Business Advisor; Test Analyst

Shift and Hybrid Requirements

Shift: Candidates must be able to operate in Eastern Standard Time hours.

Hybrid: 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.

A proud member of the Elevance Health family of companies, Carelon Rx (formerly Ingenio Rx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. Carelon Rx Pharmacy is now part of Carelon Rx (formerly Ingenio Rx), a proud member of the Elevance Health family of companies. The Carelon Rx Home Delivery Pharmacy will deliver a digital first pharmacy experience that is convenient, simpler to use, and more affordable for our patients and payors.

Our Pharmacy model focuses on whole person care, providing the best member experience to drive adherence, affordability, and improved overall health outcomes by putting the patient first.

Responsible for assisting the management within the business unit and the organization in bridging the gap between the current and desired business performance levels and balancing short-term business needs with long-term perspectives on success to ensure that our change journey produces desired results.

• Helps build and support the company's change network.
• Communicates information from a variety of sources through newsletters, dashboards and presentations.
• Promotes benefits of function within region as well as throughout the company.
• 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.

Requires a BA/BS and minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background.

• 4+ years of experience in the US Healthcare domain (Commercial/Medicaid/Medicare) supporting pharmacy including claims processing and benefit administration strongly preferred.
• Significant experience working in the Medicaid line of business is highly desired, with additional experience in Commercial or Medicare being a plus.
• Proficiency in Data Analysis preferred.
• Strong communication, problem-solving, facilitation, and analytical skills.
• Experience with Jira, Blueprint, Confluence, Expertise in MS Excel strongly preferred.
• Automation skills (VB Macro/C#) preferred.

For candidates working in person or virtually in the below location(s), the salary
* range for this specific position is $74,484 - $122,544

Locations:
Maryland;
Massachusetts;
New York

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the…