Elevance Health · 7 hours ago
Formulary Business Analyst II - CarelonRx
VA-NORFOLK, 5800 NORTHAMPTON BLVD
Full-time
Hybrid
Entry, Mid Level
$62K/yr - $111K/yr
2+ years expElevance Health is a health company dedicated to improving lives and communities. They are seeking a Formulary Business Analyst II to support Clinical Pharmacy Services with the implementation and maintenance of clinical programs and formularies, while also developing project plans and leading small projects to completion.
Health CareHealth InsurancePersonal HealthWellness
Responsibilities
Acts as liaison with clinical team to coordinate timely and accurate completion of various business deliverables
Maintains clinical formulary/utilization management (prior authorization, step therapy & quantity limits) in web-based formulary management tool, Formulary Navigator
Support communication of clinical program and formulary changes to members and providers as well as internal stakeholders
Support quality assurance processes of clinical programs and formulary strategy
Support compliance with PBM Accreditation requirements
Support departmental compliance with state and federal regulations
Conducts root cause analysis of processes and issues, identifies, and makes recommendations for improvements, and develops documentation
Communicate plans, status, and issues within the team, group, or project, including business members and management
Qualification
Required
Requires a BS/BA degree in related field and a minimum of 2 years related operational and/or data analysis experience, experience in database structures, and standard query and reporting tools; or any combination of education and experience which would provide an equivalent background
Preferred
Experience with Excel skills strongly desired
PBM or pharmacy experience (e.g. pharmacy technician, Formulary Product Manager) strongly preferred
Experience with Medicaid formularies preferred
Experience with Python, SAS, or SQL preferred
Formulary Software tool (e.g. Formulary Navigator, RxFlex) experience strongly preferred
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Paid holidays
Paid Time Off
Incentive bonus programs
Medical
Dental
Vision
Short and long term disability benefits
Life insurance
Wellness programs
Financial education resources
Company
Elevance Health
Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.
10001+ employees
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)
Funding
Current Stage
Public CompanyTotal Funding
unknown2001-10-30IPO
Leadership Team
Gail K. Boudreaux
President and CEO
Geeta Wilson
Chief Technology Officer (CTO): Digital Health and Service Experience Platforms
Recent News
2026-01-25
Company data provided by crunchbase