Clinical Program – Medicaid – Development Manager
| Company | Elevance Health |
|---|---|
| Location | St. Louis, MO, USA |
| Salary | $Not Provided – $Not Provided |
| Type | Full-Time |
| Degrees | Bachelor’s |
| Experience Level | Senior |
Requirements
- BA/BS in business, public health, nursing, epidemiology biostatistics, or related field
- Minimum of 5 years’ experience involving analyses of health care data and clinical program development
Responsibilities
- Evaluates industry best practices, medical research and other resources to develop clinical programs and tools which facilitate and support quality, cost-effective care.
- Develops and implements an annual plan detailing the strategies, programs and tools to be implemented.
- Leads 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 and guidance to associates involved in program development and implementation activities.
Preferred Qualifications
- Current Missouri RN license strongly preferred.
- MS in public health, health services administration, nursing, or business administration preferred.
- Knowledge of Missouri Medicaid and UM experience strongly preferred.
- Project / Program Management preferred.
- Knowledge of clinical data systems.