SHIFT: Day Job

SCHEDULE: Full-time

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 care companies and a Fortune Top 50 Company.

Location: Virginia - Remote

What you’ll be doing as a Clinical Quality Program Manager:

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.

• Lead state level quality strategy meetings, develops a quality plan, and ensures integration of quality into the overall business process.
• Work with the clinical intervention team to design studies to identify barriers to medical interventions.
• Ensure that study methodology is sound and appropriate reporting is in place.
• Develop performance improvement plans and oversees the clinical quality improvement activities/projects to improve the quality of care for members.
• Assure compliance with corporate QI work plans. Assure that all QI activities are relevant to the needs of targeted population.
• Maintain effective documentation of research programs to meet regulatory and Accreditation Standards.
• Provide oversight to assure accurate and complete quantitative analysis of clinical data and presentation of data analysis results.
• Participate in and provides input to the development of new product designs for major line of business.
• Oversee the implementation of new initiatives.
• Lead interactions with regulators or oversight entities.
• Oversee quality improvement activities for the largest, most complex state programs.

Qualifications

The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against Covid-19. All offers of employment are conditioned on completion of a background check, including COVID-19 vaccination verification. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.

Qualifications:

• 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.
• Current unrestricted license, certification in applicable field (i.e. CPHQ) and/or a MS in the health field (i.e. Nursing) is preferred.
   

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.

Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.