Process Improvement Consultant- Pharmacy and Infusion

The Elevance Health Companies, Inc.; Durham (NC); Hybrid; USD 110,000 - 140,000; Full time

Benefits offered by this job

Merit increases

Paid holidays

PTO

401(k) match

Stock purchase plan

Life insurance

Job summary

Elevance Health is seeking a Process Improvement Consultant for Pharmacy and Infusion to lead quality investigations, CAPA, and continuous improvement initiatives in a hybrid in-office/remote setting.

You will partner with Operations, Clinical and Compliance teams to analyze incidents, determine root causes, and implement sustainable improvements that advance patient safety and operational excellence across Pharmacy and Infusion services.

Qualifications

• BA/BS in a related field and minimum 5 years related experience.
• Experience in quality investigations and CAPA preferred.
• RN or Certified Pharmacy Technician preferred.
• Qualityze, ERX or CareTend platforms experience a plus.
• Proficiency with Excel; Tableau preferred.
• CURES, Lean/Six Sigma certification preferred.

Responsibilities

• Provide Quality support for pharmacy and infusion operations with focus on CAPA.
• Investigate quality incidents and non-conformances; determine root causes.
• Use data and quality tools to identify trends and improvements.
• Partner with Operations, Clinical, Compliance to implement CAPAs.
• Develop and monitor corrective/preventive actions for sustainability.
• Communicate findings and improvements to Quality leadership and stakeholders.

Skills

Quality improvement

Root cause analysis

Data analysis

Cross-functional collaboration

Education

Bachelor’s degree

Tools

Qualityze

ERX

CareTend

Excel

Tableau

CURES

Lean/Six Sigma

Job description

Process Improvement Consultant – Pharmacy and Infusion

Location: This role requires associates to be in-office 1 - 2 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.

Job Details

• Job Title: Process Improvement Consultant- Pharmacy and Infusion
• Workshift: 1st Shift (United States of America)
• Job Family: BSP > Process Improvement
• Job Level: Non-Management Exempt
• Contract Type: (implicit full-time Exempt)

Responsibilities

• The Process Improvement Consultant – Pharmacy and Infusion provides dedicated Quality support for pharmacy and clinical infusion operations, with a primary focus on incident and non-conformance investigation, root cause analysis, corrective and preventive action (CAPA), and continuous improvement.
• Responsible for conducting thorough and timely investigations of quality incidents and non-conformances, evaluating contributing factors and potential impact, and partnering with operational and clinical stakeholders to determine root causes and develop appropriate corrective and preventive actions.
• Uses data, quality methodologies, and process improvement tools to identify trends, reduce recurrence, strengthen processes, and promote sustainable improvements.
• Serves as a quality partner to the business, providing guidance and recommendations that support patient safety, operational excellence, and compliance with regulatory, contractual, accreditation, and internal quality requirements.
• Conducts comprehensive investigations of pharmacy and clinical infusion incidents, non-conformances, and quality concerns, reviewing relevant documentation, data, processes, and workflows to determine contributing factors, impact, and root cause.
• Performs root cause analysis (RCA) using appropriate quality and process improvement methodologies and partners with Operations, Clinical, Compliance, and other stakeholders to validate findings and identify systemic issues.
• Identify areas of concern & implement corrective plans if necessary.
• Uses reports and production statistics to represent unit(s) in departmental process improvement and system changes and provides specialized input on reports to management.
• Develops and recommends corrective and preventive actions (CAPAs) that address identified root causes, mitigate risk, reduce recurrence, and support sustainable process improvement.
• Partners with business owners to establish action plans, responsibilities, timelines, and measures of effectiveness; monitors CAPAs to evaluate implementation, effectiveness, and sustainability.
• Communicates significant findings, trends, risks, recommendations, and improvement outcomes to Quality leadership and business partners and supports reporting for Quality governance and committee activities.
• Ensures quality activities align with applicable regulatory, contractual, accreditation, and internal quality requirements and supports additional Quality Management Program initiatives as assigned.

Minimum Requirements

• Requires a BA/BS in a related field and minimum of 5 years related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences

• RN or Certified Pharmacy technician preferred
• Experience with Qualityze, ERX or CareTend platforms a plus.
• Proficiency with Microsoft Excel and experience with reporting or visualization tools such as Tableau preferred
• CURES, Lean/Six Sigma certification preferred.

Benefits

• Merit increases
• Paid holidays
• Paid Time Off (PTO)
• Incentive bonus programs (unless covered by a collective bargaining agreement)
• Medical
• Dental
• Vision
• Short term disability benefits
• Long term disability benefits
• 401(k)+match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources

Company Culture & Values

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.

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.

The health of our associates and communities is a top priority for Elevance Health.

Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

Our nearly 100,000 associates serve approximately 100M+ people, at every stage of health.

Additional Information

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.

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 following form: 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.

Elevance Health is an Equal Opportunity Employer/Disability/Veterans.

Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.