Hybrid PBM Business Consultant: Analytics & Ops Lead

Elevance Health; Chicago (IL); Hybrid; USD 88,000 - 145,000; Full time

Benefits offered by this job

Hybrid work model

Bonus programs

401(k) match

Job summary

Elevance Health in Illinois is seeking a PBM Business Consultant to join our team in a hybrid capacity. You will lead analysts on complex projects, determine software requirements, and design solutions addressing business needs across PBM operations and claims adjudication.

Responsibilities include conducting data analyses, partnering with cross-functional teams, and presenting findings to leadership. This role offers in-office and flexible work, with salary range provided and strong benefits.

Qualifications

• Requires a BA/BS and at least 8 years of business analysis and project management experience.
• Experience with PBM operations, claims adjudication and benefit configuration preferred.
• Strong analytical and problem-solving skills with large datasets.
• Proficiency in Excel, SQL, Python or similar tools.
• Excellent communication and presentation skills for executive reporting.

Responsibilities

• Lead teams of analysts on complex projects.
• Define software requirements to address business needs.
• Analyze and design solutions for business needs.
• Consult with partners on application and implementation.
• Perform data analyses to quantify impact and trends.
• Present findings and recommendations to leadership.
• Develop governance artifacts for compliance and audits.

Skills

PBM operations

Pharmacy claims

Impact analysis

Root cause analysis

Excel

SQL

Python

Data analytics

Cross-functional

Education

BA/BS

Job description

Elevance Health in Illinois is seeking a PBM Business Consultant to join our team in a hybrid capacity. You will lead analysts on complex projects, determine software requirements, and design solutions addressing business needs across PBM operations and claims adjudication.

Responsibilities include conducting data analyses, partnering with cross-functional teams, and presenting findings to leadership. This role offers in-office and flexible work, with salary range provided and strong benefits.