Program Consultant

Program Consultant – Overview Position Title: Program Consultant Location: In-office 1–2 days per week; alternate locations may be considered if within a reasonable commuting distance. Operates under a hybrid/virtual work model. Hours: Monday – Friday, 9am – 5pm EST. Job Level: Non‑Management Exempt (1st Shift in the United States). Job Family: BSP > Program/Project. Key Responsibilities Manage development, approval, implementation and compliance of ongoing external client‑facing programs. Develop program budgets and ensure programs meet stated objectives. Provide subject‑matter expertise on day‑to‑day business issues. Research applicable practices and stay aware of industry trends. Manage relationships and partner with corporate and regional business areas. Coordinate training related to the external client‑facing program. Develop program success measures and perform periodic assessments of program success. Own end‑to‑end delivery of fraud, waste & abuse (FWA) reporting and program operations, including validation, analysis and distribution of recurring (weekly, monthly, quarterly) and ad‑hoc reports to internal and external stakeholders. Ensure accuracy, integrity and timeliness of all reporting outputs, proactively identifying and resolving data discrepancies and continuously improving reporting processes through automation and efficiency enhancements. Minimum Requirements Bachelor’s degree in a related field. Minimum of 3years experience in external client‑facing program management, or an equivalent combination of education and experience. Preferred Skills, Capabilities, and Experiences Graduate degree or professional designation related to the field. Advanced Excel proficiency (pivot tables, XLOOKUP, Power Query, macros/VBA) and experience with automation and AI‑enabled tools. Strong analytical and critical‑thinking skills with the ability to interpret, validate and synthesize data into actionable insights. Ability to manage high‑volume, deadline‑driven work, including recurring reporting cycles and ad‑hoc requests, while maintaining accuracy. Knowledge of healthcare or pharmacy compliance and FWA and experience supporting audits, regulatory requests (e.g., RFIs) and adherence to state and federal requirements. Experience coordinating regulatory deliverables, including tracking timelines, managing dependencies and ensuring compliance with PHI, privacy and security standards. Demonstrated project and program coordination experience, including participation or ownership of workstreams within cross‑functional initiatives. Proven ability to operate with a project‑management mindset, including prioritization, risk identification, proactive problem‑solving and influencing outcomes without direct authority. Client‑facing experience with a strong service‑excellence orientation, clear communication of complex information and professional responsiveness. Experience with case‑management or CRM systems (e.g., Salesforce), including case triage, prioritization, tracking and resolution. Vendor management and collaboration experience, coordinating across internal and external stakeholders to meet program objectives. Process improvement mindset, track record of identifying inefficiencies, reducing manual work and enhancing operational workflows. Strong written and verbal communication skills, including drafting responses for RFIs, RFPs, and client or regulatory communications. Experience developing and maintaining policies and procedures, ensuring alignment with regulatory requirements and business practices. High attention to detail, accountability and ownership, particularly when managing sensitive data and time‑sensitive deliverables. Benefits Competitive total rewards: merit increases, paid holidays, paid time off, incentive bonus programs (unless covered by a collective bargaining agreement). Health benefits: medical, dental, vision. Disability benefits: short‑term and long‑term disability. Retirement benefits: 401(k) with employer match, stock purchase plan. Life insurance, wellness programs and financial education resources. Equal Employment Opportunity Statement Elevance Health is an Equal Employment Opportunity employer. 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 View email address on click.appcast.io for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. #J-18808-Ljbffr The Elevance Health Companies, Inc.