Clinical Program Manager (PS30496)

Anthem, Inc in Sacramento, CA

  • Type: Full Time
position filled
Clinical Program Manager (PS30496) **Location:** **United States** **Requisition #:** PS30496 **Post Date:** Jan 13, 2020 _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. **This position will allow remote within the US with Las Vegas, NV or Seattle, WA office preferred (the selected candidate will be required to work office hours based on PST regardless of location)** Responsible for the development and ongoing management of one or more multi-year external client facing programs within a business unit. Program managers typically support business strategies through an integrated portfolio of external client facing projects or initiatives. A program manager may have responsibility for a piece of a larger enterprise/regional external client facing program. Primary duties may include, but are not limited to: Works with regulatory and compliance to ensure the clinical teams are compliant with regulatory and contractual obligations. Assists with audits and audit prep. Works with the internal clinical team to enhance process and workflows. Manages and coordinates 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 external client facing 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. Coordinates training related to external client facing program; develops program success measures and performs periodic assessments of program success. Requires a BA/BS degree (RN required); 5-7 years of external client facing experience in program/project management; or any combination of education and experience, which would provide an equivalent background. 3-5 years managed care required. Graduate degree preferred. Proficient with Office suite including Word and Excel. Familiar with NCQA and Medicaid preferred. Project management certification preferred. **_Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2018 Diversity Inc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran._** </script>

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