Clinical Quality Program Manager – Pharmacy/Infusion Quality

Elevance Health

. Lead quality improvement programs, Quality Management System (QMS) initiatives, and regulatory compliance activities supporting pharmacy and clinical infusion services .

Posted 10/14/2026full-timeUnited StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in leading quality improvement programs and managing Quality Management System (QMS) initiatives within highly regulated healthcare environments. Proficient in developing quality metrics, conducting internal audits, and ensuring regulatory compliance while collaborating with cross-functional teams.

Highest-signal resume keywords

Quality Improvement ProgramsQuality Management System (QMS)Regulatory ComplianceData AnalysisQuality Reporting and Analytics

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Quality Metrics DevelopmentCorrective and Preventative Actions (CAPA)Performance Improvement PlansQuality AuditsAdvanced Microsoft Excel

Soft Skills

Strong Written CommunicationStrong Verbal Communication

Certifications & Qualifications

CPHQLean Six SigmaPMPCPHT

Industry Keywords

Pharmacy OperationsPharmacy Benefit Management (PBM)Managed CareAccreditationQuality Assurance

Tech Stack

Tools & technologies

PMP

About the role

Key responsibilities & impact

Lead quality improvement programs, Quality Management System (QMS) initiatives, and regulatory compliance activities supporting pharmacy and clinical infusion services
Participate in quality strategy activities and lead assigned quality improvement initiatives
Integrate improvement activities into overall business processes
Lead 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
Identify trends and improvement opportunities
Lead internal audits and monitor corrective actions for ongoing compliance
Coordinate quality committees, meetings, documentation, and action-item follow-up
Partner with Pharmacy Operations, Clinical Services, Compliance, and business leaders
Implement quality initiatives and improve operational performance
Lead quality-related projects and provide guidance on continuous improvement efforts

Requirements

What you’ll need

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 providing an equivalent background
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
Experience supporting regulatory, contractual, accreditation, compliance, or quality assurance programs
Advanced Microsoft Excel skills
Experience with quality reporting and analytics
CPHQ, Lean Six Sigma, PMP, CPHT, or other quality, project management, or healthcare certifications preferred
Ability to work within a reasonable commuting distance of a posting location
Ability to work in-office 1–2 days per week
Certain patient/member-facing roles require COVID-19 and Influenza vaccination unless an acceptable explanation is provided

Benefits

Comp & perks

Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical benefits
Dental benefits
Vision benefits
Short-term disability benefits
Long-term disability benefits
401(k) match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Hybrid/virtual work flexibility
Workplace accommodation support where required by law