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Elevance Health

Business Change Director – Payment Integrity

Elevance Health

. Work with management to identify and implement projects, programs, and plans supporting business unit and enterprise goals.

Posted 11/5/2026full-timeUnited StatesLeadWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in project management, change management, and process redesign, with a strong focus on aligning initiatives with corporate strategy and supporting business unit goals. Proficient in facilitating large-scale change initiatives and conducting cost/benefit analyses to drive organizational effectiveness.

Highest-signal resume keywords
Project ManagementChange ManagementPayment IntegrityProcess RedesignSix Sigma Black Belt

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Project Portfolio ManagementCost/Benefit AnalysisData MiningFinancial Project ManagementClaims Processing Systems
Soft Skills
CoachingFacilitationPresentation Skills
Tools & Technologies
GBD FacetsWGS
Certifications & Qualifications
Six Sigma Black Belt
Industry Keywords
Organizational EffectivenessCulture ManagementBusiness ChangeProcess Planning

About the role

Key responsibilities & impact
  • Work with management to identify and implement projects, programs, and plans supporting business unit and enterprise goals.
  • Specialize in organization effectiveness, including planning, project portfolio, or culture/change, or directly support a business unit while aligning activities with corporate strategy.
  • Identify potential issues, project change, scope data, impacted parties, business partners, and required resources.
  • Lead efforts to identify best practices.
  • Develop and design processes and systems supporting business needs.
  • Design methods for integrating functions and processes.
  • Conduct cost/benefit analyses.
  • Build support for business change throughout the business unit.
  • Provide process, project, and change management methodology coaching and consulting support to local and enterprise-wide initiatives.
  • Lead project prioritization and scheduling activities for the business unit.
  • Provide expertise in culture/change management, process planning, and portfolio management.
  • Support execution of the operating plan.

Requirements

What you’ll need
  • Requires a BA/BS in a related field and minimum of 10 years managing mid to large-scale change/project initiatives; or any combination of education and experience which would provide an equivalent background.
  • Knowledge of planning models and methodology strongly preferred.
  • Project management and change management experience (strategic and execution) strongly preferred.
  • 3-5 years of experience in Payment Integrity strongly preferred.
  • Experience in payment integrity: Data mining, recoveries, cost of care, or financial project management is highly desired.
  • Experience developing and managing projects with significant operating budgets strongly preferred.
  • Knowledge of process redesign strongly preferred.
  • Project management experience desired.
  • Experience with claims processing systems, such as GBD Facets and/or WGS highly desired.
  • Experience facilitating and presenting to large audiences preferred.
  • Six Sigma Black Belt preferred.
  • Master's degree preferred.
  • Candidates must reside within a reasonable commuting distance from the posting location(s), unless an accommodation is granted as required by law.

Benefits

Comp & perks
  • Merit increases
  • Paid holidays
  • Paid Time Off
  • Incentive bonus programs
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Short-term disability benefits
  • Long-term disability benefits
  • 401(k) + match
  • Stock purchase plan
  • Life insurance
  • Wellness programs
  • Financial education resources
  • Hybrid work flexibility
  • Accommodation support for applicants with disabilities