Program Consultant

Elevance Health•Tampa, FL

1d•Hybrid

About The Position

The Program Consultant is responsible for the development and ongoing management of one or more external client facing programs within a business unit. Program consultants typically support business strategies through an integrated portfolio of external client facing projects or initiatives. Primary duties may include, but are not limited to: Manages the development, approval, implementation and compliance of on-going external client facing programs; develops program budget; ensures program meets its stated objectives; provides subject matter expertise in response to day to day business issues. Researches applicable subject matter practices and remains aware of industry trends. Manages relationships and partners with corporate and regional business areas; coordinates training related to the external client facing program; develops program success measures and performs periodic assessments of external client facing program success. Own the end-to-end delivery of FWA reporting and program operations, including the 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.

Requirements

BA/BS in a related field
Minimum of 3 years experience in external client facing program management
Any combination of education and experience, which would provide an equivalent background

Nice To Haves

Graduate degree, professional designation related to field or project management experience preferred
Advanced Excel proficiency with a focus on speed, accuracy, and automation, including pivot tables, XLOOKUP, Power Query, and macros/VBA; ability to streamline and optimize recurring reporting processes
Experience leveraging automation and AI-enabled tools to improve efficiency, reduce manual effort, and accelerate reporting and analysis
Strong analytical and critical thinking skills, with the ability to quickly interpret, validate, and synthesize data into actionable insights
Demonstrated ability to manage high-volume, deadline-driven work, including recurring reporting cycles and ad hoc requests, while maintaining accuracy and responsiveness
Knowledge of healthcare or pharmacy compliance and Fraud, Waste & Abuse (FWA), including 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 in or ownership of workstreams within cross-functional initiatives; ability to gather requirements, track deliverables, and drive work to completion
Proven ability to take ownership and 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, including the ability to communicate complex information clearly and manage inquiries with professionalism and responsiveness
Experience with case management or CRM systems (e.g., Salesforce), including case triage, prioritization, tracking, and resolution
Vendor management and collaboration experience, with the ability to coordinate across internal and external stakeholders to meet program objectives
Process improvement mindset, with a track record of identifying inefficiencies, reducing manual work, and enhancing operational workflows
Strong written and verbal communication skills, including experience 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

Responsibilities

Manages the development, approval, implementation and compliance of on-going external client facing programs
Develops program budget
Ensures program meets its stated objectives
Provides subject matter expertise in response to day to day business issues
Researches applicable subject matter practices and remains aware of industry trends
Manages relationships and partners with corporate and regional business areas
Coordinates training related to the external client facing program
Develops program success measures and performs periodic assessments of external client facing program success
Own the end-to-end delivery of FWA reporting and program operations, including the 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