Clinical Quality Program Manager – Pharmacy/Infusion Quality

Clinical Quality Program Manager – Pharmacy/Infusion Quality Location:   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 if candidates reside within a commuting distance from an office. 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 Clinical Quality Program Manager - Pharmacy/Infusion Quality leads quality improvement programs, Quality Management System (QMS) initiatives, and regulatory compliance activities supporting pharmacy and clinical infusion services. This role partners with Pharmacy Operations, Clinical Services, Compliance, and business leaders to drive continuous improvement, accreditation readiness, operational excellence, and quality outcomes. How you will make an impact: Participates in quality strategy activities and leads assigned quality improvement initiatives, ensuring integration of improvement activities into the overall business process. Lead Quality Management System (QMS) and quality improvement initiatives. Manage Corrective and Preventative Actions (CAPA) activities and performance improvement plans. Support accreditation, regulatory compliance, and quality program requirements. Develop quality metrics, dashboards, scorecards, and performance reports to identify trends and improvement opportunities. Lead internal audits and monitor corrective actions to ensure ongoing compliance. Coordinate quality committees, meetings, documentation, and action item follow-up. Partner with cross-functional teams to implement quality initiatives and improve operational performance. Lead quality-related projects and provide guidance on continuous improvement efforts.

Requires a BS in health administration, nursing, or a related clinical field; 4 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 & Experiences: Experience in retail, specialty, or mail-order pharmacy; pharmacy benefit management (PBM); managed care; pharmacy operations; or other highly regulated healthcare environments. Strong written and verbal communication skills, including the ability to effectively communicate findings, recommendations, and performance results to key stakeholders and leadership. Experience supporting regulatory, contractual, accreditation, compliance, or quality assurance programs. Advanced Microsoft Excel skills and experience with quality reporting and analytics. CPHQ, Lean Six Sigma, PMP, CPHT, or other quality, project management, or healthcare certifications preferred. 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.

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 members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is