Mason, Ohio, United States · Hybrid
Anticipated End Date: 2026-08-21 Position Title: Business Information Consultant Senior- PBM Business Strategy and Analytics Job Description: Business Information Consultant Senior- PBM Business Strategy and Analytics Lo…
Skills: Business Strategy, Data Analytics, SQL, Power BI, Tableau
Gurugram, Haryana, India · On-site
Position Title: GenAI-Senior Software Engineer III-GR-39944-72584-1-JR191114 Job Family: IFT > Engineering/Dev Shift: Job Description: Job Title Senior Software Engineer III Requirement Type Full-Time Employee Job Locat…
Skills: GenAI, LLM, RAG, Python, PyTorch
St. Louis, Missouri, United States · Hybrid
Anticipated End Date: 2026-08-24 Position Title: Provider Contract Specialist Job Description: Provider Contract Specialist Shift: Monday - Friday Location: Must reside 30-45 miles from St. Louis, MO Hybrid 1: This role …
Skills: Provider Contracting, Contract Management, MS Excel, Communication Skills, Organizational Skills
Atlanta, Georgia, United States · Hybrid
Anticipated End Date: 2026-08-31 Position Title: Cloud & AI Security Architect Job Description: Cloud & AI Security Architect Location: This role requires associates to be in-office 1-2 days per week, fostering collabora…
Skills: Cloud Security Architecture, Cyber Defense, Threat Detection, Incident Response, CSPM
West Des Moines, Iowa, United States · Hybrid
Anticipated End Date: 2026-08-07 Position Title: Nurse Practitioner, Bilingual, 100% Virtual, CareBridge Job Description: Nurse Practitioner, Bilingual, 100% Virtual, CareBridge Sign-On Bonus: $5,000 * Seeking Nurse Prac…
Skills: Bilingual Spanish, Complex Care Management, Telehealth, Electronic Medical Records, Clinical Care Planning
Gurugram, Haryana, India · On-site
Position Title: Software Engineer III (IND)- Artificial Intelligence-GR-39944-72521-JR189262 Job Family: IFT > Engineering/Dev Shift: Job Description: Job Title Software Engineer III Requirement Type Full-Time Employee …
Skills: LLM, RAG, Gen AI, Model optimization, FastAPI
Independence, Missouri, United States · On-site
Anticipated End Date: 2026-08-22 Position Title: Family Nurse Practitioner (PRN) – Paragon Infusion Centers Job Description: Family Nurse Practitioner (PRN) – Paragon Infusion Centers Location: 8434 Ward Parkway Kansas C…
Skills: IV Therapy, Physical Assessment, Patient Education, Medication Mixing, Titration
Grand Prairie, Texas, United States · Remote OK
Anticipated End Date: 2026-08-21 Position Title: Nurse Case Manager 1 100% Virtual, Carebridge Job Description: Nurse Case Manager I 100% Virtual, CareBridge CareBridge Health is a proud member of the Elevance Health fam…
Skills: Care Management, Clinical Assessment, Care Planning, Discharge Planning, Resource Coordination
Durham, North Carolina, United States · Hybrid
Anticipated End Date: 2026-08-24 Position Title: Pharmacy Account Manager - CarelonRx Job Description: Pharmacy Account Manager Location(s): Durham, NC, Winston-Salem, NC Hybrid: This role requires associates to be in-of…
Skills: Relationship Management, Consultative Selling, Pharmacy Benefit Management, Stakeholder Engagement, Project Execution
Los Angeles, California, United States · Remote OK
$22/hr–$25/hr
Anticipated End Date: 2026-08-14 Position Title: Outreach Care Specialist Job Description: Outreach Care Specialist Location: Virtual California: This role enables associates to work virtually full-time, except for requi…
Skills: Care Coordination, Case Management, Patient Assessment, Problem-solving, Facilitation
Atlanta, Georgia, United States · Hybrid
Anticipated End Date: 2026-08-21 Position Title: Risk Adjustment Compliance Manager Job Description: Risk Adjustment Compliance Manager Location: This role requires associates to be in-office 1 day per week, fostering co…
Skills: Risk Adjustment, Compliance Management, Regulatory Audits, Internal Audits, Gap Analysis
Atlanta, Georgia, United States · Hybrid
Anticipated End Date: 2026-08-21 Position Title: Group Underwriter, Senior Job Description: Group Underwriter, Senior Location: This role requires associates to be in-office 1 day per week, fostering collaboration and co…
Skills: Medical Underwriting, Risk Selection, Premium Rating, Account Reporting, Post-Sale Review
Overland Park, Kansas, United States · Hybrid
Anticipated End Date: 2026-08-31 Position Title: Psychologist Reviewer - Kansas - part time Job Description: Work location – Virtual: This role enables associates to work virtually full-time, except for required in-perso…
Skills: Clinical Psychology, Counseling Psychology, ABA Services, Medical Necessity Criteria, Utilization Management
Miami, Florida, United States · Hybrid
$111k–$167k/yr
Anticipated End Date: 2026-08-24 Position Title: Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy Job Description: Payor Contract Manager (Infusion) Hybrid: This role requires associates to be in-office 1-2…
Skills: Payor Contracting, Contract Administration, Reimbursement Analysis, Managed Care, Revenue Cycle Management
Atlanta, Georgia, United States · Hybrid
Anticipated End Date: 2026-08-21 Position Title: Group Underwriter, Senior Job Description: Group Underwriter, Senior Location: This role requires associates to be in-office 1 day per week, fostering collaboration and co…
