Clinical Quality Program Consultant

Anticipated End Date:

2025-07-09

Position Title:

Clinical Quality Program Consultant

Job Description:

Shift: Monday – Friday; 8:00am – 5:00pm PST

Location: Within 50 miles of any Elevance Health location, PST and MST time zones preferred

Hybrid 1: 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.

The Clinical Quality Program Consultant is responsible for serving as a liaison with and overseeing the quality improvement activities and programs for one or more states within a major line of business.

How you will make an impact:

• Co-leads state level quality strategy meetings, develops a quality plan, and ensures integration of quality into the overall business process.
• Works with the clinical intervention team to design studies to identify barriers to medical interventions.
• Ensures that study methodology is sound and appropriate reporting is in place.
• Develops performance improvement plans, and oversees the clinical quality improvement activities to improve the quality of care for members.
• Assures compliance with corporate Quality Improvement (QI) work plans.
• Assures QI activities are relevant to targeted population.
• Maintains effective documentation of research programs to meet regulatory and Accreditation Standards.
• Oversees accurate and complete quantitative analysis of clinical data and presentation of results.

Minimum Requirements:

• Requires a BS in health administration, nursing or a related clinical field; 3 years of health care quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background.

Preferred skills, capabilities, and experiences:

• Current unrestricted license or certification in applicable field strongly preferred (i.e. CPHQ).
• MS in the health field (i.e. Nursing) preferred.
• Previous experience in school setting preferred

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $76,020 to $130,320

Locations: California; Colorado; Nevada; Washington State

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.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

QLT > Clinical Quality

Please 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 Are

Elevance 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 me