Business Analyst II- Pharmacy Benefit Auditor
Business Analyst II- Pharmacy Benefit Auditor
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Job Description
Anticipated End Date:
Position Title:
Business Analyst II Pharmacy Benefit AuditorJob Description:
Be Part of an Extraordinary Team
A proud member of the Elevance Health family of companies CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong clinicalfirst lens to deliver membercentered lasting pharmacy care.
Title: Business Analyst II Pharmacy Benefit Auditor
Hybrid This role requires associates to be inoffice 1 2 days per week fostering collaboration and connectivity while providing flexibility to support productivity and worklife balance. This approach combines structured office engagement with the autonomy of virtual work promoting a dynamic and adaptable workplace. Alternate locations may be considered.
Build the Possibilities. Make an Extraordinary Impact.
The Business Analyst II Pharmacy Benefit Auditor is responsible for analyzing pharmacy benefit coding systems against business criteria. The primary focus is to work on a quality review with a diverse scope in which the analysis of data requires evaluation in comparison to system findings and per department policies and procedures.
How you will make an impact:
Primary duties may include but are not limited to:
Analyze and interpret data and make recommendations for change based on pharmacy operations procedures system requirements judgment and experience.
Determines specific business application software requirements to address specific business needs.
Works with programming staff to ensure requirements will be incorporated into system design and testing.
Consult with business partners concerning the application and implementation of pharmacy benefit programs.
Acts as liaison with users of the software to address questions/issues.
Minimum Requirements:
Requires a BA/BS and minimum of 3 years related business analysis experience or any combination of education and experience which would provide an equivalent background.
Preferred Skills Capabilities and Experiences:
CPhT is preferred
Pharmacy plan benefit coding and/or pharmacy plan quality review experience strongly preferred.
Pharmacy operations experience preferred.
An indepth understanding of pharmacy benefit design preferred.
Demonstrated success in training and in a team lead position strongly preferred.
Ability to consistently exceed expectations for quality timeliness and data accuracy metrics preferred.
Knowledge of systems capabilities and business operations; including internal systems Excel Word Visio Outlook PowerPoint MS Teams SharePoint JIRA and Salesforce is strongly preferred.
Facilitation with impressive oral and written communication highly preferred.
Experience with reporting and analytics preferred.
For URAC accredited areas the following professional competencies apply: Associates in this role are expected to have strong oral written and interpersonal communication skills problemsolving skills facilitation skills and analytical skills.
For candidates working in person or virtually in the below location(s) the salary* range for this specific position is $65912 to $98868
Locations: Minnesota
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 nondiscriminatory 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 or any other form of compensation and benefits that are allocable to a particular employee remains in the Companys sole discretion unless and until paid and may be modified at the Companys sole discretion consistent with the law.
Job Level:
NonManagement ExemptWorkshift:
Job Family:
BSP > Business SupportPlease 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
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 marketcompetitive 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/memberfacing roles to become vaccinated against COVID19 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 may contact for assistance. 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.
Required Experience:
IC
Employment Type
Full-Time
