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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.

Pharmacy Quality Improvement Specialist

**Location:** This role requires associates to be in-office **1** day 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._

Schedule: Monday - Friday; 8:00am-5:00pm

The **Pharmacy Quality Improvement Specialist** is responsible for generating process improvements that bring about measurable improvement in quality and/or efficiency. Contributes to achieve department's objectives by serving as key contact for researching and implementing solutions and tools for new systems and other key operational improvements, provide guidance to leads, operations experts, associates, and/or managers on process improvement issues.

How you will make an impact:

+ 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.

+ Travels to worksite and other locations as necessary.

+ Perform Root Cause Analysis, develop Corrective and Preventive Actions, and monitor CAPA reports.

+ 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.

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.

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 [email protected] 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.