Operations Expert

Elevance Health; Louisville (KY); Remote; USD 50,000 - 70,000; Full time

Job summary

A healthcare organization is seeking an Operations Expert to provide technical direction and support to associates in a virtual environment. The role involves training, handling complex research, and ensuring workflow efficiency. Applicants should have a high school diploma and a minimum of 5 years related experience, with strong problem-solving and communication skills essential. This position offers maximum flexibility with remote work accommodations.

Qualifications

• 5 years related experience required.
• 3 years of expertise with automated processing systems.

Responsibilities

• Provide technical direction to associates.
• Monitor inventory to ensure workflow remains uninterrupted.
• Handle complex case research and resolution.

Skills

Technical direction

Teamwork

Problem-solving skills

Communication skills

Education

HS diploma or equivalent

Job description

Operations Expert

Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.

Hours: 8 AM to 4:30 PM Eastern

The Operations Expert I is 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:

• Requires HS diploma or equivalent and a minimum of 5 years related experience and a 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.

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.