Clinical Quality Program Manager job at Elevance Health in Rocky Hill, CT, Wallingford, CT
Clinical Quality Program Manager - CCBHC
Location:
Rocky Hill, Connecticut — 500 Enterprise Dr
Wallingford, Connecticut — 108 Leigus Rd
Hybrid
Full-time
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.
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.
Job Description:
Position Specific Details: The successful candidate will be responsible for the oversight and submission of all Carelon contract deliverables for the Connecticut CCBHC (Certified Community Behavioral Health Clinics) project, including provision of advice and consultation on leveraging the resources of the contractor in setting, tracking, and fulfilling project goals and coordinating activities related to metric development, reporting, data submissions, evaluation, clinic certification, Training of Providers, and Steering Committee, sub-committee, and workgroup facilitation.
The Clinical Quality Program Manager - CCBHC is responsible for serving as a liaison with and overseeing the quality improvement activities/projects/programs for one or more states within a major line of business.
Primary duties may include but are not limited to:
Leads state level quality strategy meetings, develops a quality plan, and ensures integration of quality into the overall business process.
Works with the clinical intervention team to design studies to identify barriers to medical interventions.
Ensures that study methodology is sound and appropriate reporting is in place.
Develops performance improvement plans and oversees the clinical quality improvement activities/projects to improve the quality of care for members.
Assures compliance with corporate QI work plans.
Assures that all QI activities are relevant to the needs of targeted population.
Maintains effective documentation of research programs to meet regulatory and Accreditation Standards.
Provides oversight to assure accurate and complete quantitative analysis of clinical data and presentation of data analysis results.
Participates in and provides input to the development of new product designs for major line of business.
Oversees the implementation of new initiatives.
Leads interactions with regulators or oversight entities.
Oversees quality improvement activities for the largest, most complex state programs.
Position requirements:
Requires a BS in health administration, nursing, or a related clinical field; 4 years of health care quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background.
Preferred qualifications, skills, and experiences:
Residency in Connecticut is strongly preferred.
Current unrestricted license, certification in applicable field (i.e. CPHQ) and/or a MS in the health field (i.e. Nursing) is preferred.
MA/MS degree preferred.
Excellent communication skills, including strong writing, PowerPoint development, and public speaking.
Knowledgeable regarding evidence-based practice, performance improvement, and implementation science methodologies.
Familiarity with state and/or federal grants management activities.
Strong leadership and negotiation skills.
Skilled at client and community engagement.
Program lead or related experience with program administration.
Adept at setting reasonable, attainable, and measurable goals and objectives consistent with state and project mission and vision while tracking progress toward goal attainment.
Prior experience or strong familiarity with the Substance Abuse and Mental Health Services Administration's (SAMHSA's) Certified Community Behavioral Health Clinic (CCBHC) Initiative.
Job Level: Non-Management Exempt
Workshift: Job Family:
QLT > Clinical Quality
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.
Apply Now
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Location:
Rocky Hill, Connecticut — 500 Enterprise Dr
Wallingford, Connecticut — 108 Leigus Rd
Hybrid
Full-time
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.
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.
Job Description:
Position Specific Details: The successful candidate will be responsible for the oversight and submission of all Carelon contract deliverables for the Connecticut CCBHC (Certified Community Behavioral Health Clinics) project, including provision of advice and consultation on leveraging the resources of the contractor in setting, tracking, and fulfilling project goals and coordinating activities related to metric development, reporting, data submissions, evaluation, clinic certification, Training of Providers, and Steering Committee, sub-committee, and workgroup facilitation.
The Clinical Quality Program Manager - CCBHC is responsible for serving as a liaison with and overseeing the quality improvement activities/projects/programs for one or more states within a major line of business.
Primary duties may include but are not limited to:
Leads state level quality strategy meetings, develops a quality plan, and ensures integration of quality into the overall business process.
Works with the clinical intervention team to design studies to identify barriers to medical interventions.
Ensures that study methodology is sound and appropriate reporting is in place.
Develops performance improvement plans and oversees the clinical quality improvement activities/projects to improve the quality of care for members.
Assures compliance with corporate QI work plans.
Assures that all QI activities are relevant to the needs of targeted population.
Maintains effective documentation of research programs to meet regulatory and Accreditation Standards.
Provides oversight to assure accurate and complete quantitative analysis of clinical data and presentation of data analysis results.
Participates in and provides input to the development of new product designs for major line of business.
Oversees the implementation of new initiatives.
Leads interactions with regulators or oversight entities.
Oversees quality improvement activities for the largest, most complex state programs.
Position requirements:
Requires a BS in health administration, nursing, or a related clinical field; 4 years of health care quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background.
Preferred qualifications, skills, and experiences:
Residency in Connecticut is strongly preferred.
Current unrestricted license, certification in applicable field (i.e. CPHQ) and/or a MS in the health field (i.e. Nursing) is preferred.
MA/MS degree preferred.
Excellent communication skills, including strong writing, PowerPoint development, and public speaking.
Knowledgeable regarding evidence-based practice, performance improvement, and implementation science methodologies.
Familiarity with state and/or federal grants management activities.
Strong leadership and negotiation skills.
Skilled at client and community engagement.
Program lead or related experience with program administration.
Adept at setting reasonable, attainable, and measurable goals and objectives consistent with state and project mission and vision while tracking progress toward goal attainment.
Prior experience or strong familiarity with the Substance Abuse and Mental Health Services Administration's (SAMHSA's) Certified Community Behavioral Health Clinic (CCBHC) Initiative.
Job Level: Non-Management Exempt
Workshift: Job Family:
QLT > Clinical Quality
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.
Apply Now
Apply Now