Staff Vice President, Digital Claims Operations Greater Los Angeles, CA Area + 6 more

The Company is seeking a Staff Vice President of Digital Claims Operations to lead the strategy and transformation of digital claims processes. The role oversees claims operations and end-to-end solution delivery, using analytics, AI, automation, and process optimization to improve efficiency, accuracy, productivity, and service quality. The executive will lead claims analytics partnerships, support actuarial reserving and cost-of-care initiatives, and coordinate priorities across operational, financial, analytical, and technology teams. Responsibilities also include piloting and scaling new capabilities, managing budgets and delivery risks, ensuring regulatory and risk controls, and building a collaborative, high-performing team. Candidates must have a bachelor’s degree in information technology, computer science, or a related field, along with at least 15 years of experience in claims operations management and digital transformation. Strong leadership, analytical, and communication skills, as well as in-depth knowledge of industry regulations and compliance, are required. Preferred qualifications include an advanced degree and executive experience leading digital claims operations in a complex healthcare organization. Experience with AI, automation, analytics, major implementations, cross-functional portfolios, and end-to-end solution delivery is highly valued, as is familiarity with actuarial reserving, cost-of-care initiatives, and scaling innovations with effective governance and adoption.

Hiring Company

Elevance Health