Manager I GBD Quality Mgmt - Plan

Anticipated End Date:

2026-04-30

Position Title:

Manager I GBD Quality Mgmt - Plan

Job Description:

Manager I GBD Quality Management

Location: Washington, DC.

This role requires associates to be in-office 4 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.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Manager I GBD Quality Management will be responsible for developing, coordinating, and implementing quality initiatives within the health plan. Provides process and technical supervision to a team responsible for monitoring and evaluating the quality of care/service, appropriateness, continuous improvement, member satisfaction, and results of actions across the continuum of care to members.

How you will make an impact:

• Assists in establishing Quality Management objectives and annual goals.

• Implements the comprehensive Quality Management Program to meet the demographic and epidemiological needs of the population served.

• Promotes plan-wide understanding, communication, and coordination of the quality management program.

• Trends quality data and develops aggregate and individual plan reports as indicated; analyzes validity of data/reports.

• Coordinates the development, implementation, and evaluation of quality improvement action plans.

• Coordinates the state regulatory quality reporting for the health plan.

• Hires, trains coaches, counsels, and evaluates performance of direct reports.

Minimum Requirements:

• Requires an Associate’s degree; 5 years of experience in quality improvement and/or utilization review in HMO setting, including prior management experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• BA/BS, MSN, MPH, or MPA preferred.

• National Committee for Quality Assurance (NCQA) accreditation and Healthcare Effectiveness Data Information Set (HEDIS) reporting experience preferred.

• Urban Medicaid population experience preferred.

• Leadership experience preferred.

• Experience working with Medicaid.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $109,388 to $164,082

Locations: District of Columbia (Washington DC)

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, paid time off, stock, 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:

Manager

Workshift:

1st Shift (United States of America)

Job Family:

QLT > Quality Mgmt

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 o