Elevance Health

Pharmacy Implementation Manager Senior

Elevance Health$100K — $120K *
Pharmaceuticals & Biotech
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • BA/BS degree in related field required.
  • Minimum 5 years' experience in health insurance, including 3 years leading workstreams or solutioning projects.
  • Graduate degree or professional designation preferred.
  • Experience with project management is an asset.
  • Knowledge of pharmacy benefit management (PBM) policies and procedures is essential.

Responsibilities

  • Lead planning of workstreams across implementation projects for diverse service offerings.
  • Maintain knowledge of product offerings and act as a key liaison between implementation and product teams.
  • Collaborate with leadership to identify and drive implementation process improvements.
  • Define functional and performance requirements for each implementation.
  • Make data-driven decisions and effectively communicate findings.
  • Plan implementation timelines, monitor progress, and resolve issues as necessary.

Benefits

  • Hybrid work environment offering 1-2 in-office days per week.
  • Promotes work-life balance and productivity flexibility.
  • Dynamic workplace fostering collaboration and connectivity.
  • Opportunities for career development within a diverse service portfolio.
Full Job Description

Anticipated End Date:

2026-09-25

Position Title:

Pharmacy Implementation Manager Senior

Job Description:

Pharmacy Implementation Manager Senior

Location: Open Pulsepoint

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.

The Implementation Manager Senior is responsible for leading and/or planning workstreams across implementation projects, for a portfolio of cross-service (multiple BU’s) diverse service offerings for both internal and external clients.

How you will make an impact:

  • Maintain depth of knowledge of product offerings – 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.

Minimum Qualifications:

  • 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.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

MBR > Implementation

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.

About Elevance Health

Epoch Health represents the next evolution in comprehensive healthcare specifically for men. Our philosophy is a clinical approach designed to help men enhance their quality of life through truly personalized and professional clinical care. At Epoch we stress appropriate health treatments, proactive screenings and lifestyle modifications.

Elevance Health Careers

Join the vibrant team at Elevance Health, a leader in healthcare solutions, where we prioritize innovation, leadership, and the well-being of our communities. At Elevance Health, we offer more than just job opportunities; we provide a pathway to a fulfilling career in a diverse and inclusive environment.

Work You’ll Do

At Elevance Health, you will be part of a team dedicated to reshaping the future of healthcare through outstanding service and cutting-edge technology. Our professionals enjoy a culture of collaboration and respect that supports both personal and professional growth.

Explore Career Opportunities

Whether you're seeking your first internship or a seasoned professional position, Elevance Health offers a range of employment opportunities across various specialties. Our team is growing, and we are hiring individuals who are passionate about making a difference in healthcare. Explore positions that match your skills and interests in our dynamic company.

Innovate and Lead

Join us and contribute to a culture of innovation and continuous improvement. At Elevance Health, you will work alongside industry leaders and have the chance to develop leadership skills that are crucial in today’s fast-paced healthcare environment. Our leadership and diversity training ensure that all team members are equipped to lead, inspire, and thrive.

Develop Your Career

Elevance Health is committed to the professional growth of our employees. With access to comprehensive benefits, career development programs, and networking opportunities, you can expand your skills and advance your career within a supportive and nurturing environment. Our commitment to professional development is reflected in our robust training programs and our focus on promoting from within.

Benefits and Culture

We understand that the well-being of our employees is paramount. Elevance Health offers competitive benefits designed to support the health, financial security, and work-life balance of our team members. Our inclusive culture fosters innovation and is one of our greatest strengths.

Join Our Team

Ready to make a significant impact in healthcare? Search for open job opportunities at Elevance Health that align with your skills and career ambitions. We are looking for curious, creative, and solution-driven team players who are ready to drive change and deliver solutions.

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Apply Now

Start your journey with Elevance Health by exploring our career portal for available job opportunities. Submit your resume, prepare for your interview, and take the first step towards a rewarding career that makes a real difference.

Elevance Health Careers

Empowering your future in healthcare. Join us and be part of a team that is dedicated to improving lives and communities every day.
Learn more about Elevance Health
Size
3,969 employees
Market Cap
$116.9 billion
Industry
Net Income
$4.5 billion
Founded
1944
5 Year Trend
+10.3%
Revenue
$121.8 billion
NASDAQ

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