Clinical Programs Director

Elevance Health • Latham, NY

20h • Hybrid

About The Position

The Clinical Programs Director manages National Accounts’ end-to-end, whole-person solutions across the continuum of care for oncology, cardiovascular disease, and other specific conditions. These solutions include prevention, screening and early detection, navigation and management, and establishing relationships with Centers of Excellence. The role also provides consultative support to the largest accounts on care programs, including care management, disease management, wellness, network management, and other programs.

The director supports sales presentations and advises accounts on programmatic changes based on collected data. Working with internal and external stakeholders, the director designs and enhances condition-specific strategies and integrated care solutions to improve member experience, clinical outcomes, and program effectiveness. The role also strengthens the Centers of Excellence network, develops relationships with regional care management groups, and serves as a subject matter expert and trainer on care management operational issues.

Requirements

• Bachelor of Science in nursing or another related clinical area, and at least 6 years of related experience including program development, marketing, and clinical practice; or an equivalent combination of education and experience.
• Strong project management skills.
• Familiarity with internal utilization management (UM) and care management (CM) systems.
• Ability to lead effective internal and external stakeholder discussions.
• Ability to manage ambiguity and adapt quickly to new deliverables and changing priorities.

Responsibilities

• Manage National Accounts’ end-to-end, whole-person solutions across the continuum of care for oncology, cardiovascular disease, and other specific conditions.
• Provide consultative support to the largest accounts concerning care management, disease management, wellness, network management, and other programs.
• Support the sales process by presenting programs and advising accounts on programmatic changes based on collected data.
• Partner with internal and external stakeholders to design and enhance condition-specific strategies and integrated care solutions that improve member experience, clinical outcomes, and program effectiveness.
• Engage and collaborate with providers to build and strengthen the Centers of Excellence network for condition-specific solutions.
• Develop relationships with regional care management groups and work with them to improve operational interfaces.
• Serve as a subject matter expert and trainer on care management operational issues in support of whole-person, condition-specific solutions.

Benefits

• Comprehensive benefits package, subject to eligibility requirements.
• Incentive and recognition programs.
• Equity stock purchase.
• 401(k) contribution.
• Merit increases.
• Paid holidays.
• Paid time off.
• Incentive bonus programs, unless covered by a collective bargaining agreement.
• Medical, dental, and vision benefits.
• Short- and long-term disability benefits.
• 401(k) with company match.
• Stock purchase plan.
• Life insurance.
• Wellness programs.
• Financial education resources.

What This Job Offers

• Job Type: Full-time
• Career Level: Director