Program Consultant

Elevance Health

Program Consultant responsible for developing and managing external client-facing programs at CarelonRx, part of Elevance Health. Ensuring program compliance, managing budgets, and supporting business strategies.

Posted 5/27/2026full-timeCincinnati • Florida, Montana, Ohio • 🇺🇸 United StatesMid-LevelSeniorWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

program managementbudget developmentreportingExcelautomationdata analysisprocess optimizationproject coordinationcase managementregulatory compliance

Soft Skills

analytical thinkingcritical thinkingtime managementclient service orientationcommunicationattention to detailaccountabilityownershipcollaborationproblem-solving

Tools & Technologies

CRM systemsFWA reporting toolsautomation toolscase triage systemstracking systemsreporting softwareproject management softwaredata visualization toolspolicy management systemstraining management systems

Industry Keywords

healthcare compliancepharmacy complianceFraud, Waste & Abuse (FWA)regulatory deliverablesexternal client programsservice excellenceprogram success measuresindustry trendssubject matter expertisevendor management

About the role

Key responsibilities & impact

Manages the development, approval, implementation and compliance of on-going external client facing programs
develops program budget
ensures program meets its stated objectives
provides subject matter expertise in response to day to day business issues
Researches applicable subject matter practices and remains aware of industry trends
Manages relationships and partners with corporate and regional business areas
coordinates training related to the external client facing program
develops program success measures and performs periodic assessments of external client facing program success
Own the end-to-end delivery of FWA reporting and program operations
Ensure accuracy, integrity, and timeliness of all reporting outputs

Requirements

What you’ll need

Requires a BA/BS in a related field
minimum of 3 years experience in external client facing program management
Advanced Excel proficiency with a focus on speed, accuracy, and automation
ability to streamline and optimize recurring reporting processes
Experience leveraging automation and AI-enabled tools to improve efficiency
Strong analytical and critical thinking skills
Demonstrated ability to manage high-volume, deadline-driven work
Knowledge of healthcare or pharmacy compliance and Fraud, Waste & Abuse (FWA)
Experience coordinating regulatory deliverables
Demonstrated project and program coordination experience
Proven ability to take ownership and operate with a project management mindset
Client-facing experience with a strong service excellence orientation
Experience with case management or CRM systems including case triage, prioritization, tracking, and resolution
Vendor management and collaboration experience
Process improvement mindset
Strong written and verbal communication skills
Experience developing and maintaining policies and procedures
High attention to detail, accountability, and ownership

Benefits

Comp & perks

merit increases
paid holidays
Paid Time Off
incentive bonus programs
medical
dental
vision
short and long term disability benefits
401(k) +match
stock purchase plan
life insurance
wellness programs
financial education resources