Teams at Elevance Health

Leads implementation of new and renewing customer accounts for 340B specialty pharmacy benefit plans. Coordinates deliverables across sales, account management, operations, underwriting, and customers; tracks implementation progress; resolves issues; supports RFPs and finalist meetings; develops implementation tools and best practices; and performs root cause analysis and process improvement.

Manages HEDIS audit activities across business lines, coordinating internal teams, health plans, committees, and state or national auditors. Interprets NCQA, CMS, and state requirements; develops audit work plans, assigns resources, oversees quality studies, analyzes quality data, and reports findings and recommendations. The role ensures compliant HEDIS and CAHPS submissions and prepares departments for external audits through mock interviews and ongoing process oversight.

Generates and qualifies sales leads through outbound email, phone, and social outreach. Conducts market research, nurtures prospects, schedules discovery meetings, analyzes campaign performance, and reports pipeline results. The role optimizes lead-generation processes, maintains CRM data quality, collaborates cross-functionally on solutions and launches, and ensures activities follow applicable regulations and best practices.