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Elevance Health · 2 days ago

Pharmacy Benefit Manager Process Expert Senior

Mason, OH

Full-time

Onsite

Senior Level, Lead/Staff

$82K/yr - $115K/yr

8+ years exp

Elevance Health is a health company dedicated to improving lives and communities. The Pharmacy Benefit Manager Process Expert Senior supports multiple operations departments by participating in project and process work, focusing on improving workflows and systems within managed care operations.

Health CareHealth InsurancePersonal HealthWellness

H1B Sponsor Likely

Responsibilities

Researches operations workflow problems and system irregularities

Develops, tests, presents process improvement solutions for new systems, new accounts and other operational improvements

Develops and leads project plans and communicates project status

Provides process direction and decision making for all minor and major project work

Provides guidance to process experts

Qualification

Business analysisProcess improvementPythonSQLProject managementAgile methodologiesCloud platformsPharmacy Benefit ManagementClaims experienceData analysisEffective communicationProblem-solvingTeam collaborationTime management

Required

Requires a BA/BS and minimum of 8 years experience in business analysis, process improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing); or any combination of education and experience, which would provide an equivalent background

Preferred

Demonstrated experience in Agile methodologies and practices to include managing user stories as well as planning, executing, and reviewing sprints with cross-functional teams preferred

Expert level Python, SQL experience strongly preferred (i.e. ability to write/review Python code in order to develop and debug complex software solutions using Python)

Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements strongly preferred

Independent project management skillset and product ownership driving issues resolution process, solutioning, fixes and implementations preferred

Ability to work in a fast-pace environment with strict deadlines preferred

Ability to communicate effectively with multiple levels within the organization including presentations and product training is strongly preferred

Working knowledge of cloud platforms such as AWS, GCP/CDP or Azure preferred

Pharmacy Benefit Management Experience, Claims Experience, Experience reviewing data in Data warehouses strongly preferred

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase

401k contribution

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

Company

Elevance Health

Glassdoor3.6

Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.

Founded in 1944

Indianapolis, Indiana, USA

10001+ employees

https://www.elevancehealth.com

H1B Sponsorship

Elevance Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (488)

2024 (604)

2023 (660)

2022 (222)