Hybrid PBM Business Consultant – Data & Process Innovator

Elevance Health; Atlanta (GA); Hybrid; USD 88,000 - 132,000; Full time

Job summary

Elevance Health is seeking a PBM Business Consultant to translate complex business needs into software requirements and to lead cross-functional analytical work across Operations, Product, Technology and Finance.

The role is hybrid, with in-office 1–2 days per week in Virginia; requires a BA/BS and at least 8 years of business analysis experience; preferred skills include PBM operations knowledge, data analysis, and fluency with Excel, SQL, and Databricks.

Qualifications

• BA/BS and minimum of 8 years business analysis experience, including analysis and project management.
• Experience with impact analysis, operational risk assessments, and root cause investigations is preferred.
• Strong analytical and problem-solving skills with experience working with large datasets.

Responsibilities

• May lead teams of analysts assigned to complex projects.
• Determines specific business application software requirements to address complex and varied business needs.
• Analyzes and designs solutions to address complex and varied business needs.
• Consults with business partners concerning application and implementation of technology.
• Lead restitution reviews and operational investigations to assess member, client, and financial impacts.
• Conduct complex business and claims data analyses to quantify impact, identify trends, and support remediation recommendations.
• Partner with cross-functional teams to evaluate risks and develop corrective actions.
• Facilitate root cause analysis and drive process improvements.
• Develop impact assessment methodologies, business cases, and executive-level reporting to support decision making.
• Support strategic PBM Operations initiatives by evaluating operational impacts and risks.
• Present findings and recommendations to leadership and stakeholders.
• Maintain documentation and governance artifacts for compliance and contractual obligations.

Skills

PBM operations

Impact analysis

Root cause investigations

Data analysis

Excel

SQL

Databricks

Executive reporting

Cross-functional leadership

Communication skills

Education

BA/BS

Tools

Excel

SQL

Databricks

Job description

Elevance Health is seeking a PBM Business Consultant to translate complex business needs into software requirements and to lead cross-functional analytical work across Operations, Product, Technology and Finance.

The role is hybrid, with in-office 1–2 days per week in Virginia; requires a BA/BS and at least 8 years of business analysis experience; preferred skills include PBM operations knowledge, data analysis, and fluency with Excel, SQL, and Databricks.