Test Lead – Pharmacy Benefit Manager (PBM)

Anticipated End Date:

2026-04-30

Position Title:

Test Lead – Pharmacy Benefit Manager (PBM)

Job Description:

Test Lead – Pharmacy Benefit Manager (PBM)

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.

CarelonRx is a proud member of the Elevance Health family of companies. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member’s health.

The Test Lead – Pharmacy Benefit Manager (PBM) is responsible for working with management to identify and implement varied projects, programs and plans that support achievement of business unit and enterprise goals. Leads end-to-end testing activities for new client implementations ensuring readiness across systems, processes, and teams.

How you will make an impact:

• 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.

• Identifies potential issues, project charge, and scope.

• Identifies impacted parties, business partners, and resources required.

• Develops and designs processes and systems that support business needs.

• Designs methods for integrating function and process.

• Conducts cost/benefit analyses.

• Builds support for business change throughout the business unit.

Minimum Requirements:

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.

Preferred Skills, Capabilities and Experiences:

• 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

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 m