Carelon Solutions Innovation Director - Clinical Digital Transformation

Anticipated End Date:

Position Title:

Job Description:

Carelon Solutions Innovation Director - Clinical Digital Transformation

Location: 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. 

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.

How you will make an impact:

• 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.

Minimum 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 Skills, Capabilities, and Experience:

• Master's degree in Business Administration, Healthcare Administration, Public Health, Nursing, Health Informatics, or a related discipline preferred.

• Experience leading enterprise digital transformation, innovation strategy, or technology-enabled healthcare initiatives, including artificial intelligence, automation, predictive analytics, or generative AI solutions at scale preferred.

• 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 preferred.

• 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 preferred.

• 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 preferred.

• 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 preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $205,040 to $307,560.

Locations: Minnesota

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company.  The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Job Level:

Workshift:

Job Family:

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.