Business Change Advisor - PBM (Test Analyst)

Elevance Health • Atlanta, TX

6d • Hybrid

About The Position

Business Change Advisor - PBM (Test Analyst) Shift: Candidates must be able to operate in Eastern Standard Time hours. Hybrid: 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. CarelonRx is a proud member of the Elevance Health family of companies. 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. How you will make an impact: 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.

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