Anthem, Inc. Clinical Program Development Manager in Atlanta, Georgia
SHIFT: Day Job
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.
Clinical Program Development Manager - PS40963
*IngenioRx locations: Atlanta, Mason, VA Beach, Chicago, Morristown, St. Louis, Louisville, Las Vegas, Minneapolis/Minnetonka, Morristown, Wallingford
Summary: The Clinical Program Development Manager is responsible for managing/partnering in clinical program development for population-based clinical quality measures including HEDIS within a clinical area and across all lines of business.
Primary duties to include, but are not limited to:
Evaluates industry best practices, medical research and other resources to develop/partner in development of clinical programs and tools which facilitate and support quality, cost-effective care.
Develops and implements clinical programs.
Partners across business units to develop and implement an annual plan detailing the strategies, programs and tools to be implemented.
Leads/Partners in program development activities.
Develops and coordinates presentations, communications and implementation for all phases of the clinical programs/tools development and implementation.
Ensures all programs and tools are compliant with regulatory directives and state/federal laws and policies.
Identifies system needs to implement clinical programs.
Develops system requirements and ROI.
Tracks program performance and results and modifies as needed.
Provides leadership, support and guidance to associates involved in program development and implementation activities.
Requires a BA in business, public health, nursing, epidemiology biostatistics, or related field; 5 years of experience involving analyses of health care data and clinical program development; or any combination of education and experience, which would provide an equivalent background
MS in public health, health services administration, nursing, or business administration preferred
Experience developing programs impacting physician prescribers strongly preferred
Other Qualifications Preferred:
Registered Nurse or similar healthcare practitioner
Medical Policy Analyst
Project management and change management experience
Experience researching and drafting complex medical policies and clinical utilization management guidelines based on review of scientific evidence for presentation
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers.An Equal Opportunity Employer/Disability/Veteran.