Clinical Programs Mgr
About The Position
Clinical Programs Manager Location: Washington, DC. This role requires associates to be in-office 4 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 remote work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. 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 an accommodation is granted as required by law The Clinical Programs Manager will be responsible for assisting sales team to create sales plans, marketing strategies, renewal strategies, for group accounts with regard to clinical offerings. How you will make an impact: Makes formal presentations to prospective clients and existing clients, analyzing utilization data and presenting quarterly reports and recommended future changes. Makes formal presentations on clinical managed care programs to both new and existing accounts. Evaluates account utilization data to identify areas to target or where the Company has an opportunity for new programming/options. Analyzes utilization data to assist in developing additional clinical offerings / programming. Prepares responses to RFPs and a variety of analytical reports for accounts in support of the program. Develops relationships with consultants and/or brokers. Stays abreast of latest trends in care management and the competitors care management.
Requirements
- Requires a BA/BS degree in a related field and a minimum of 4 years of related experience; or any combination of education and experience, which would provide an equivalent background.
Nice To Haves
- RN license preferred.
- Business background preferred.
- Excellent oral and written communication skills along with strong planning, negotiation, and organizational skills preferred.
- Knowledge of Case Management, Utilization Management & reporting preferred.
- Travels to worksite and other locations as necessary.
Responsibilities
- Makes formal presentations to prospective clients and existing clients, analyzing utilization data and presenting quarterly reports and recommended future changes.
- Makes formal presentations on clinical managed care programs to both new and existing accounts.
- Evaluates account utilization data to identify areas to target or where the Company has an opportunity for new programming/options.
- Analyzes utilization data to assist in developing additional clinical offerings / programming.
- Prepares responses to RFPs and a variety of analytical reports for accounts in support of the program.
- Develops relationships with consultants and/or brokers.
- Stays abreast of latest trends in care management and the competitors care management.
Benefits
- 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).
- merit increases
- paid holidays
- Paid Time Off
- 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
- financial education resources
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees
