Location: The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a hybrid work model (1-2 days per week in the office).
Hours: Will work normal business hours on an EST schedule.
A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.
The Clinical Program Development Manager is responsible for managing clinical program development for population-based clinical quality measures, including HEDIS within a clinical area and across all lines of business.
How you will make an impact:
Evaluates industry best practices, medical research, and other resources to develop clinical programs and tools that facilitate and support quality, cost-effective care.
Develops and implements an annual plan detailing the strategies, programs, and tools to be implemented.
Leads program development activities.
Develops and coordinates presentations, communications, and implementation for all phases of the clinical programs/tools development and implementation.
Ensures all programs and tools are compliant with regulatory directives and state/federal laws and policies. Identifies system needs to implement clinical programs.
Develops system requirements and ROI.
Tracks program performance and results and modifies as needed.
Provides leadership and guidance to associates involved in program development and implementation activities.
Minimum Requirements:
Requires a BA/BS in business, public health, nursing, epidemiology biostatistics, or related field and minimum of 5 years experience involving analyses of health care data and clinical program development; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications, Skills, and Experiences:
MS in public health, health services administration, nursing, or business administration preferred.
Project/program management skills highly desired.
Business analyst experience preferred.
Knowledge of writing business requirements and implementation experience desired.
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $93,744 to $160,704.
Locations: District of Columbia (Washington, DC); Maryland; New York
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.
