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Anthem, Inc. Clinical Program Developer Manager in Norfolk, Virginia


SHIFT: Day Job

SCHEDULE: Full-time

Clinical Program Developer Manager

Be part of an extraordinary team

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Build the possibilities. Make an extraordinary impact.

Responsible for managing clinical & cost program development for population-based clinical quality measures, including HEDIS (Pharmacy Star) within a clinical area and across all lines of business.

How will you make an impact:

  • Evaluates industry best practices, medical research and other resources to develop clinical programs and tools which facilitate and support quality, cost-effective care.

  • Develops and implements an annual plan detailing the strategies, programs and tools to be implemented.

  • Leads program development activities. Develops and coordinates presentations, communications and implementation for all phases of the clinical programs/tools development and implementation.

  • Ensures all programs and tools are compliant with regulatory directives and state/federal laws and policies. Identifies system needs to implement clinical programs.

  • Develops clinical quality and cost business case included ROI. Tracks programs once implemented and ROI.

  • Tracks program performance and results and modifies as needed. Provides leadership and guidance to associates involved in program development and implementation activities.


Minimum Requirements:

  • Requires a BA/BS in business, public health, nursing, epidemiology biostatistics, or related field and minimum of 5 years experience involving analyses of health care data and clinical program development; or any combination of education and experience, which would provide an equivalent background.

  • Advanced Microsoft Excel

Preferred skills, Capabilities and Experiences

  • Advanced Microsoft Excel

  • MS in public health, health services administration, nursing, or business administration 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. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. 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. 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 Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact for assistance.

REQNUMBER: PS67907-Virginia%20Beach