Courtney Delaney
Clayton
Summary
I am a leader of strategic initiatives, overseeing enterprise strategy, planning, execution, and operational excellence to drive meaningful, scalable impact. My role sits at the intersection of vision and delivery, translating complex challenges into clear priorities, aligning leadership, and ensuring initiatives move from concept to execution with discipline and speed.
Over the course of my career, I've built and led high impact portfolios, shaping and advancing initiatives that have driven over $1B in value across a five year period. At my core, I'm a builder and operator, passionate about turning ideas into action and helping organizations operate at their best.
Overview
17
17
years of professional experience
Work History
Staff VP Strategic Initiatives
Carelon
Raleigh, NC
09.2025 - Current
- Established performance metrics that aligned with company objectives, promoting accountability across departments.
- Translate executive vision into actionable strategies, roadmaps, and execution plans.
- Develop and operationalized strategic initiatives to align with growth and transformation priorities which drove over $1B in value over 5 years
- Evaluated industry trends to inform business strategy, positioning Payment Integrity as a market leader in healthcare solutions.
- Champion operational excellence through process improvement, efficiency, and performance optimization.
- Lead strategic planning cycles, including - prioritization, resource alignment, and business case and KPI development.
- Support organizational change management and stake holder alignment for key initiatives
Director Program Management | Payment Integrity
Carelon
Raleigh, NC
07.2023 - 08.2025
- Oversaw strategic and annual planning for payment integrity to align initiatives with $35B+ organizational goals.
- Spearheaded execution of PI strategies, overseeing governance structures and decision-making frameworks.
- Facilitated integration of PI business planning with enterprise forecasts to ensure effective funding allocation and maximize impact.
- Provide strategic support by synthesizing complex business and technical information into actionable insights and executive-level presentations
- Acted as a trusted advisor and strategic partner to payment integrity executives, prioritizing initiatives and driving execution of high-impact projects.
- Facilitated communication optimization and program management consistency to bolster organizational efficiency in payment integrity operations.
Strategy Director | Strategy and Planning Payment Integrity
Carelon
Raleigh, NC
01.2021 - 07.2023
- Responsible for working with VP-level and above to drive planning and strategy aimed to improve results in-line with organizational strategy
- Supported business case development and portfolio planning process
- Partnered with executive leadership to define strategy and success criteria and framing clear options and trade-offs for leadership decisions
- Monitored, measured, and communicated delivery against business strategic plan and quality of outcomes
- Championed breakthrough projects to transform current business environment into industry leading best practice organization
Program Director | Payment Integrity
Blue Cross Blue Shield of Vermont
10.2018 - 12.2020
- Spearheaded consolidation of all PI program activities into one organization
- Direct oversight of 5 functional areas including - Data Mining, Vendor Relations, Claims Editing (operations), COB, Subrogation.
- Drove all Payment Integrity program expansions and implementation strategies that resulted in 500% increase in savings over 2 years
Vendor Manager | Fraud Waste and Abuse
Blue Cross Blue Shield of Vermont
02.2017 - 10.2018
- Led all third party vendor relations within the scope of FWA
Fraud Waste Abuse and Recovery Specialist | Fraud Waste and Abuse
Blue Cross Blue Shield of Vermont
10.2015 - 02.2017
- Responsible for accurate processing of all overpayments identified in various audits
Claims QA Training and Testing Specialist
Blue Cross Blue Shield of Vermont
09.2009 - 10.2015
- Subject matter expert in all claims processing activities
Education
BA - Criminology
University Of Southern Maine
Portland, Maine01.2008
Skills
- Champion of Agile principals
- Strategic Planning and Execution
- Proven leader with a track record in adaptability, innovation, and problem solving
- Well versed in collaborating within a large matrix organization
- Effective communication skills
- Decision-making
- Business transformation
- Operating model design
- Team leadership
Timeline
Staff VP Strategic Initiatives
Carelon
09.2025 - Current
Director Program Management | Payment Integrity
Carelon
07.2023 - 08.2025
Strategy Director | Strategy and Planning Payment Integrity
Carelon
01.2021 - 07.2023
Program Director | Payment Integrity
Blue Cross Blue Shield of Vermont
10.2018 - 12.2020
Vendor Manager | Fraud Waste and Abuse
Blue Cross Blue Shield of Vermont
02.2017 - 10.2018
Fraud Waste Abuse and Recovery Specialist | Fraud Waste and Abuse
Blue Cross Blue Shield of Vermont
10.2015 - 02.2017
Claims QA Training and Testing Specialist
Blue Cross Blue Shield of Vermont
09.2009 - 10.2015
BA - Criminology
University Of Southern Maine