Carelon Sales Executive - Payment Integrity

Anticipated End Date:

2026-07-20

Position Title:

Carelon Sales Executive - Payment Integrity

Job Description:

Carelon Sales Executive - Payment Integrity

Location: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Alternate locations may be considered. 

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 Sales Executive is responsible for driving growth by directing sales and retention strategy for the Payment Integrity solutions offered through Carelon's Payment Integrity Solution Suite, which represent a high-value proposition for its customers.

How you will make an impact:

• Establishes, builds, and nurtures executive-level relationships at targeted accounts to introduce Carelon's Payment Integrity solutions.

• Engages with existing clients to drive growth opportunities and collaborates closely with Account Teams to strengthen relationships and expand sales within those accounts.

• Pursues new prospects to broaden Carelon's customer base and increase market presence.

• Develops and executes strategies that achieve sales and financial goals while ensuring alignment with enterprise objectives.

• Directs and coordinates account sales activities related to Carelon's Payment Integrity Solution Suite.

• Leads efforts related to contracting and implementation to ensure seamless client onboarding and delivery.

• Builds and leverages C-suite relationships to provide innovative solutions to complex healthcare payer business challenges.

• Ensures all sales activity, pipeline progress, and client interactions are accurately maintained in the CRM tool.

• Consistently manages a robust sales pipeline and supports finalist opportunities for new business and account retention.

• Travels frequently to client locations and industry events to build relationships, pursue new opportunities, and support client engagement.

Minimum Requirements:

Requires a BS/BA degree in related field with a minimum of 10 years related experience to include a minimum of 4 years sales experience and a minimum of 3 years experience in strategic planning; or any combination of education and experience which would provide an equivalent background. 

Preferred Skills, Capabilities, and Experience:

• Extensive knowledge of health insurance sales strongly preferred.

• Experience selling Payment Integrity, payment accuracy, claims integrity, or related healthcare solutions to commercial or government health plans strongly preferred.

• Demonstrated success developing and closing complex enterprise sales opportunities with health plans while consistently achieving new business growth objectives preferred.

• Experience serving as a consultative solution sales specialist or subject matter expert in partnership with enterprise sales executives within a matrixed organization preferred.

• Strong understanding of healthcare payer operations, value-based solution selling, and the ability to communicate complex solution offerings to executive-level stakeholders preferred.

• Proven ability to collaborate effectively across Product, Pricing, Finance, Marketing, Implementation, and Account Management teams to advance strategic sales opportunities preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $171,424 to $257,136.

Locations: Illinois

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:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

SLS > Sales - Field

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.