Business Change Manager Senior - Special Investigation Unit - Fraud and Abuse
Welcome to Elevance Health, where we believe that every individual deserves access to quality healthcare. We are currently seeking a highly skilled and experienced Business Change Manager Senior for our Special Investigation Unit, specifically focused on fraud and abuse. In this role, you will play a crucial role in driving positive change and ensuring the integrity of our healthcare system. We are looking for someone who is passionate about fighting against fraud and abuse, and who has a strong background in business change management. If you are a driven and dedicated individual with a keen eye for detail and a desire to make a difference, we encourage you to apply for this exciting opportunity.
- Develop and implement strategies for identifying and preventing fraud and abuse within the healthcare system.
- Lead and manage a team of investigators and analysts to conduct thorough investigations and audits.
- Collaborate with cross-functional teams to identify areas of improvement and implement changes to prevent fraud and abuse.
- Monitor and analyze data to identify patterns and trends related to fraud and abuse.
- Develop and maintain relationships with external stakeholders, such as law enforcement agencies and regulatory bodies.
- Develop and implement training programs to educate employees on fraud and abuse detection and prevention.
- Stay up-to-date with industry regulations and best practices related to fraud and abuse in healthcare.
- Develop and maintain internal policies and procedures related to fraud and abuse prevention.
- Conduct regular risk assessments and develop mitigation plans to address potential risks.
- Communicate regularly with senior management to provide updates on fraud and abuse initiatives and results.
- Represent the company in meetings and conferences related to fraud and abuse prevention.
- Collaborate with legal counsel to ensure compliance with relevant laws and regulations.
- Prepare and present reports and recommendations to senior management and stakeholders.
- Continuously evaluate and improve the effectiveness of fraud and abuse prevention measures.
- Maintain confidentiality and handle sensitive information with discretion.
Extensive Experience In Business Change Management: A Business Change Manager Senior At Elevance Health Should Have A Strong Background In Managing Change Initiatives Within A Business Setting. This Includes Experience In Implementing New Processes, Systems, And Strategies, As Well As Managing Resistance To Change.
Knowledge Of Fraud And Abuse In The Healthcare Industry: The Special Investigation Unit At Elevance Health Focuses On Detecting And Preventing Fraud And Abuse In The Healthcare Industry. Therefore, A Business Change Manager Senior Should Have A Deep Understanding Of Fraud And Abuse Schemes And Regulations In The Healthcare Sector.
Strong Project Management Skills: As A Senior Business Change Manager, This Role Will Involve Leading And Overseeing Complex Projects Related To Fraud And Abuse Prevention. The Ideal Candidate Should Have Excellent Project Management Skills, Including The Ability To Plan, Organize, And Execute Projects Within Budget And On Time.
Excellent Communication And Interpersonal Skills: This Role Will Involve Working Closely With Various Stakeholders, Including Internal Teams, External Partners, And Regulatory Agencies. Strong Communication And Interpersonal Skills Are Essential For Building Relationships, Managing Expectations, And Effectively Communicating Change Initiatives.
Analytical And Problem-Solving Abilities: A Business Change Manager Senior Will Be Responsible For Identifying And Addressing Potential Fraud And Abuse Risks Within The Organization. This Requires Strong Analytical And Problem-Solving Skills To Identify Patterns And Trends, As Well As Develop And Implement Effective Solutions.
Change Management
Process Improvement
Strategic Planning
Project Management
Data Analysis
Communication
Team Leadership
Risk assessment
Problem-Solving
Stakeholder management
Organizational
Fraud detection
Communication
Conflict Resolution
Leadership
Time management
Interpersonal Skills
creativity
Critical thinking
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Business Change Manager Senior - Special Investigation Unit - Fraud and Abuse in Atlanta, GA, USA is $90,000-$120,000 per year. This may vary depending on the individual's qualifications, experience, and the specific company they are working for. Some companies may offer higher salaries and additional benefits for this position.
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Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.
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