Initiative Project Leader – Payment Integrity

Elevance Health

. Analyze, determine, and drive opportunities to standardize, eliminate waste, and improve end-to-end Payment Integrity processes .

Posted 10/7/2026full-timeUnited StatesSenior💰 $136,800 - $235,980 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in leading large-scale Payment Integrity initiatives, developing strategic roadmaps, and driving end-to-end process improvements in healthcare operations. Proficient in project leadership, executive communication, and building consensus across matrixed organizations.

Highest-signal resume keywords

Payment IntegrityProject LeadershipHealthcare OperationsAgile MethodologyExecutive Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Project PlansRoot Cause AnalysisData AnalysisProcess ImprovementTrend Identification

Soft Skills

Problem SolvingInfluencing Without AuthorityBuilding Trusted RelationshipsNavigating Ambiguity

Tools & Technologies

Aha!JiraSmartsheet

Industry Keywords

Healthcare PayerClaimsCost-of-CareDigital FluencyEnterprise Transformation

About the role

Key responsibilities & impact

Analyze, determine, and drive opportunities to standardize, eliminate waste, and improve end-to-end Payment Integrity processes
Lead the Payment Integrity Unified Ecosystem initiative by coordinating business and technology partners
Drive development of new Payment Integrity solutions and applications
Serve as a thought leader on end-to-end process improvements for providers, members, and internal end-users
Connect matrixed organizations across Claims, Health Plans, Operations, PE&C, PSCCR, Finance, Actuary, Digital, and IT
Lead the initiative from assessment through implementation
Develop actionable project plans and ensure business controls monitor sustainable results
Build consensus across business and technology workstreams
Lead root cause analysis, uncover trends, contribute to solution definition, and determine best practices
Establish and manage milestones, dependencies, risks, decisions, and recovery plans
Use data-supported reporting to communicate program health and delivery gaps with red, yellow, and green status updates
Communicate initiative drivers, investment value, anticipated return, progress, risks, and results to executive, business, and technical audiences
Create and maintain an end-to-end Payment Integrity Unified Ecosystem roadmap

Requirements

What you’ll need

BA/BS degree in a related field and a minimum of 8 years of professional experience in an operations environment, including 7 years leading and directing large enterprise-wide projects; or equivalent combination of education and experience
Payment Integrity, healthcare payer, claims, cost-of-care, healthcare technology, or related healthcare operations experience preferred
Experience leading large-scale, multiyear enterprise transformation initiatives preferred
Strong project leadership experience, including project plans, milestones, dependencies, risks, and implementation preferred
Ability to navigate ambiguity, determine next steps, solve complex problems, and move initiatives forward with limited direction preferred
Business, systems, data, and digital fluency preferred
Ability to analyze information, identify trends, evaluate opportunities, and translate findings into actionable recommendations preferred
Executive communication and storytelling skills, including business cases, presentations, and ROI narratives preferred
Ability to build trusted relationships, influence without direct authority, and drive alignment and accountability across matrixed organizations preferred
Experience developing strategic roadmaps and working in Agile, product-development, or technology-transformation environments using Aha!, Jira, or Smartsheet preferred
Ability and willingness to work Eastern or Central Time Zone business hours
Candidates must reside within a reasonable commuting distance from a posting location unless an accommodation is granted

Benefits

Comp & perks

Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401(k) contribution and match
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical benefits
Dental benefits
Vision benefits
Short- and long-term disability benefits
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Hybrid work flexibility
COVID-19 and Influenza vaccination accommodations as applicable