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Business Change Manager
Elevance Health. Work with management to identify and implement varied projects, programs, and plans supporting business unit and enterprise goals.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong expertise in leading end-to-end User Acceptance Testing (UAT) processes, including strategy, planning, and execution, while effectively managing cross-functional stakeholder communication and project reporting. Possesses in-depth knowledge of Pharmacy Benefits Management (PBM) and hands-on experience with pharmacy claim submission and validation.
Highest-signal resume keywords
End-To-End UAT LeadershipPharmacy Benefits Management (PBM) ExpertiseCross-Functional Stakeholder ManagementJIRA and Smartsheet ProficiencyAnalytical and Problem-Solving Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
UAT Strategy DevelopmentTest Case DevelopmentDefect ManagementCost/Benefit AnalysisProcess DesignPharmacy Claim ValidationRoot-Cause AnalysisBusiness Impact AssessmentProject ManagementProcess Redesign
Soft Skills
Communication SkillsLeadership SkillsAnalytical ThinkingProblem-Solving SkillsStakeholder Engagement
Tools & Technologies
JIRASmartsheetGenAI ToolsMicrosoft CopilotChatGPT
Industry Keywords
Pharmacy BenefitsClaims AdjudicationMembers/EligibilityClinical/UMNetworksProductsAccumulatorsUAT ScenariosWeb-Based ApplicationsAPIs
About the role
Key responsibilities & impact- Work with management to identify and implement varied projects, programs, and plans supporting business unit and enterprise goals.
- Identify potential issues, project charge, and scope.
- Lead efforts to identify best practices.
- Identify impacted parties, business partners, and required resources.
- Develop and design processes and systems that support business needs.
- Design methods for integrating functions and processes.
- Conduct cost/benefit analyses.
- Build support for business change throughout the business unit.
- Lead end-to-end UAT activities, including strategy, planning, execution, regression, defect management, business sign-off, and production validation.
- Partner with Business, Product, IT, Operations, and SMEs and provide status, risk, and release-readiness reporting to senior leadership.
- Lead onshore/offshore testing resources and manage work allocation, dependencies, escalations, and project status.
- Drive activities through successful production implementation.
Requirements
What you’ll need- Requires a BA/BS in a related field and minimum of 5 years process or project related experience; or any combination of education and experience which would provide an equivalent background.
- Strong PBM/Pharmacy domain experience, including pharmacy Benefits, Claims Adjudication, Members/Eligibility, Clinical/UM, Networks, Products, and Accumulators.
- Demonstrated experience leading end-to-end UAT, including UAT strategy, test planning, test case development, execution, regression, defect management, business sign-off, and production validation.
- Hands-on experience with pharmacy claim submission and validation, including interpreting benefit configurations and validating claim outcomes against expected business rules.
- Experience reviewing and translating business/functional requirements into comprehensive UAT scenarios, test cases, and acceptance criteria for web-based applications, APIs, and integrated solutions.
- Strong analytical and problem-solving capabilities, including root-cause analysis, defect triage, business impact assessment, and coordination with Product and IT teams through resolution.
- Experience leading onshore/offshore testing resources, including work allocation, execution tracking, dependency management, issue escalation, and consolidation of project status.
- Strong cross-functional stakeholder management and communication skills, with experience partnering with Business, Product, IT, Operations, and SMEs and providing concise status, risk, and release-readiness reporting to senior leadership.
- Hands-on experience with JIRA, Smartsheet, or similar tools for test execution, defect tracking, metrics, dashboards, and project reporting.
- Ability to manage multiple workstreams and drive activities through successful production implementation.
- Working knowledge of ChatGPT, Microsoft Copilot, and other GenAI tools to support testing process improvements.
- Experience in successfully developing and managing projects with fairly significant operating budget and knowledge of process redesign.
- Candidates must reside within a reasonable commuting distance from a posting location unless an accommodation is granted as required by law.
- Position is not eligible for current or future VISA sponsorship.
Benefits
Comp & perks- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Merit increases
- Paid holidays
- Paid Time Off
- Incentive bonus programs
- Medical benefits
- Dental benefits
- Vision benefits
- Short and long term disability benefits
- 401(k) with match
- Stock purchase plan
- Life insurance
- Wellness programs
- Financial education resources
- Hybrid work flexibility
- Professional and personal growth opportunities