Consultant

Job Description

The ideal candidate will live within 50 miles of one of our PulsePoint offices.

Responsible for translating moderately complex and varied pharmacy business needs into application software requirements and / or efficient operational processes.

Possesses full technical knowledge of most phases of systems and business analysis and is able to consider the business implications of the application of technology to current and future business environments.

How you will make an impact :

• May lead teams of analysts assigned to complex projects.
• Determines specific business application software requirements to address complex and varied business needs.
• Analyzes and designs solutions to address complex and varied business needs.
• Consults with business Job partners concerning application and implementation of technology and process improvements.

Minimum Requirements :

Requires a BA / BS and minimum of 8 years business analysis experience, which should include analysis and project management;

or any combination of education and experience which would provide an equivalent background.

Knowledge of systems capabilities and business operations is strongly preferred.

Preferred Qualifications :

• Strong preference for formulary, clinical rules, pharmacy claims analysis, and / or prior authorization experience for a pharmacy benefit manager or health plan
• Highly organized and ability to function in environment with a high degree of accuracy with multiple concurrent demands and short turnaround times
• More than 5 years Excel experience working with large data files and general reporting tools
• Ability to research issues, validate work, and demonstrate strong problem-solving skills

Job Level :

Non-Management Exempt

Workshift :

1st Shift (United States of America)

Job Family : BSP >

BSP >

Business Support

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.

Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.

Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient / member-facing roles to become vaccinated against COVID-19.

If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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 for assistance.

Last updated : 2024-08-26