[Hiring] Clinical Quality Program Manager @Elevance Health

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Clinical Quality Program Manager is responsible for serving as a liaison with and overseeing the quality improvement activities/projects/programs for one or more states within a major line of business. This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. • Leads state level quality strategy meetings, develops a quality plan, and ensures integration of quality into the overall business process. • Works with the clinical intervention team to design studies to identify barriers to medical interventions. • Ensures that study methodology is sound and appropriate reporting is in place. • Develops performance improvement plans and oversees the clinical quality improvement activities/projects to improve the quality of care for members. • Assures compliance with corporate QI work plans. • Assures that all QI activities are relevant to the needs of targeted population. • Maintains effective documentation of research programs to meet regulatory and Accreditation Standards. • Provides oversight to assure accurate and complete quantitative analysis of clinical data and presentation of data analysis results. • Participates in and provides input to the development of new product designs for major line of business. • Oversees the implementation of new initiatives. • Leads interactions with regulators or oversight entities. • Oversees quality improvement activities for the largest, most complex state programs. Qualifications • Requires a BS in health administration, nursing, or a related clinical field. • 4 years of health care quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background. Requirements • Physical Therapist or Occupational Therapist preferred. Benefits • Market-competitive total rewards including merit increases, paid holidays, and Paid Time Off. • 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. Apply tot his job Apply To this Job