Medicaid Program Manager - CarelonRx at Elevance Health in NORFOLK, Virginia

Job Description:

Medicaid Program Manager - CarelonRx




Location: The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a hybrid work model (1-2 days per week in the office).


A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.


The Medicaid Program Manager is responsible for the development and ongoing management of one or more multi-year external client-facing programs within a business unit. Program managers typically support business strategies through an integrated portfolio of external client-facing projects or initiatives. A program manager may have responsibility for a piece of a larger enterprise/regional external client-facing program.



How you will make an impact:

• Decisions maker for Operations during mandate and project implementations.


• Responsible for final approval of all operational requirements during requirement development and state mandate execution.


• Lead operations POC for state and health-plan-mandated Readiness Reviews and Audits.


• Day-to-day management and oversight of the Medicaid Programs for both pharmacy and medical injectables have direct interfacing responsibilities for the Health Plan and are accountable for ensuring completion of all reporting and contractual obligations.
  Impacts daily operational success and compliance risks regarding State audits, inquiries, complaints, and mandates.


• Manages and coordinates the development, approval, implementation, and compliance of ongoing external client-facing programs; develops program budget; ensures program meets its stated objectives; provides subject matter expertise in response to day-to-day external client-facing business issues.


• Researches applicable subject matter practices and remains aware of industry trends.


• Manages external client-facing relationships and partners with corporate and regional business areas.


• Coordinates training related to external client-facing programs; develops program success measures and performs periodic assessments of program success.

Minimum Requirements:

• 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.

Preferred Qualifications, Skills, and Experiences:

• Project management certification preferred.


• Medicaid experience preferred.


• Pharmacy experience preferred.

For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $93,576 to $160,416.


Locations: California; Colorado; District of Columbia (Washington, DC); Maryland, Nevada; New York; 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. Apply Now