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Program Manager - InterPlan Governance/Compliance
- Elevance Health (Roanoke, VA)
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Program Manager – InterPlan Governance/Compliance
**Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.
_Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._
The **Program Manager** is 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. Specifically, the individual would be involved in managing Elevance Health’s compliance for the InterPlan and Medicare Advantage Programs.
How you will make an impact:
+ Manages and coordinates the development, approval, implementation and compliance of on-going external client facing programs; ensures program meets its stated objectives; provides subject matter expertise in response to day to day external client facing business issues.
+ Supports several BCBSA workgroup agenda items to ensure Elevance Health's strategies and feedback are incorporated.
+ Manages Blue systemwide mandates to ensure compliance with applicable requirements such as ITS, B2, BX, BlueAxis, NDW, etc.
+ Develops communication documents and training criteria relative to program success measures.
+ Develops documentation to support meeting presentations and the tracking and reporting of the program’s success.
+ Collaborates with Plan Partners to resolve inquiries and escalations.
+ 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.
Minimum Requirements:
Requires a BA/BS and minimum of 5 years external client facing experience in program/project management; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
+ Experience and knowledge with BlueCard and/or InterPlan policy highly preferred.
+ Familiarity with ITS, CIW and BlueSquared highly preferred.
+ Graduate degree preferred.
+ Experience and knowledge of data analytics, project management, project execution, process improvement and change management experience (strategic and execution) strongly preferred.
+ Project management certification preferred.
+ Experience and knowledge in healthcare or managed care is preferred.
+ Ability to collaborate with cross functional teams strongly preferred.
+ Ability to organize work, set and manage multiple priorities in a time sensitive manner is strongly preferred.
+ The ideal candidate is resourceful, inquisitive, creative and displays a passion for being a problem solver, being a leader, hit the ground running, demonstrated assertive decision making style and have superior interpersonal skills strongly preferred.
+ Excellent written, oral, presentation communication skills with the proven ability to negotiate expectations between multiple parties such as Elevance Health, Plans and BCBSA.
+ Proficient of Microsoft Office products, most notably expertise in Excel, PowerPoint, Teams, Outlook, and Word.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $94,416 to $155,112
Locations: California, Colorado, Nevada, Illinois, New York, New Jersey
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, paid time off, stock, 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.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
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.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
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.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
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