Clinical Program Manager - Clinical Wellness & Disease Management
Location : This position will work a hybrid model (remote, office and field) and will be required to work in our office on Tuesday and Thursday each week. The ideal candidate will live within 50 miles of our Mason, OH Elevance Health PulsePoint location.
The Clinical Program Manager is responsible for assisting sales team to create sales plans, marketing strategies, renewal strategies, for group accounts with regard to clinical offerings.
How you will make an impact:
Makes formal presentations to prospective clients and existing clients, analyzing utilization data and presenting quarterly reports and recommended future changes.
Makes formal presentations on clinical managed care programs to both new and existing accounts.
Evaluates account utilization data to identify areas to target or where the Company has an opportunity for new programming/options.
Analyzes utilization data to assist in developing additional clinical offerings / programming.
Prepares responses to RFPs and a variety of analytical reports for accounts in support of the program.
Develops relationships with consultants and/or brokers.
Stays abreast of latest trends in care management and the competitors care management.
Minimum Requirements:
Requires a BA/BS degree in a related field and a minimum of 4 years of related experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
RN license preferred.
Individuals with a clinical background or wellness certification preferred.
Healthcare benefit industry preferred.
Individuals who are self-starters, forward thinking and have strong planning and organizational skills highly preferred.
Reliable transportation is highly preferred to conduct in-person visits within the assigned territory within Southern Ohio.
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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
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. 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 may contact elevancehealthjobssupport@elevancehealth.comfor assistance.
