Manager Process Improvement - Pharmacy and Infusion

Elevance Health; Durham (NC); Hybrid; USD 110,000 - 160,000; Full time

Job summary

Elevance Health is seeking a Manager Process Improvement - Pharmacy and Infusion to lead quality activities across investigations, root cause analysis, and error reduction in pharmacy and infusion services. The role emphasizes setting standards, driving improvements, and ensuring regulatory alignment.

You will develop metrics, standardize processes, coach teams, and collaborate with stakeholders to sustain performance excellence within a hybrid, in-office model.

Qualifications

• BA/BS in a related field with at least 5 years of management and process-improvement experience.
• Experience in retail, specialty, or regulated healthcare environments such as PBM or managed care.
• Strong written and verbal communication; ability to present findings to leadership.
• CPhT or related certification, or certification in quality, auditing, or project management preferred.

Responsibilities

• Identify opportunities for improvement and lead development and implementation of best practices.
• Develop and monitor performance metrics; act as internal consultant on improvements.
• Analyze trends and develop action plans to standardize processes and support planning.
• Lead quality improvement initiatives; ensure integration into operations.
• Hire, train, coach, and evaluate associates to support performance.

Skills

Process improvement

Project management

Performance improvement

Communication

Education

BA/BS in a related field

Job description

Manager Process Improvement - Pharmacy and Infusion

Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Manager Process Improvement - Pharmacy and Infusionis responsible for leading operational quality activities (Incident and Non-conformance Management) related to case investigations, root cause analysis, and error reduction involving pharmacy and/or clinical infusion services. This role oversees the timely and accurate completion of investigations, ensuring productivity and quality standards are consistently achieved. The position identifies trends and opportunities for process improvement and supports corrective actions to reduce errors and prevent recurrence. This role also ensures operations remain compliant with applicable regulatory, contractual, accreditation, and internal quality requirements.

How you will make an impact:

• Proactively identifies opportunities for improvement and leads the development and implementation of best practices, process standardization, business analysis, and continuous improvement initiatives.
• Develops and monitors performance metrics to measure outcomes and goal achievement; serves as an internal consultant on continuous improvement opportunities and solutions.
• Analyzes performance trends and develops action plans to improve outcomes, standardize processes, and support operational planning.
• Participates in quality strategy development and leads assigned quality improvement initiatives, ensuring improvement activities are effectively integrated into business operations.
• Hires, trains, coaches, counsels, and evaluates associates to support individual and team performance

Minimum Requirements:

Requires a BA/BS in a related field and minimum of 5 years management experience with process improvement, project/program management, process engineering and/or performance improvement initiatives; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Experience in retail, specialty, or mail-order pharmacy; pharmacy benefit management (PBM); managed care; pharmacy operations; or other highly regulated healthcare environments.
• Strong written and verbal communication skills, including the ability to effectively communicate findings, recommendations, and performance results to key stakeholders and leadership.
• CPhT or other pharmacy technician certification, or certification in quality, auditing, project management, healthcare compliance, or a related discipline preferred.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the Accessibility Accommodation Request Form and a member of the team will be in contact.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.