Test Lead - Pharmacy Benefit Manager; PBM

Test Lead - Pharmacy Benefit Manager

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. 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) delivers member‑centered, lasting pharmacy care through a digital‑first pharmacy experience that is convenient, simpler to use, and more affordable for patients and payors. Our Pharmacy model focuses on whole person care to drive adherence, affordability, and improved overall health outcomes by putting the patient first.

• Partner with business, IT, and delivery stakeholders to ensure implementation readiness.
• Develop and manage test strategies, plans, schedules, and execution aligned to program milestones.
• Coordinate onshore and offshore teams, ensuring effective communication and delivery.
• Identify potential issues, project charge, and scope.
• Identify impacted parties, business partners, and resources required.
• Develop and design processes and systems that support business needs.
• Design methods for integrating function and process.
• Conduct cost/benefit analyses.
  
  Build support for business change throughout the business unit.

Requires a BA/BS in a related field and minimum of 5 years process or project related experience; or any combination of education and experience which would provide an equivalent background.

• 8+ years of experience in the US Healthcare domain (Commercial, Medicaid, Medicare), supporting pharmacy benefit management (PBM), including benefit administration, enrollment, and claims processing.
• 3+ years of leadership experience managing end-to-end testing for large implementations.
• Proven experience leading new client implementations or major onboarding initiatives.
• Experience with Jira, qTest, Blueprint, and Confluence; proficiency in MS Excel is strongly preferred.
• Strong ability to prepare and present executive‑ready reports, dashboards, and status updates.
• Excellent communication, stakeholder management, facilitation, and analytical skills.
• Ability to thrive in dynamic environments and collaborate within matrix teams and familiarity with Agile methodologies.
• Experience with test automation tools, test data management, and quality metrics is a plus.
• Demonstrated success managing large, complex initiatives with significant operational or delivery budgets.
• Strong background in process redesign and business transformation initiatives preferred.

For candidates working in person or virtually in the below location(s), the salary
* range for this specific position is $89,964 - $154,224.

Locations:
Maryland;
Massachusetts;
New York.

• 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 actual compensation will vary depending on the above factors as well as market/business considerations.
  
  No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

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 may contact elevancehealthj for assistance.