Staff VP, Provider Data Solutions

Elevance Health

. Set the multi-year operations, technology, and solutions roadmap for core provider data platforms .

Posted 10/21/2026full-timeUnited StatesLead💰 $190,400 - $342,720 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing large-scale provider data initiatives, strategic planning, and continuous improvement within the healthcare industry. Proven ability to lead cross-functional teams, drive automation, and ensure compliance with regulatory standards while delivering projects on time and within budget.

Highest-signal resume keywords

Large-Scale Project ManagementStrategic PlanningContinuous ImprovementProvider Data ManagementHealthcare Industry Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data ManagementAutomationLean MethodologySix SigmaBudget ManagementRegulatory ComplianceChange ManagementIssue ManagementTransformation LeadershipGovernance Framework

Soft Skills

LeadershipCommunicationCollaborationCoachingProblem-Solving

Tools & Technologies

AI SolutionsData Quality ControlsIntegration ArchitecturePerformance MetricsVendor Management

Industry Keywords

Healthcare ComplianceCMSMedicaidNCQAProvider Data GovernanceOperational SystemsBusiness ArchitectureRegulatory TranslationThird-Party Vendor ManagementQuality Assurance

About the role

Key responsibilities & impact

Set the multi-year operations, technology, and solutions roadmap for core provider data platforms
Lead issue management and impact analysis across solutions and benefits operations
Prioritize and manage a large portfolio of provider data-management initiatives
Own product management for the provider data portfolio, including requirements, design, release planning, adoption, and benefit realization
Introduce automation and AI, including roster automation, rules engines, and data self-healing, with governance and controls
Lead enterprise-wide Lean and Six Sigma improvement
Own the end-to-end “contract to accurate payment” journey
Coordinate transformation changes, workflows, change management, communications, adoption standards, and technology changes
Drive simplification, standardization, automation, productivity, and cost efficiency, including 10% year-over-year expense reduction
Deliver initiatives on time and on budget through intake, prioritization, resourcing, milestone management, and executive reporting
Lead migrations, integrations, acquisitions, and market launches affecting provider data
Own enterprise provider data models, definitions, standards, and integration architecture
Translate government-program policy and regulatory changes into reimbursement requirements, fee schedules, business rules, and data controls
Maintain compliance with CMS, state Medicaid, NCQA, interoperability, and association obligations
Strengthen data quality through automated controls, validation, monitoring, issue detection, and root-cause remediation
Govern AI and automation using a govern–map–measure–manage framework
Build partnerships with provider operations, business units, technology, legal, compliance, benefits, finance, and vendors
Partner with technology and digital leaders on architecture, delivery capacity, releases, and investment
Manage vendor relationships, contracting, performance, concentration risk, and continuity planning
Represent provider data governance in executive, architecture, change-governance, regulatory, and transformation forums
Communicate with executives, regulators, providers, compliance, audit, HR, and enterprise partners
Deliver financial goals, productivity commitments, quality targets, service levels, and regulatory performance
Manage the technology, solutions, and governance share of a nine-figure operating budget
Coordinate budget planning, investment prioritization, business cases, and resource allocation
Build scorecards and executive reporting for portfolio health, delivery, automation benefits, data quality, and compliance
Identify, communicate, mitigate, and govern operational, technology, data, AI, third-party, and regulatory risks
Hire, develop, and lead teams across product, platform, automation, architecture, and policy translation
Lead directors and senior individual contributors
Build organizational capability in transformation, business architecture, automation, AI, data governance, regulatory translation, and program delivery
Coach leaders and develop succession depth across a multi-site onshore, offshore, and vendor workforce
Create a culture of accountability, innovation, quality, continuous improvement, and collaboration
Travel as needed

Requirements

What you’ll need

BA/BS in a related field
Minimum of 10 years’ experience at an executive director or above level
Significant large-scale project management experience
Strategic planning experience
Continuous improvement experience
Experience in the health care industry
Ability to travel required
Demonstrated success managing a large portfolio of data-management or technology initiatives for core operational systems and platforms
Experience leading transformation and complex cross-functional partnerships across operations, technology, government programs, legal, compliance, benefits, and third-party vendors
Ability to deliver enhancements and implementations on time and within budget
Experience with communications, scheduling, and user training
Experience hiring, developing, and leading a large team, including leaders of leaders
Strong understanding of provider data, claims and pricing accuracy, directory integrity, provider and member experience, network performance, compliance, and analytics
Candidates must reside within a reasonable commuting distance from a posting location unless an accommodation is granted as required by law

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-term disability benefits
Long-term disability benefits
Life insurance
Wellness programs
Financial education resources
Hybrid work flexibility
Professional and personal growth opportunities