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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # PBM Business Change Manager - **Company:** Elevance Health - **Location:** Durham, NC, United States - **Salary:** $85,680.0 - $141,372.0 - **Contract:** Permanent contract - **Skills:** Application Programming Interfaces (APIs), JIRA, Software Bug Management, Test Case, Test Execution Engine, Web Applications, Smartsheet, Microsoft Power Automate, Generative AI, GPT - **Published:** September 27, 2026 - **Apply:** https://dejobs.org/x/x/0D90AC5AA080405D9353F456E5D0DCF1/job/ ## About the Role * 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. ## Description 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. CarelonRx is a proud member of the Elevance Health family of companies. CarelonRx pairs a strong, clinical-first lens with deep pharmacy expertise to create solutions that improve outcomes, control costs, and enhance each member's health. PLEASE NOTE: This position is not eligible for current or future VISA sponsorship. The PBM Business Change Manager is responsible for working with management to identify and implement varied projects, programs and plans that support achievement of business unit and enterprise goals. How you will make an impact: * Identifies potential issues, project charge, and scope. * Leads efforts to identify best practices. * Identifies impacted parties, business partners, and resources required. * Develops and designs processes and systems that support business needs. * Designs methods for integrating function and process. * Conducts cost/benefit analyses. * Builds support for business change throughout the business unit. ## Related Videos - [AIQSpecFlow: Improves and automates your agile process of specification and creation of testcases.](https://www.wearedevelopers.com/videos/100084-aiqspecflow-improves-and-automates-your-agile-process-of-specification-and-creation-of-testcases) - [Livecoding with AI](https://www.wearedevelopers.com/videos/1201-livecoding-with-ai) - [GitOps for the people](https://www.wearedevelopers.com/videos/461-gitops-for-the-people) - [Building with IBM Bob](https://www.wearedevelopers.com/videos/100275-building-with-ibm-bob) - [ Evaluating AI models for code comprehension](https://www.wearedevelopers.com/videos/1462-evaluating-ai-models-for-code-comprehension) - [Why make use of an integration platform in today's software developments and infrastructure?](https://www.wearedevelopers.com/videos/758-why-make-use-of-an-integration-platform-in-today-s-software-developments-and-infrastructure) ## Related Articles - [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again) - [Everything a Developer Needs to Know About MCP with Neo4j](https://www.wearedevelopers.com/magazine/604-everything-a-developer-needs-to-know-about-mcp-with-neo4j) - [Benefits of Using JMeter For Performance Testing](https://www.wearedevelopers.com/magazine/96-benefits-of-using-jmeter-for-performance-testing) - [Navigating the AI Shift](https://www.wearedevelopers.com/magazine/629-navigating-the-ai-shift) - [What is a Test Plan: Guide to Test Planning](https://www.wearedevelopers.com/magazine/191-what-is-a-test-plan-guide-to-test-planning) - [13 AI Tools for Developers](https://www.wearedevelopers.com/magazine/302-13-ai-tools-for-developers)