Business Change Advisor - PBM (Test Analyst)

Anticipated End Date:

2026-04-30

Position Title:

Business Change Advisor - PBM (Test Analyst)

Job Description:

Business Change Advisor - PBM (Test Analyst)

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 Business Change Advisor - PBM (Test Analyst) is 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.

How you will make an impact:

• 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.

Minimum Requirements:

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

Preferred Skills, Capabilities and Experiences:

•  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 $71,484 - $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 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.

Job Level:

Non-M