Operations Expert
Elevance Health

Job Info

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Title: Operations Expert

Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.

The Operations Expert will be responsible for providing technical direction, guidance and resources to claims, customer service, or membership associates on a day-to-day basis.

How you will make an impact:

• Serves as a first line resource for operation associates for workflow and technical related processes.
• Provides operational training.
• Assists associates by answering day-to-day technical questions.
• Encourages a teamwork environment.
• Monitors inventory to ensure workflow remains uninterrupted.
• Handles complex case research and resolution.
• Reviews, interprets and maintains records of service level, quality, accuracy, and productivity.
• Reviews department policy and procedure manuals for accuracy.
• Works with training department to ensure procedures and policies are accurate and complete.

Minimum Requirements

• HS diploma or equivalent.
• Minimum of 5 years related experience.
• Minimum of 3 years of experience and expertise with company relevant automated processing systems; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences

• Previous leadership experience preferred.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

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