Business Change Advisor - PBM (Test Analyst)

Elevance Health • Wallingford, CT

1d • Hybrid

About The Position

CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member’s health. The Business Change Advisor - PBM (Test Analyst) is responsible for assisting the management within the business unit and the organization in bridging the gap between the current and desired business performance levels and balancing short-term business needs with long-term perspectives on success to ensure that our change journey produces desired results.

Requirements

• Requires a BA/BS and minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

• 4+ years of experience in the US Healthcare domain (Commercial/Medicaid/Medicare) supporting pharmacy including claims processing and benefit administration strongly preferred.
• Significant experience working in the Medicaid line of business is highly desired, with additional experience in Commercial or Medicare being a plus.
• Proficiency in Data Analysis preferred.
• Strong communication, problem-solving, facilitation, and analytical skills.
• Experience with Jira, Blueprint, Confluence, Expertise in MS Excel strongly preferred.
• Automation skills (VB Macro/C#) preferred.

Responsibilities

• Helps build and support the company's change network.
• Communicates information from a variety of sources through newsletters, dashboards and presentations.
• Promotes benefits of function within region as well as throughout the company.
• Understand the Pharmacy benefit setup & validate the configuration to ensure the accurate setup using Claims/Query testing.
• Validation of Formulary, Utilization Management & Drug List setup using Claims/Query testing.

Benefits

• 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).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees