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Elevance Health · 1 day ago

Director II, Digital Claims Operations

IN-INDIANAPOLIS, 220 VIRGINIA AVE

Full-time

Hybrid

Senior Level, Lead/Staff

$179K/yr - $281K/yr

8+ years exp

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. The Director II, Digital Claims Operations oversees a combined digital and operations unit, leading initiatives that improve claims operations and overall service delivery while ensuring compliance with regulations and managing resources effectively.

Health CareHealth InsurancePersonal HealthWellness

H1B Sponsor Likely

Responsibilities

Lead digital transformation initiatives that improve claims operations and overall service delivery

Partner with leaders across the organization to implement strategic plans and shared goals

Leads overall strategic work streams for transformational priorities which requires significant accountability and management of numerous special projects

Plans, directs, and controls the resources and efforts within a blended Digital Claims Operations organization

Effectively manage the resolution of intra-organizational issues in the balanced best interests of the business

Executes objectives of the company and the blended Digital Ops organization

Responsible & accountable for implementation / management of digitization initiatives that demonstrates understanding of current and future operational business processes that digitization does/can enable

Ensures compliance with state and federal regulations

Oversees strategic planning, budget development, and management for a single large or multiple cost centers, contract compliance, and any necessary integration of government regulatory requirements

Manages an enterprise suite of applications by developing digitization forecast and delivery plan

Ensures disaster recovery and business continuity plan are implemented, monitored, and updated on a recurring basis

Delivers operational guidance and offers system solutions that support the operations of their functional areas on a 24x7x365 basis

Plans and executes annual projects while maintaining profit and loss (P&L) responsibility

Develops a strong team through training and effective organizational development practices

Implements the policies, practices, and procedures of the company and blended digital and operations organizations

Manages direction of information system and programming activities of technical staff

Leveraging reporting and analytics tools, continually monitors procedures and operational metrics to ensure these are met by staff

Builds strong partnerships with market and digital leads, Benefits Administration, Provider Engagement and Contracting, Sales and Internal Audit

Hires, trains coaches, counsels, and evaluates performance of direct reports

Qualification

Digital TransformationClaims Operations ManagementHealthcare Industry ExperienceProcess ImprovementProject ManagementStrategic PlanningBudget ManagementRegulatory ComplianceDigital LiteracyTeam Leadership

Required

Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 8 years experience leading technology (application development, configuration, maintenance or implementation and support) teams and/or cross functional project (technology and operations) teams; or any combination of education and experience which would provide an equivalent background

Requires 7 years' management experience

Preferred

Proven experience leading Claims Operations teams and strategy within a large healthcare payor environment strongly preferred

Proven track record leading Digital Transformation in a Claims operational setting strongly preferred

Digital literacy strongly preferred

Health insurance industry experience strongly preferred

Claims operational experience strongly preferred

Process Improvement/Six Sigma skillset preferred

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

Merit increases

Paid holidays

Paid Time Off

Incentive bonus programs

Medical, dental, vision

Short and long term disability benefits

Life insurance

Wellness programs

Financial education resources

Company

Elevance Health

Glassdoor3.6

Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

Founded in 1944

Indianapolis, Indiana, USA

10001+ employees

https://www.elevancehealth.com

H1B Sponsorship

Elevance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (488)

2024 (604)

2023 (660)

2022 (222)