What are the responsibilities and job description for the Clinical Programs Director position at Elevance Health?
Location: This role requires associates to be in-office 3 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 accommodation is granted as required by law
The Clinical Programs Director is responsible for managing National Accounts’ end-to end, whole person solutions across the continuum of care for oncology, cardiovascular disease and other specific conditions, including prevention, screening and early detection, navigation and management and establishing relationships with Centers of Excellence. Also provide consultative support to the largest accounts concerning all care programs, including care management, disease management, wellness, network management and other programs.
Primary Duties May Include, But Are Not Limited To
BS in nursing or other related clinical area and minimum of 6 years related experience including program development, marketing, and clinical practice; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Experience And Abilities
Location(s): Connecticut, Massachusetts, New Jersey, New York, Virginia
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.
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 accommodation is granted as required by law
The Clinical Programs Director is responsible for managing National Accounts’ end-to end, whole person solutions across the continuum of care for oncology, cardiovascular disease and other specific conditions, including prevention, screening and early detection, navigation and management and establishing relationships with Centers of Excellence. Also provide consultative support to the largest accounts concerning all care programs, including care management, disease management, wellness, network management and other programs.
Primary Duties May Include, But Are Not Limited To
- Provides support to the sales process in presentation of these programs and advises accounts on programmatic changes needed based on data collected.
- Partners with internal and external stakeholders to design and enhance condition-specific strategies and integrated care solutions that improve member experience, clinical outcomes, and overall program effectiveness.
- Engages and collaborates with providers to continue to build out and strengthen our COE network for condition specific solutions.
- Develops relationships with regional care management groups and works with them to improve operational interfaces.
- Serves as a subject matter expert and trainer on care management operational issues in support of our end-to end, whole person condition specific solutions.
BS in nursing or other related clinical area and minimum of 6 years related experience including program development, marketing, and clinical practice; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Experience And Abilities
- Strong project management skills.
- Familiarity with internal UM and CM systems.
- Ability to lead effective internal and external stakeholder discussions.
- Ability to manage ambiguity and adapt quickly to new deliverables and changing priorities.
Location(s): Connecticut, Massachusetts, New Jersey, New York, Virginia
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 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.
Salary : $115,200 - $198,720