Senior PBM Process Improvement Leader (Hybrid)

Elevance Health, Inc.; Grand Prairie (TX); Hybrid; USD 94,000 - 163,000; Full time

Job summary

Elevance Health, Inc. is seeking a Sr. PBM Process Improvement Manager to identify improvement opportunities and implement best practices for a business unit.

The role emphasizes internal consulting on continuous improvement, performance metrics, and cross-site project leadership. Ideal candidates will have a BA/BS in a related field, 8+ years in process improvement with leadership experience, and preferred PBM/claims knowledge, SQL, Teradata, Python, and vendor management experience.

Qualifications

• Requires a 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.
• PBM Claims and Accumulator Experience is highly preferred
• SQL and Teradata skills are highly preferred
• Process Improvement and Continuous Improvement is highly preferred
• Implementation & Vendor Management Experience is highly preferred
• Prior Authorization and Eligibility Knowledge is preferred
• Python and Automation Experience is preferred
• Lean Six Sigma Certification is preferred
• Experience with 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

Process improvement

Leadership

Project management

Business analysis

Vendor management

Education

BA/BS in related field

Tools

SQL

Teradata

Python

Salesforce

Job description

Elevance Health, Inc. is seeking a Sr. PBM Process Improvement Manager to identify improvement opportunities and implement best practices for a business unit.

The role emphasizes internal consulting on continuous improvement, performance metrics, and cross-site project leadership. Ideal candidates will have a BA/BS in a related field, 8+ years in process improvement with leadership experience, and preferred PBM/claims knowledge, SQL, Teradata, Python, and vendor management experience.