Elevance Health

Manager of Program Management, Clinical Audit

Elevance Health

Houston, TX, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Are you a dynamic leader with extensive experience in program management and clinical auditing? Do you thrive in a fast-paced, collaborative environment? Are you passionate about improving healthcare outcomes through effective processes and procedures? If so, we have an exciting opportunity for you! Elevance Health is seeking a Manager of Program Management, Clinical Audit to join our team and drive our clinical audit program to new heights. In this role, you will be responsible for overseeing the development and implementation of audit processes, ensuring compliance with regulatory requirements, and identifying opportunities for improvement. The ideal candidate will have a strong background in program management, clinical auditing, and healthcare operations. If you are ready to take on a challenging and rewarding role with a cutting-edge healthcare company, we encourage you to apply today.

  1. Develop and implement clinical audit processes in accordance with regulatory requirements and industry best practices.
  2. Oversee and manage the day-to-day operations of the clinical audit program, including scheduling, conducting audits, and reporting on findings.
  3. Collaborate with cross-functional teams to identify and implement process improvements to enhance the effectiveness and efficiency of the clinical audit program.
  4. Monitor and ensure compliance with all applicable laws, regulations, and guidelines related to clinical auditing.
  5. Provide leadership and guidance to a team of clinical auditors, including training, coaching, and performance management.
  6. Analyze audit data and trends to identify areas for improvement and make recommendations for corrective action.
  7. Develop and maintain relationships with key stakeholders, including internal teams, external partners, and regulatory agencies.
  8. Prepare and present reports on the clinical audit program to senior leadership and other stakeholders.
  9. Stay up-to-date on industry trends and best practices related to program management and clinical auditing, and make recommendations for implementation.
  10. Collaborate with other departments, such as compliance and quality improvement, to ensure alignment and integration of the clinical audit program with other organizational initiatives.
  11. Act as a subject matter expert on clinical audit processes and procedures, providing guidance and support to other departments as needed.
  12. Foster a culture of continuous improvement and accountability within the clinical audit program.
  13. Manage the budget and resources allocated to the clinical audit program.
  14. Ensure timely completion of all audit activities and deliverables.
  15. Represent the organization at industry conferences, meetings, and events related to program management and clinical auditing.
Where is this job?
This job is located at Houston, TX, USA
Job Qualifications
  • Bachelor's Degree In Healthcare Administration, Nursing, Or A Related Field.

  • Minimum Of 5 Years Experience In Program Management, Preferably In A Clinical Audit Setting.

  • Strong Understanding Of Healthcare Regulations And Compliance Requirements.

  • Excellent Communication And Leadership Skills, With The Ability To Effectively Manage A Team.

  • Proven Track Record Of Successfully Managing And Implementing Programs To Improve Clinical Outcomes And Identify Areas For Improvement.

Required Skills
  • Quality Assurance

  • Process Improvement

  • Strategic Planning

  • Project Management

  • Data Analysis

  • Budget management

  • Team Leadership

  • Compliance Management

  • Auditing skills

  • Stakeholder management

  • Clinical Expertise

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • Interpersonal Skills

  • creativity

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Manager of Program Management, Clinical Audit in Houston, TX, USA is $116,000-$150,000 per year.

This salary range can vary depending on factors such as the size and industry of the company, the level of experience and education of the individual, and the specific responsibilities and duties of the role. Additionally, benefits and bonuses may also be included in the total compensation package.

Additional Information
Elevance Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedFebruary 6th, 2024
Apply BeforeOctober 17th, 2025
This job posting is from a verified source. 
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About Elevance Health

Elevance Health, Inc. is an American health insurance provider. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California,Wellpoint, and Carelon.It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association. As of 2022, the company had 46.8 million members within their affiliated companies' health plans. Prior to June 2022, Elevance Health was named Anthem, Inc.

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