Program Director

Location: This is a Nationwide, Work-At-Home opportunity.

This role operates within the Medicaid Specialized Populations and Programs organization supporting HEDIS and NCQA for MLTSS programs across Elevance Health markets. The Program Director leads HEDIS and NCQA audit functions for MLTSS programs and serves as a liaison between the health plans and auditors and interfaces with the Quality & Accreditation team to ensure all eligible markets apply for and maintain NCQA LTSS Distinction status. Other responsibilities include, communicating information to the markets, gathering information from markets for audit submission and review, working with interdepartmental teams to prepare for audits, engaging vendors for audit specific work, collaboration with the markets to share best practices, as well as developing and implementing strategies to stay prepared and ahead of upcoming audits for the coming year and beyond.

The Program Director is responsible for the development and ongoing management of one or more external client facing programs that are multi-state, multi-function and multi-year in scope. Program directors typically support business strategies through an integrated portfolio of external client facing programs, projects and initiatives. Primary duties may include, but are not limited to:

• Directs the development, planning, prioritization, approval, implementation and compliance of on-going external client facing programs.
• Establishes program governance when needed to assure response to issue escalation; develops program budget and 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 external client facing relationships and partners with corporate and regional business areas.
• Develops communication documents and training criteria related to external client facing program success measures.
• Develops documentation to support meeting presentations and the tracking and reporting of the program's success.
• Provides leadership to program managers and project managers.
• Typically reports to an executive.
• Program directors typically manage external client facing programs that require managing activities and resources of multiple departments or business areas of the organization.

Minimum Requirements: Requires a BA/BS and minimum of 10 years experience in external client facing program management, project management; complex business processes, strategic and business planning; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualification, Skills & Experiences: MBA preferred. Project management certification (PMP) preferred. The person in this role is expected to have a strong working knowledge of HEDIS and NCQA requirements and best practices to positively impact effective processes for the completion of audits and strategic planning to achieve superior results on an ongoing basis. The ideal candidate will understand how to balance requirements while ensuring planning and assessments remain person centered.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $105,360 to $189,648

Locations: Colorado; Nevada, Jersey City, NJ; New York City, NY; Ithaca, NY and Westchester County, NY

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). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Be part of an Extraordinary Team

 

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

 

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

 

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and 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 and financial education resources, to name a few.

 

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Elevance Health approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

 

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.elevancehealth.com. 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 [email protected] for assistance.