Business Change Director (Quality Control Test Architect, PBM systems)

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Job Description:

JR130960 Business Change Director (Quality Control Test Architect, PBM systems)

CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager / Quality Control Test Architect. This high-performing individual contributor will be responsible for working with management to identify and implement varied projects, programs and plans that support the achievement of business unit and enterprise goals.  The work here will be Test Program Management for our pharmacy business system integrations.

Location: This position will work in a hybrid model (remote and office) with once a week from the nearest Elevance Health PulsePoint location. The Ideal candidate will live within 50 miles/1 hr. commute of one of our Elevance Health Open PulsePoint locations.

How will you make an impact:

• Develops test strategy, leads and coordinates all testing for one or more projects/program.

• Manages the relationship with project/program stakeholders (IT and business).

• Plays a leadership role in the design, development, and implementation of testing components.

• Defines appropriate testing methods to employ to assure the developed product conforms to requirements and design.

• Reviews/Approves all project-related test assets for completeness and quality.

• Collects testing metrics, and reports status as defined in the test plan with supporting data.

• Manages both onshore and offshore test execution resources for projects under test.

• Accountable for Test Data Management, collection of requirements, evaluation of available data in repositories, identifying gaps, alignment Configuration Management and Release Management on data needs, and own test data provisioning tasks.

• Develops testing project plan and ensures testing activities planned stay on track and under budget.

• May provide direction and guidance to team members and serves as an expert for the team.       

• May support review and estimation assessment for new testing intake requests.

Minimum requirements:

• Requires a BA/BS in a related field and minimum of 10 years managing mid to large-scale change/project initiatives; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• PMP certification (project management experience) would be a plus.

• 5+ years of experience leading and managing Pharmacy Benefit Manager /PBM end-to-end testing for web and mainframe-based applications, including defining testing strategies and end-to-end/UAT test plans.

• 8+ years of experience in the PBM domain (Commercial/Medicaid/Medicare) including claims processing, enrollment, and benefit administration.

• Experience with pharmacy prescription drug claims testing, benefits and clinical testing

• Experience with test automation tools is a plus; Prior experience handling end to end testing of programs involving digital Cloud based web applications is a plus.

• Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

• Ability to prepare status and metrics to senior leadership team.

• Ability to work in a dynamic environment and collaborate effectively with a matrix team.

• This position will work in EST time-zone.

• This position may travel up to 10%.

• 5 years of experience with at least one of the following test management tools: JIRA and QTEST.

• Other tools: MS PowerPoint, MS Excel, MS Visio.

• 3 years of experience with Agile methodologies.

• 1 year of experience in test data management.

• Experience working with globally dispersed teams is a plus.

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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.

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 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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

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. 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 elevancehealthjobssupport@elevancehealth.com for assistance.