Operations Expert

Elevance Health; Winston-Salem (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking an Operations Expert to enhance their customer service and operational efficiency. This role offers the flexibility of a virtual position while requiring occasional in-person training. You will be responsible for guiding associates, ensuring smooth operations, and maintaining high member satisfaction. Ideal candidates will possess strong communication and problem-solving skills, and a commitment to teamwork. Join a dynamic environment that values collaboration and empowers you to make a significant impact on the lives of others in healthcare.

Benefits

Comprehensive Benefits Package

Incentive and Recognition Programs

401k Contribution

Equity Stock Purchase

Paid Time Off

Wellness Programs

Financial Education Resources

Qualifications

• 5+ years related experience in operations.
• Expertise with automated processing systems.

Responsibilities

• Provide technical direction to associates daily.
• Monitor workflow and assist with complex case resolution.
• Conduct audits and facilitate new hire onboarding.

Skills

Communication Skills

Problem-Solving Skills

Analytical Abilities

Education

High School Diploma or Equivalent

Job description

Anticipated End Date:

2025-05-28

Position Title:

Operations Expert

Job Description:

Operations Expert

Work Schedule: Must be available to work any shift between the hours of operation 8:00 am - 8:00 pm, EST, Monday - Friday with rotating weekends.

Location: This is a virtual position and virtual hands-on training will be required.

Virtual: This role enables associates to work virtually full-time, with the exception of required in person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

America First Choice - Elevance provides exceptional customer service and support to our members. We strive to maintain a dynamic and collaborative work environment that empowers our teams to excel in their roles and drive positive impacts.

The Operations Expert is responsible for providing technical direction, guidance and resources to claims, customer service, or membership associates on a day-to-day basis.This role plays a crucial part in ensuring efficient operations and maintaining prominent levels of member satisfaction.

How you will make an impact:

• Participate in weekday night and weekend shift rotation completing all required tasks such as reports, queue monitoring, and associate assistance.

• Serves as a first line resource for operation associates for workflow and technical related processes.

• Encourages a teamwork environment and monitors inventory to ensure workflow remains uninterrupted.

• Monitors workflow where applicable

• Manages complex case research and resolution; including test, supervisor and electronic inquiries.

• Reviews, interprets and maintains records of service level, quality, accuracy, productivity and attendance records.

• Reviews department policy and procedure manuals for accuracy

• Works with training department to ensure procedures and policies are accurate and complete.

• Provides operational training; assists associates by answering day-to-day technical and operational questions.

• Conduct audits and coaching sessions (non-corrective) to develop team skills.

• Facilitate new hire onboarding to ensure smooth integration

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 & Experiences :

• Strong oral, written, and interpersonal communication skills.

• Excellent problem-solving and facilitation skills.

• Proficient analytical abilities to assess and improve operational processes.

• We invite motivated candidates who are eager to contribute to our team’s success and make a significant impact on our operations. If you are enthusiastic about delivering great service and thrive in a collaborative remote environment, we encourage you to apply.

For candidates working in person or remotely in the below location, the salary* range for this specific position is $23.75 to $34.63.

Locations: Nevada

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Job Level:

Non-Management Non-Exempt

Workshift:

Job Family:

CUS > Service Operations

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

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. Applicants who require accommodation to participate in the job application process may contact [e-mail] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.