Elevance Health—Director II Digital Operations

Job description

Description: Anticipated End Date: 2026-10-16 Position Title: Director II Digital Operations Job Description: Location: Atlanta GA, Tampa FL, Mason OH, Indianapolis IN, Grand Prairie TX, Louisville KY, St. Louis MO Hours: Standard Working hours Travel: 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. Position Overview: Oversees a combined digital and operations unit(s); executes strategies to deliver industry leading digitized service results. Serve as a leader across departmental lines in order to further penetration of operational digitization, E2E efficiencies, lowered administrative costs and an excellent member and provider experience. As well as leading a product-led delivery model across claims technology platforms and enterprise delivery capabilities. How You Will Make an Impact: - Aligns demand, roadmaps, capacity, and governance to deliver scalable solutions across Government and Commercial claims. - Advances execution through disciplined intake, automation, configuration-first delivery, and strong product lifecycle management. - Establish clear intake, prioritization, and portfolio governance so capacity is focused on the highest-value work. - Improve delivery speed, first-pass quality, and throughput by reducing rework and avoidable handoffs. - Strengthen product health, delivery readiness, risk visibility, and executive decision-making. - Partner across business, Operations, IT, Compliance, Audit, WFM, and other stakeholders to enable sustainable outcomes. - Enables effective achievement of digital operations organizational objectives - Participates with peers and digital operations leadership to deliver on strategic plans and objectives - 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 of a unit(s) within blended Digital Operations organization - 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 - Obtains resources (people, funding, material, support) to get things accomplished within units of responsibility - 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 - Hires, trains, coaches and evaluates performance of direct reports - Provides leadership in motivating subordinates to accomplish the Digital Ops organization goals and objectives - 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 - Manages across geographically diverse associates and vendor partners - Staff is typically located in multiple sites and/or states and utilizes multiple systems - Has fiscal responsibility for unit budget - Builds strong partnerships with market and digital leads, Benefits Administration, Provider Engagement and Contracting, Sales and Internal Audit - Effectively adjusts communications depending upon audience; translates technical and/or business issues in non-technical/non-jargon terms to non-technical or executive audiences - Effectively consults, facilitates, negotiates and persuades - Effectively interfaces with external contacts, e.g. customers and agencies - Negotiates the resolution of intra-organizational issues in the balanced best interests of the business - Position requires significant and regular external contact with customers or agencies - Hires, trains coaches, counsels, and evaluates performance of direct reports Required Qualifications: - 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 Qualifications: - Health insurance industry experience strongly preferred. - Experience leading claims technology or operations across Government and Commercial lines of business. - Product management, portfolio governance, roadmap, backlog, and lifecycle ownership experience. - Experience with intake governance, demand prioritization, capacity planning, and production-support models. - Working knowledge of automation, AI-enabled delivery, configuration-first solutions, and automated testing. - Demonstrated success leading complex, cross-functional transformations and advising executive stakeholders. - Ability to use delivery, quality, financial, and product-health metrics to guide decisions. Job Level: Director Workshift: 1st Shift (United States of America) Job Family: CLM > Claims Support Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.