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Description SHIFT: Day JobSCHEDULE: Full-timeClin Prog Dev Manager: Responsible for managing clinical program development for population-based clinical quality measures, including HEDIS within a clinical area and across all lines of business.Primary duties to include, but are not limited to: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 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.
Qualifications Minimum qualifications: 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:
MS in public health, health services administration, nursing, or business administration preferred.
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. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.REQNUMBER: PS60656-California
Vacancy expired!