Job Description

Carelon Global Solutions (CGS), a fully owned subsidiary of Elevance Health, is a healthcare solutions company that is simplifying complex operational processes to improve the health of the healthcare system.

CGS is a Global Capability Center (GCC) that leverages a strong talent base internationally to achieve strategic goals.

CGS organization has undergone tremendous growth over the last 8-years (with over 25,000 associates presently in Philippines, India, and Puerto Rico).

Position Responsibilities

• Oversight across a diverse portfolio of healthcare and business operations, including contact center and customer service functions, claims administration, clinical support, benefits administration, and other core business services.
• Accountable for operational performance, financial results and P&L management, service quality, compliance, workforce effectiveness, and the strategic roadmap to strengthen business performance and support growth.
• Drives execution and promotes continuous improvement across CGS Puerto Rico operations.
• Ensures teams achieve performance, quality, service, and compliance expectations while identifying opportunities to improve efficiency, accuracy, scalability, and the member and customer experience.
• Ensures strategic initiatives are successfully implemented and deliver measurable business outcomes.
• Maintains governance, compliance, and operational risk management.
• Serves as the relationship owner for key vendors, outsourcing partners, and strategic business relationships.
• Advocate and liaison for external stakeholder relationships.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.
• Travel as needed to support enterprise stakeholders, operations, and key relationships.

Position Requirements

Requires a BA/BS and minimum of 15 years professional/leadership experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences

• Strategic leadership & roadmap ownership
• Operational excellence
• Continuous improvement & transformation
• Outcome-focused program/initiative execution
• Stakeholder management & influence
• Leadership pipeline & talent development at scale
• Advanced financial/analytical and change leadership.
• Vendor management

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.

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.