Elevance Health
Program Manager - Pharmacy Network and Fraud Waste/Abuse
Elevance Health, Mason, Ohio, United States, 45040
Program Manager - Pharmacy Network And Fraud Waste/Abuse
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. 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 if candidates reside within a commuting distance from an office. 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. This position will be expected to operate during holiday season hours during 2025 in order to properly onboard new client on January 1st, 2026. How You Will Make An Impact: RFI/audit point of contact. Direct and indirect contracting activities for VBC commercial offering. Automated audit of VBC vendor. 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. 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: Graduate degree preferred. Proficiency in Excel and PowerPoint preferred. Project management certification preferred. Marketing experience preferred. Medicare Part D experience preferred. Fraud waste and abuse experience preferred. For candidates working in person or virtually in the below location(s), the salary range for this specific position is $94,416 -$161,856. Locations: California, District of Columbia (Washington, DC), Illinois, Maryland, Nevada, New York. 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. 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. 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, 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 elevancehealthjobssupport@elevancehealth.com for assistance.
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. 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 if candidates reside within a commuting distance from an office. 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. This position will be expected to operate during holiday season hours during 2025 in order to properly onboard new client on January 1st, 2026. How You Will Make An Impact: RFI/audit point of contact. Direct and indirect contracting activities for VBC commercial offering. Automated audit of VBC vendor. 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. 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: Graduate degree preferred. Proficiency in Excel and PowerPoint preferred. Project management certification preferred. Marketing experience preferred. Medicare Part D experience preferred. Fraud waste and abuse experience preferred. For candidates working in person or virtually in the below location(s), the salary range for this specific position is $94,416 -$161,856. Locations: California, District of Columbia (Washington, DC), Illinois, Maryland, Nevada, New York. 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. 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. 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, 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 elevancehealthjobssupport@elevancehealth.com for assistance.