Operations Expert

Elevance Health; Roanoke (VA); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading health company is seeking an Operations Expert to provide guidance and resources to associates. This role offers maximum flexibility by allowing virtual work while requiring in-person training sessions. Candidates should have a high school diploma and extensive experience in related fields, with strong problem-solving and communication skills. The position involves training associates, monitoring workflow, and ensuring adherence to policies.

Qualifications

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

Responsibilities

• Provide operational training and serve as a resource for associates.
• Monitor inventory and handle complex case resolutions.
• Review department policy manuals for accuracy.

Skills

Technical direction

Teamwork

Problem-solving skills

Facilitation skills

Analytical skills

Education

High School 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.