Solutions Management Consultant

Anticipated End Date:

2026-06-16

Position Title:

Solutions Management Consultant

Job Description:

Shift: Monday – Friday, 8:00am – 5:00pm

Location: Any PulsePoint location, Hybrid 1

Hybrid 1: This role requires associates to be in-office 1 - 2 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.

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

The Solutions Management Consultant is responsible for serving as an expert in Value Based Health program data, data analysis, reporting and formulating recommendations and providing guidance to Agile development teams.

How you will make an impact:

• Serve as a subject matter expert in Value Based Health program data, analysis, reporting, and recommendation development to support business and technology decision-making.
• Understand the evolving Value Based Health program ecosystem and translate business needs into clear requirements for IT teams in an Agile environment.
• Define business needs, prioritize stories, perform User Acceptance Testing, establish milestones and deliverables, and identify and mitigate project risks.
• Translate product roadmaps into detailed user stories, acceptance criteria, technical descriptions, and test plans.
• Use analytic tools to evaluate patterns and trends within Value Based Program populations, including claims, provider, and utilization data.
• Develop and analyze business performance reports, identify deviations and anomalies, and provide actionable insights to business partners, leadership, and technical teams.
• Provides input to business partners regarding benefits of products and analytics.
• Explains timelines and measures of success for implementing these products.
• Works together with Product Development to consult on enhancements to existing products and development of new clinical solutions based on analytics.
• Coordinates with the Physician Liaison regarding clinical issues related to clinical measure implementation or customization by line of business and communicates changes to Product Development for consideration in product performance and financial analyses. Schedules and coordinates implementation of contracted products and services for assigned business partners.
• Coordinates data requirements, production schedule and deliverables with the business partner.
• Reviews business partner specifications and/or modifications for contracted products and services.
• Provides business partners with the resources, training and services necessary to effectively utilize the products that the department provides.
• Analyzes business partner data for QA and identification of opportunities for business partners to utilize products and services to improve plan performance.
• Maintains detailed knowledge of current clinical measures and future clinical measure development plans, communicates this information to business partners, assists in the selection of clinical measures to be utilized in pilot and full rollout of products and services, and guides business partners in continually reviewing and updating clinical measure sets.
• Maintains working knowledge of all current systems, products and services and basic understanding of future system and product development plans to allow appropriate level of communication with business partner.

Minimum requirements:

• Requires a BA/BS in a related field and minimum of 3 years experience in a related field; or any combination of education and experience, which would provide an equivalent background.

Preferred skills, capabilities, and experiences:

• Experience with Agile methodology, value based care, and UAT is preferred.
• Experience with relational databases and knowledge of query tools (SAS, SQL, R, Python) and statistical software is highly preferred.
• Ability to manipulate large sets of data preferred.
• Strong analytical, organizational, presentation, and problem solving skills preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $92,224 to $138,336

Locations: Illinois, Massachusetts

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:

BSP > Business Support

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.