Pharmacy Implementation Manager Senior

About the role

The Implementation Manager Senior role is open for hybrid work, requiring associates to be in-office 1 - 2 days per week. This role fosters collaboration and connectivity while offering flexibility to support productivity and work-life balance. Associates can work from alternate locations if they reside within a reasonable commuting distance from an office.

Responsibilities

• Maintain depth of knowledge of product offerings and act as a key relationship owner between implementation and product teams to support end-to-end solutioning of service implementations.
• Partner with leadership across business units to identify opportunities and drive progress on overall process improvements to ensure continual, measurable improvement of implementation quality, compliance, and speed of execution.
• Review and/or define functional, usability, reliability, performance, and support requirements related to an implementation.
• Make data-driven decisions and translate data.
• Support operational readiness through feature testing by creating/testing directly or partnering with SME in service area.
• Plans implementation timeline and milestones, tracks progress, monitors and communicates project status, identifies and resolves issues utilizing pre-established governance and stakeholders for escalation and issue resolution.

Requirements

Requires BA/BS degree in related field with a minimum of 5 years' experience in health insurance field which includes 3 years' experience in leading workstreams an/or solutioning projects ; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, And Experiences

• Graduate degree and/or professional designation related to field.
• Experience with project management.
• Ability to communicate information clearly and concisely, both orally and in writing, in a professional and legal environment.
• Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in PBM.
• Formulary, clinical rules, pharmacy claims analysis, and/or prior authorization experience for a pharmacy benefit manager or health plan.

Benefits

Elevance Health offers 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.

Pay

Details on pay are not specified in the job posting.

Schedule

Details on schedule are not specified in the job posting.

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

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. 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.

Equal Employment Opportunity

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.