Elevance Health
ClinicalProgramDevelopmentManager
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“Clinical Program Development Manager at Elevance Health. Skills: clinical program development, vendor management, program implementation. Manage clinical program development. Oversee vendor contracts”
What You'll Achieve.
Tracks program performance and results and modifies as needed.
Industry & Context.
Excellent analytical skills
What They're Looking For.
Must Have
BAS in business, public health, nursing, epidemiology biostatistics, or related field, minimum of 5 years experience involving analyses of health care data and clinical program
Nice to Have
Skilled in designing AI prompts for healthcare solutions, Demonstrated ability in improving member experience in healthcare, Experience in ideation, development and implementation of Quality Medicare Star, Provider and/or CAHPS programs, Demonstrated experience in program improvement, Experience with vendor management preferred, Medicare Part D experience preferred, Experience with successfully managing member populations preferred, Thorough knowledge of CMS regulations related to CMS Star Ratings, Excellent analytical skills
What You'll Do.
Manage clinical program development
Oversee vendor contracts
Negotiate vendor contracts
Monitor vendor performance
Manage multiple projects
Evaluate industry best practices
Develop clinical programs
Develop clinical tools
Implement annual plan
Lead program development activities
Develop presentations
Develop communications
Coordinate implementation
Ensure program compliance
Identify system needs
Develop system requirements
Track program performance
Track program results
Modify programs as needed
How You'll Work.
Team & Collaboration
Develops and coordinates presentations, communications and implementation for all phases of the clinical programs/tools development and implementation.; Provides leadership and guidance to associates involved in program development and implementation activities.
Communication Scope
Develops and coordinates presentations, communications and implementation for all phases of the clinical programs/tools development and implementation.
Process & Methodology
Ability to create workflows, prioritize work and manage multiple projects while meeting deadlines
Full Job Description
**Anticipated End Date:** 2026-05-29 **Position Title:** Clinical Program Development Manager **Job Description:** **Title** : **Clinical Program Development Manager** **Location: Mason, OH** **Hybrid:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._ **Be Part of an Extraordinary Team** __ **CarelonRx** is a proud member of the Elevance Health family of companies. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member’s health. **** **Build the Possibilities. Make an Extraordinary Impact.** 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:** Primary duties may include, but are not limited to: * Oversees vendor contracts, negotiations and service-level agreements and continuously monitors vendor performance. * Ability to create workflows, prioritize work and manage multiple projects while meeting deadlines * Evaluates industry best practices, medical research and other resources to develop clinical programs and tools which facilitate and support quality, cost-effective care. * Develops and implements an annual plan detailing the strategies, programs and tools to be implem
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