Program Manager- Population Health-Ohio
- Columbus, OH
- Permanent
- Full-time
- Lead the design, implementation, and evaluation of population health initiatives, ensuring alignment with state requirements, organizational strategies, and identified priorities.
- Build and sustain partnerships with members, community-based organizations, providers, state agencies, and other managed care organizations to advance collective health and wellness outcomes.
- Design and oversee evidence-based, and quality programs addressing behavioral, physical, and social health needs to reduce disparities and improve outcomes among high-risk sub-populations.
- Review data dashboards, analytics, HEDIS, CAHPS and other data reports to design and monitor impact and trends at the member and community level.
- Direct the development, approval, and execution of internal and external client-facing programs; manage budgets, resources, timelines, and compliance requirements.
- Contribute to the preparation, review, and timely submission of required regulatory reports; ensure program adherence to Ohio Department of Medicaid guidelines and related policies.
- Ensures program meets its stated objectives by applying quality improvement methodologies to monitor and assess program outcomes; develop success measures and conduct ongoing evaluations to ensure program effectiveness.
- Serve as the primary point of contact for external stakeholders, providing expertise, responsive solutions, and strong relationship management.
- Provides subject matter expertise in response to day to day external client facing business issues.
- Researches applicable subject matter practices and remains aware of Population Health trends, and coordinate training related to program initiatives.
- Drive engagement across departments to support enterprise-wide participation and ensure program objectives are met.
- Perform other related additional responsibilities as assigned.
- 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.
- BA/BS degree in Public Health, Health Administration, Business Administration or related field is strongly preferred.
- Graduate degree preferred.
- Project management certification preferred.
- Minimum of 5 years of program/project management experience in a healthcare or public health setting with direct client-facing responsibilities strongly preferred.
- Experience in in managing population health initiatives and delivering measurable, data-driven outcomes strongly preferred.
- Familiarity with the Ohio Department of Medicaid’s Population Health Stair-Step approach strongly preferred.
- Experience in regulatory compliance, mandatory reporting, and meeting strict deadlines preferred.
- Proficiency in quality improvement techniques and methodologies strongly preferred.
Program/ProjectPlease 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 AreElevance 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 WorkAt 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 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.