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Program Manager (REMOTE - Fresno, CA Area)

  • Job Family: Business Support
  • Type: Full time
  • Date Posted:
  • Req #: JR13140

Location:

  • California, Fresno
  • California, Modesto

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Description

Location: Remote but must be within commuting distance to the following cities: Fresno, Madera, Mariposa, Sonora, Calaveras, Modesto, Amador, Bishop, Mammoth.

Responsible for the development and ongoing management of one or more multi-year external client facing programs within a business unit. Program managers typically support business strategies through an integrated portfolio of external client facing projects or initiatives. A program manager may have responsibility for a piece of a larger enterprise/regional external client-facing program.

Primary duties may include, but are not limited to:

  • Represent Health Plan on special projects and growth initiatives that result in performance improvements.
  • Enhance relationships with local elected officials and local stakeholders.
  • Serve as liaison with County Health and Human Services Agency and County Behavioral Health Departments
  • Facilitate Community Advisory Committee Meetings, County Public Health Memorandum of Understanding (MOU) meetings, County Behavioral Health MOU meetings and Regional Center MOU meetings.
  • Prepare and monitor reporting of activities for submission to Regulatory & Compliance departments.
  • Build and maintain provider relationships, support local and community health collaborative initiatives, and serve on managed care related committees. 
  • Function as a resource in assigned program areas and help resolve non-routine questions, situations, and provider, member, and regulatory/compliance issues.
  • Support development and execution of key marketing strategies that help grow membership while complying with state and federal regulations.
  • Develop and implement initiatives/projects that streamline complex processes across multiple business and clinical functions in a highly matrix health care organization.
  • Develop and deliver highly engaging visual presentations on program performance and projects/initiatives to external and internal leaders.
  • Perform Market/Competitive Intelligence.
  • Compliance Focus:  Regulatory and Contractual Requirements.
  • Develop and maintain relationships with local Health Plan.
  • Medi-Cal Managed Care experience and/or Public Health, Community Health Center experience preferred.

Minimum Requirements:

  • Requires a BA/BS and minimum of 5 years external client facing experience in program/project management; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

  • Graduate degree preferred.  
  • Project management certification preferred.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.com. 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 ability@icareerhelp.com for assistance.

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