Clinical Program Development Manager - CarelonRx

Location:
  • IN-INDIANAPOLIS, 220 VIRGINIA AVE, United States of America
  • CT-WALLINGFORD, 108 LEIGUS RD
  • DC-WASHINGTON, 609 H ST NE, STE 200
  • DE-WILMINGTON, 123 S JUSTISON ST, STE 200
  • FL-MIAMI, 11430 NW 20TH ST, STE 300
  • GA-ATLANTA, 740 W PEACHTREE ST NW
  • IL-CHICAGO, 233 S WACKER DR, STE 3700
  • KY-LOUISVILLE, 13550 TRITON PARK BLVD
  • MA-WOBURN, 500 UNICORN PARK DR
  • MD-HANOVER, 7550 TEAGUE RD, STE 500
  • ME-SOUTH PORTLAND, 2 GANNETT DR
  • MI-DEARBORN, 3200 GREENFIELD
  • NC-WINSTON-SALEM, 5650 UNIVERSITY PKWY
  • NH-MANCHESTER, 1155 ELM ST, STE 100 & 200
  • NJ-ISELIN, 101 WOOD AVE S, STE 800
  • NY-NEW YORK, ONE PENN PLAZA, 35TH AND 36TH FL
  • OH-MASON, 4361 IRWIN SIMPSON RD
  • RI-SMITHFIELD, 37 THURBER BLVD, STE 108
  • TN-NASHVILLE, 22 CENTURY BLVD, STE 310
  • VA-RICHMOND, 2103 STAPLES MILL RD,
  • WV-CHARLESTON, 200 ASSOCIATION DR, STE 200
Job Reference:
JR129756
Date Posted:
09/30/2024
Anticipated Date Close:
10/07/2024

Clinical Program Development Manager - CarelonRx

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.

 

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.com for assistance.