Clinical Quality and Population Health- Project Manager for Ohio Market at Elevance Health

Columbus, Ohio, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

BA/BS in a related field
Minimum of 3 years professional project management experience
Ability to work in-office 1-2 days per week at OH-COLUMBUS, 8940 LYRA DR, STE 300 (or alternate Ohio office within commuting distance)
Availability for travel within the state of Ohio as needed
Ability to work first shift from 8:00 am-5:00 pm EST, Monday through Friday

Responsibilities

Manage the development of a prescribed planning document
Develop project charter
Partner with sponsors to secure project approval
Lead interactions with regulators or oversight entities
Develop communication management plan
Define project team roles and responsibilities, develop work plan structure and project schedule
Develop deployment plan
Lead project meetings
Identify, document and prioritize scope changes and facilitate approval process
Maintain and update all project documents and maintain effective documentation of research programs to meet regulatory and Accreditation Standards
Secure the appropriate skill sets for project
Set and manage expectations with resource managers and team members
Provide performance feedback to team members and resource managers
Maintain issue log and facilitate resolution of issues
Execute communication plans and regularly report status
Manage and monitor ROI throughout the project lifecycle
Track and manage time and budget against plan
Develop testing strategy
Conduct project close-out activities and prepare and participate in quality review checkpoints
Obtain/secure and archive necessary approvals
Manage and update project plan
Assist with compliance of Quality Improvement (QI) work plans and projects
Support health plan in maintaining effective documentation to meet regulatory and Accreditation Standards
Conduct accurate and complete quantitative analysis of clinical data and presentation of results
Develop, implement, and evaluate gap closer initiatives
Monitor and develop opportunities to increase Stars ratings
Monitor population health trends
Lead multi-functional teams through quality improvement projects to increase health outcomes for special populations
Improve health plan ratings and close HEDIS measures

Skills

Project Management

Quality Improvement

Population Health

Clinical Quality

Stakeholder Management

Software Implementation

Agile

PMP

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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