Clinical Program Development Manager

Clinical Program Development Manager Mason, OH Hybrid Work Policy Requires in‑office attendance 1–2 days a week with flexible remote work. Responsibilities Oversee vendor contracts, negotiations, service‑level agreements and monitor vendor performance. Create workflows, prioritize work and manage multiple projects while meeting deadlines. Evaluate industry best practices, medical research and other resources to develop clinical programs and tools that facilitate and support quality, cost‑effective care. Develop and implement an annual plan detailing the strategies, programs and tools to be implemented. Lead program development activities. Develop and coordinate presentations, communications and implementation for all phases of the clinical programs/tools development and implementation. Ensure all programs and tools are compliant with regulatory directives and state/federal laws and policies. Identify system needs to implement clinical programs. Develop system requirements and ROI. Track program performance and results and modify as needed. Provide leadership and guidance to associates involved in program development and implementation activities. Minimum Requirements BA/BS in business, public health, nursing, epidemiology, biostatistics, or related field and a minimum of 5 years experience involving analyses of health care data and clinical program development; or an equivalent combination of education and experience. Preferred Skills, Capabilities and Experiences Skilled in designing AI prompts for healthcare solutions. Demonstrated ability to improve 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. Medicare Part D experience. Experience with successfully managing member populations. Thorough knowledge of CMS regulations related to CMS Star Ratings. Excellent analytical skills. EEO Statement 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 #J-18808-Ljbffr Elevance Health