Senior PBM Process Improvement Leader

Elevance Health; Denver (CO); Hybrid; USD 94,000 - 163,000; Full time

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase

401k contribution

Job summary

Elevance Health is seeking a Sr. PBM Process Improvement Manager to identify opportunities for performance improvement, develop and implement best practices, and act as an internal consultant for enterprise-wide initiatives. This hybrid role requires collaboration across locations and occasional travel to worksites.

The role emphasizes building metrics, leading projects, and coordinating with business units to raise efficiency while aligning with Elevance Health’s strategies and policies.

Qualifications

• Requires BA/BS in a related field and minimum of 8 years process improvement experience with planning, project management, business analysis, and leadership role experience, including minimum of 3 years experience as a Process Improvement Manager level; or any combination of education and experience, which would provide an equivalent background.
• Preferred PBM claims and accumulator experience, SQL and Teradata, and Lean Six Sigma certification.
• Experience with implementation and vendor management, prior authorization and eligibility knowledge, and Salesforce is preferred.

Responsibilities

• Proactively identifies opportunities for improvement; researches, develops, and implements related best practices.
• Develops metrics to track performance and goal achievement
• Serves as internal consultant relative to continuous improvement initiatives
• Identifies and develops plans to improve performance to be incorporated enterprise wide.
• Travels to worksite and other locations as necessary.

Skills

PBM claims experience

Accumulator experience

SQL

Teradata

Process improvement

Implementation & Vendor management

Prior authorization knowledge

Python & automation

Lean Six Sigma

Salesforce

Education

BA/BS in related field

Tools

SQL

Teradata

Job description

Elevance Health is seeking a Sr. PBM Process Improvement Manager to identify opportunities for performance improvement, develop and implement best practices, and act as an internal consultant for enterprise-wide initiatives. This hybrid role requires collaboration across locations and occasional travel to worksites.

The role emphasizes building metrics, leading projects, and coordinating with business units to raise efficiency while aligning with Elevance Health’s strategies and policies.