Process Improvement Consultant- Pharmacy and Infusion

Elevance Health; Durham (NC); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Elevance Health seeks a Process Improvement Consultant for Pharmacy and Infusion to lead quality investigations and CAPA initiatives. You will partner with Operations and Clinical teams to determine root causes and implement sustainable improvements while ensuring regulatory and contractual alignment.

The role emphasizes incident investigation, data-driven analysis, and collaboration across stakeholders to strengthen processes and patient safety.

Qualifications

• Requires a BA/BS in a related field and minimum of 5 years related experience; or any combination of education and experience.
• RN or Certified Pharmacy technician preferred.
• Experience with Qualityze, ERX or CareTend platforms is a plus.
• Proficiency with Microsoft Excel and reporting/visualization tools such as Tableau is preferred.
• CURES, Lean/Six Sigma certification preferred.

Responsibilities

• Provides dedicated Quality support for pharmacy and clinical infusion operations, focusing on incidents and non-conformances.
• Conducts thorough investigations, evaluates factors and impact, and partners with stakeholders to determine root cause.
• Performs RCA using appropriate methodologies and validates findings with operations, clinical, and compliance teams.
• Identifies concerns and implements corrective plans; uses reports to support process improvement and system changes.
• Develops CAPAs addressing root causes, mitigates risk, and supports sustainability of improvements.
• Establishes action plans with owners, tracks timelines and effectiveness of CAPAs.
• Communicates findings, trends, risks, and improvements to Quality leadership and governance committees.
• Ensures quality activities align with regulatory/contractual/accreditation requirements and supports QA initiatives.

Skills

Lean Six Sigma

Root cause analysis

Education

BA/BS in related field

RN or Certified Pharmacy technician

Tools

Excel

Tableau

Qualityze

ERX

CareTend

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.

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.

How you will make an impact:

• 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.

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.