Staff VP Carelon Health Strategy & Transformation

Position Overview

The Staff VP, Carelon Health Strategy and Transformation will conduct a comprehensive assessment of the current health organization, recommend and design the future state, and partner with various departments to improve care models and optimize the total cost of care.

Responsibilities

• Conduct a comprehensive assessment of the current health organization that includes structure, roles, governance, decision rights, and operating model.
• Recommend and design the future state.
• Partner with Human Resources on organizational design, leadership capabilities, staffing models, and workforce planning.
• Ensure the health strategy supports integrated physical, behavioral and social healthcare.
• Develop strategies to improve cost trends, reducing avoidable admissions, ED utilization, readmissions, and unwarranted variation while maintaining or improving quality.
• Assess provider network adequacy and performance and advance value-based care and innovative reimbursement models.
• Simplify workflows, reduce administrative burden, and standardize best practices across markets and business segments.
• Establish a Carlon health performance framework with standardized quality measures, reporting, and regulatory and accreditation compliance.
• Serve as executive clinical advisor, build alignment across executive stakeholders, and lead organizational change management.
• Establish governance and an executive steering committee and deliver measurable improvements in outcomes, experience, efficiency, and cost of care.

Requirements

• A BA/BS degree in a related field and a minimum of 10 years of leadership experience; or any combination of education and experience, which would provide an equivalent background.
• Experience leading large-scale health organizational assessment and transformation, including operating model and governance redesign.
• Deep clinical background in health strategy and care model design, grounded in evidence-based, measurement-based care.
• Track record improving cost of care—reducing avoidable admissions, ED utilization, and unwarranted variation while protecting quality.
• Experience shaping provider network strategy, value-based care, and innovative reimbursement models.
• Proven operational excellence, streamlining workflows and standardizing best practices across markets and segments.
• Expertise establishing enterprise quality and outcomes frameworks with regulatory and accreditation compliance.
• Executive presence to advise senior leaders, align stakeholders, and lead organizational change management.
• MBA or other advanced degree preferred.

Qualifications

• Requires a BA/BS degree in a related field and a minimum of 10 years of leadership experience; or any combination of education and experience, which would provide an equivalent background.
• Preferred skills include experience leading large-scale health organizational assessment and transformation, deep clinical background in health strategy and care model design, proven operational excellence, and executive presence.

Benefits

Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and a 401(k) match. Additional benefits include medical, dental, vision, short and long term disability benefits, life insurance, wellness programs, and financial education resources.