Senior Test Analyst – Pharmacy Benefits (Hybrid)

Elevance Health; Indianapolis (IN); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Elevance Health, through its CarelonRx unit, seeks a Senior Test Analyst PBM to bridge business needs with IT for pharmacy benefits systems setup and validation. You will work on formulary, utilization management, and drug list configurations, coordinating across global teams and stakeholders.

You will leverage testing expertise to ensure accurate pharmacy benefit configurations, participate in defect triage, and contribute to project plans and metrics reporting in a hybrid environment.

Qualifications

• BA/BS and minimum of 5 years business analysis experience; or any combination of education and experience which would provide an equivalent background.

Responsibilities

• Ensure the accurate setup and validation of pharmacy benefits systems, including formulary and utilization management components.
• Understand the Pharmacy benefit setup & validate the configuration to ensure the accurate setup using Claims/Query testing.
• Validation of Formulary, Utilization Management & Drug List setup using Claims/Query testing.
• Identify, triage, and collaborate with business and adjudication teams to resolve defects efficiently and effectively.
• Work closely with globally dispersed cross-functional teams to ensure successful coordination and collaboration.
• Analyzes complex end user needs to determine optimal means of meeting those needs.
• Determines specific business application software requirements to address complex business needs.
• Develops project plans and identifies and coordinates resources, involving those outside the unit.
• Works with programming staff to ensure requirements will be incorporated into system design and testing.
• Acts as a resource to users of the software to address questions/issues.
• May provide direction and guidance to team members and serves as an expert for the team.

Skills

Pharmacy Benefit knowledge

Healthcare domain experience

Data analysis

Communication & problem-solving

Testing status reporting

Agile collaboration

Test automation basics

VB Macro/C# automation

Education

BA/BS degree

Tools

Jira

Confluence

MS Excel

VB Macro

C#

Job description

Elevance Health, through its CarelonRx unit, seeks a Senior Test Analyst PBM to bridge business needs with IT for pharmacy benefits systems setup and validation. You will work on formulary, utilization management, and drug list configurations, coordinating across global teams and stakeholders.

You will leverage testing expertise to ensure accurate pharmacy benefit configurations, participate in defect triage, and contribute to project plans and metrics reporting in a hybrid environment.