Quality Improvement Consultant, CarelonRx Pharmacy - Military Veterans
at Elevance Health
Be Part of an Extraordinary Team
Carelon is a proud member of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits. By leveraging the power of new technologies, our strong, clinical-first lens and deep pharmacy expertise, we are actively defining our innovative role in the industry.
Title: Pharmacy Quality Improvement Consultant (Process Improvement Consultant)
Location(s): Mason, OH, Miami, FL, Tampa, FL, Atlanta, GA, Overland Park, KS, St. Louis, MO, Durham, NC, Columbus, OH, Norfolk, VA, Richmond, VA, Waukesha, WI
Schedule: This position will take part in Elevance Health's hybrid work model which includes remote work and in-office collaboration. The hybrid schedule for this position is one day per week in office. Candidates must reside within 50 miles or 1-hour commute each way of the location listed above.
Build the Possibilities. Make an Extraordinary Impact.
The Pharmacy Quality Improvement Consultant is responsible for generating process improvements that bring about measurable improvement in quality and/or efficiency. This role will analyze and summarize performance and quality data related to pharmacy programs and services; and leading quality improvement projects for CarelonRx. You will work in collaboration with subject matter experts to support CarelonRx accreditation activities and quality management program activities. *Internal facing title: Process Improvement Consultant
How you will make an impact:
Primary duties may include, but are not limited to:
Represents the department on process improvement teams, special projects and implementation of new technology.
Lead role in coordinating annual review/revision of procedures.
Leads the training of associates when new processes or procedures are implemented.
Communicates process information and facilitates workgroups to ensure accurate and consistent workload reporting.
Review /analyze monthly workload reports to ensure goals are on-target (timeliness, backlog) across all operational sites.
Identify areas of concern & implement corrective plans if necessary.
Uses reports and production statistics to represent unit(s) in departmental process improvement and system changes and provides specialized input on reports to management.
Perform Root Cause Analysis, develop Corrective and Preventive Actions, and monitor CAPA reports.
Lead quality improvement projects and teams to improve quality and operational processes as a result of opportunities identified through CAPA program, accreditation survey findings, quality assurance, internal audits, and activities related to the CarelonRx pharmacy strategy.
Identify and implement Corrective and Preventive Actions.
Analyze and resolve process problems, and collaborate with departments in solving problems.
Assist with execution and collaboration of process improvement CarelonRx pharmacy Quality Management Program activities.
Travel to sites to oversee the implementation and follow up of new and enhanced processes and programs.
Minimum Requirements
Requires a BA/BS in a related field and minimum of 5 years related experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences
3+ years of experience in healthcare quality related role such as Any experience as a quality analyst, administrator, coordinator, or quality improvement specialist.
3+ years of experience in pharmacy and/or healthcare; specially Home Delivery Pharmacy and Specialty Pharmacy.
Six Sigma Green Belt Certification or equivalent.
Project Management Certification.
State or National Pharmacy Technician Registration/Certification; or any pharmacy technician or other relevant health care experience.
Healthcare or Quality related certification.
Certification in process improvement or project management.
Demonstrated experience developing primary research methodologies, design, and analysis.
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 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 elevancehealthjobssupport@elevancehealth.com 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.
Miami, FL
If you are active-duty military, reserve, or a military veteran, we foster a welcoming environment that’s dedicated to honoring your service and helping you achieve your career goals. Veterans of Elevance Health — one of our Business Resource Groups — partners with our Talent Acquisition teams to maximize career offerings for you and your family members, striving to help you transition to civilian service and grow your career at the same time.
WE ARE HIRING
Elevance Health, Inc. is currently seeking military veterans and military spouses for a variety of open tech based roles. Our immediate needs are in IT support, cyber security, maintenance of digital and automation systems, and network specialists. These roles include Support Technical Engineer, Lead Engineer, Developer, Systems Analyst, Network Data Specialist, and Provider Network Manager roles. Whether you are looking to transition into an IT career or if you have experience under your belt in the Technology field, Elevance Health wants to have an impact on your career and professional growth by speaking with you about their career opportunities.
Employee Benefits:
Paid Time Off
Dental Insurance Plan
Medical Insurance Plan
Employee Assistance Program
Flexible Spending Account
Life Insurance
401(k) plan
Adoption Assistance
New Parent Transition Week
Parental Leave
Critical Caregiving Leave
Back-to-School Assistance
Sick Leave
What Happens After I Apply?
Once you click ‘Apply Now’ on an Elevance Health job posting, you will either be re-directed to fill out an application on Elevance Health's career page or be given a confirmation of submission. If you get redirected, please complete the application on the career page and make sure you have an updated resume uploaded to your RecruitMilitary profile. Once Elevance Health reviews your resume and profile, a recruiter will reach out to provide you with more information and to schedule you for an interview.
How to Prepare for an Interview
1. Review the job description for the specific position you are applying for.
2. Review the company website. Know their mission and values. What do they do? What are their products?
3. Prepare a few questions to ask on your interview.
4. Prepare to discuss your military or civilian background and how it relates to the position.
5. Check out the RecruitMilitary Resources tab for resume guidance, interview prep and more!