Skills: Medical Underwriting, Risk Selection, Premium Rating, Account Reporting, Post-Sale Review
Wallingford, Connecticut, United States · Hybrid
$143k–$225k/yr
Anticipated End Date: 2026-07-31 Position Title: Pharmacy Account Director Job Description: Pharmacy Account Director Location: This field-based role enables associates to primarily operate in the field, traveling to cli…
Skills: Account Management, Strategic Relationship Management, PBM Experience, Client Retention, Consultative Selling
Costa Mesa, California, United States · Hybrid
$178k–$290k/yr
Anticipated End Date: 2026-08-21 Position Title: Behavioral Health Medical Director – Psychiatrist – California Medicaid (Part-Time) Job Description: Behavioral Health Medical Director – Psychiatrist – California Medicai…
Skills: Utilization Management, Clinical Review, Behavioral Health Oversight, Medical Policy Interpretation, Case Management
Indianapolis, Indiana, United States · Remote OK
Anticipated End Date: 2026-08-15 Position Title: Primary Care Nurse Practitioner, 100% Virtual Job Description: CareBridge Advance Practice Provider, Nurse Practitioner - Indiana SIGN ON BONUS $10,000 *Seeking experience…
Skills: Primary Care, Acute Care, Telehealth, Chronic Disease Management, Complex Care Coordination
Wilmington, Delaware, United States · Hybrid
$63k–$125k/yr
Anticipated End Date: 2026-08-08 Position Title: Audit & Reimbursement III and Senior Job Description: Audit & Reimbursement III Location: This role enables associates to work virtually full-time, except for required in-…
Skills: Financial Analysis, Auditing, Medicare Cost Reporting, Government Auditing Standards, CMS Regulations
Katy, Texas, United States · On-site
Anticipated End Date: 2026-09-30 Position Title: Family Nurse Practitioner (PRN) – Paragon Infusion Centers Job Description: Family Nurse Practitioner (PRN) – Paragon Infusion Centers Location: Katy, TX - 21927 Clay Road…
Skills: IV Therapy, Physical Assessment, Patient Education, HIPAA Compliance, Infusion Reaction Management
Mason, Ohio, United States • Hybrid
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The role is responsible for coordinating and consolidating impact analyses and forecast results for management reporting. It involves designing solutions for complex business needs and collaborating with technical teams to implement enhanced products.
Requires a BA/BS degree in Statistics, Economics, or Business Administration with at least 8 years of relevant experience. Preferred qualifications include expertise in PBM operations, SQL, and data visualization tools like Power BI or Tableau.
Location: This role requires associates to be in-office 1 day 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. Ideal candidates will be able to report to our Pulse Point location in Mason, OH. 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.
The Business Information Consultant Senior- PBM Business Strategy and Analytics is responsible for coordinating and consolidating various impact analyses for management reporting.
Establishes, improves, and optimizes the consolidating processes for forecast and month-end results.
Consolidates and prepares executive summary reports for various business segments in the SBU for top management decision-making.
Analyzes and designs solutions to address varied and highly complex business needs.
Collaborates with businesses and technical areas to implement new or enhanced products.
Works with products, internal business models and data systems.
Coordinates with external audits as appropriate.
Acts as the central contact with internal departments and external auditors.
Requires a BA/BS degree in Statistics, Economics, or Business Administration and minimum of 8 years of relevant experience; or any combination of education and experience which would provide an equivalent background.
Experience providing leadership in evaluating performance of complex organizations highly preferred.
Excellent leadership, problem solving, organizational, planning, presentation and interpersonal skills highly preferred.
Ability to work independently and draw up plans to address issues/concerns highly preferred.
Experience partnering with cross-functional business owners to develop, prioritize, and implement sustainable process improvements across PBM departments preferred.
Comprehensive understanding of PBM Operations preferred.
Experience with SQL or other query languages preferred.
Exposure to data tools such as Power BI, Tableau, ChatGPT, or others preferred.
Experience working with large PBM datasets to identify trends and support decision-making preferred.
Experience developing and delivering executive-level presentations that communicate complex data, trends, recommendations, and business outcomes to leadership preferred.
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.
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.
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.
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.
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 and Influenza. 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 should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.
Offices: 220 Virginia Ave, Indianapolis, Indiana 46204, US
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.
Offices: 220 Virginia Ave, Indianapolis, Indiana 46204, US
