven advisor with strong strategic acumen, a proactive problem-solving mindset, and the ability to execute complex initiatives by effectively aligning senior leaders and matrixed teams.

How you will make an impact:

• Understand all aspects of the business and serve as the right hand to executive leadership to define strategy and successful criteria for the future.

• Translate strategy into defined tactics, programs/projects priorities, and timelines and ensure alignment to enterprise strategy and goals.

• Monitor and track progress towards strategic objectives, identifying and addressing any barriers to success.

• Ensure that key metrics, performance indicators, and reporting mechanisms are in place to measure results and drive continuous improvement.

• Implement and manage cross-functional strategic initiatives and special projects as directed by leadership.

• Build and leverage relationships to provide innovative solutions to complex business problems.

• Develop and refine processes to improve operational efficiency and effectiveness across P&L units.

• Prepare and provide reports, presentations, and updates to leadership on the status of ongoing initiatives and projects.

• Manage internal communications to ensure transparency and alignment across teams.

• Proactively identify and mitigate risks and issues that may impede project or operational success.

• Manage and facilitate the position request process in alignment with staffing models, business changes, and staffing goals to support P&L performance.

Minimum Requirements:

Requires a BA/BS degree in a related field and a minimum of 10 years of related experience including prior leadership experience and 3 to 5 year strategic planning; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experience:

• Master’s degree preferred.

• Former consulting experience preferred.

• Prior experience in a Managed Care Organization (MCO), with expertise in medical benefits management, utilization management, specialty care, or delegated risk models within a payer or payer-services organization strongly preferred.

• Exceptional strategic thinking, decision-making, problem-solving skills, and adaptability highly preferred.

• Experience interacting confidently with senior management and executive level stakeholders, as a subject matter expert and comfortable with influencing decision-making preferred.

• Experience and knowledge of data analytics, project management, project execution, process improvement and change management experience (strategic and execution) strongly preferred.

• High level of discretion and confidentiality preferred.

• Excellent written, oral, presentation and interpersonal communication skills with the proven ability to negotiate expectations between multiple parties strongly preferred. 

• Proficient of Microsoft Office products