Carelon Solutions Innovation Director - Clinical Digital Transformation

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. Alternate locations may be considered if candidates reside within a commuting distance from an office. 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.

About the role

The Carelon Solutions Innovation Director is responsible for leading the clinical digital transformation strategy across Clinical Operations, advancing AI-enabled capabilities, modernizing clinical workflows, and improving operational performance. This role aligns enterprise clinical priorities with digital, technology, and AI initiatives and executes a multi-year roadmap that strengthens Utilization Management, Care Management, and Whole Health while improving the member and provider experience.

Responsibilities

• Leads the development and execution of Carelon Health's enterprise solution innovation strategy by identifying and advancing digital, AI-enabled, and technology-driven capabilities that improve clinical decision-making, operational performance, and business outcomes.
• Partners across Carelon Digital, Enterprise AI, and Technology teams to design, pilot, scale, and operationalize innovative solutions that support Utilization Management, Care Management, and other clinical programs.
• Provides strategic analytic and business insight to identify transformation opportunities, evaluate market trends, measure innovation outcomes, and support executive decision-making across the Carelon Health enterprise.
• Leads cross-functional initiatives focused on workflow modernization, intelligent automation, process optimization, and continuous improvement to enhance member, provider, and associate experiences.
• Investigates and manages complex internal and external issues, including provider, clinical, regulatory, and business partnership inquiries, while developing executive-level recommendations and driving organizational alignment.
• Applies Lean, Agile, and continuous improvement methodologies across clinical operations.
• Provides executive leadership, governance, and oversight for strategic initiatives, enterprise partnerships, project teams, and external consultants to ensure successful implementation, adoption, and measurable business value.

Requirements

• Requires a BA/BS degree in a related area and a minimum of 10 years of increasingly responsible business and professional experience including 3 years of leadership experience in a related field; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications

• Master's degree in Business Administration, Healthcare Administration, Public Health, Nursing, Health Informatics, or a related discipline.
• Experience leading enterprise digital transformation, innovation strategy, or technology-enabled healthcare initiatives, including artificial intelligence, automation, predictive analytics, or generative AI solutions at scale.
• Demonstrated experience partnering with Digital, Product Management, Technology, Engineering, Clinical Operations, and executive leadership to develop and operationalize innovative healthcare solutions across complex matrixed organizations.
• Strong knowledge of Utilization Management, Care Management, value-based care, clinical operations, healthcare strategy, and business process redesign with experience driving measurable operational excellence through Lean, Six Sigma, Agile, or continuous improvement methodologies.
• Proven ability to build strategic partnerships, influence senior executives without direct authority, establish governance frameworks, and successfully lead cross-functional transformation initiatives that deliver measurable business value.
• Experience developing innovation roadmaps, evaluating emerging healthcare technologies, managing enterprise portfolios, and using data-driven insights to improve productivity, quality, cost of care, and member and provider experiences.

Pay

For candidates working in person or virtually in Minnesota, the salary range for this specific position is $205,040 to $307,560.

Benefits

• Comprehensive benefits package, including medical, dental, vision, short and long term disability benefits, and 401(k) with company match.
• Incentive and recognition programs.
• Equity stock purchase plan.
• Paid holidays and Paid Time Off (PTO).
• Life insurance, wellness programs, and financial education resources.

Schedule

This role follows a hybrid work model, requiring associates to work at an Elevance Health location at least once per week, with specific onsite requirements discussed during the hiring process.

About the company

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.

At Elevance Health, we are creating a culture designed to advance our strategy while leading to personal and professional growth for our associates. Our values and behaviors are the foundation of our culture, guiding how we achieve our strategy, power our business outcomes, and drive shared success—for our consumers, associates, communities, and business.