Process Expert I - PBM
Elevance Health

Job Info

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Process Expert I - PBM

Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.

The Process Expert I assists in identifying and researching workflow problems and system irregularities.

How you will make an impact:

• Monitors reports/has oversight of Intake Site.
  
• Reviews adjustment requests submitted to Intake site for accuracy and clarifies requests with the submitter as appropriate.
  
• Receives guidance and mentoring from more experienced process experts.
  
• Researches operations workflow problems and system irregularities; assists with the development and testing of process improvement solutions for new systems, new accounts and other operational improvements; assists with the development and leading of project plans and communicating project status.
  

Minimum Requirements

• Requires a BA/BS and minimum of 3 years related experience (business analysis, process improvement, project coordination), experience in high-volume managed care operations (claims, customer service, enrollment and billing); or any combination of education and experience, which would provide an equivalent background.
  

Preferred Qualifications

• Prior PBM experience is preferred.
  
• Excel experience is preferred.
  
• Experience using Microsoft Office is preferred.
  
• Experience using PBM/CVS systems is preferred.
  
• Experience using Solution Central and Elevance Health PBM systems is preferred.
  

For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $53,595 to $91,878.

Locations: California; Colorado; District of Columbia (Washington, DC), Maryland, Nevada; New York; Washington State

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). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

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