Process Expert II

Elevance Health; Indianapolis (IN); Hybrid; USD 70,000 - 90,000; Full time

Job summary

A leading health company is seeking a Process Expert II to enhance operational efficiency and support project initiatives. This role involves analyzing workflows, collaborating with teams, and ensuring compliance with regulations. The ideal candidate will have a BA/BS and extensive experience in business analysis. Join us in making healthcare simpler and improving lives.

Benefits

Paid Time Off

Incentive Bonus Programs

401(k) + Match

Stock Purchase Plan

Wellness Programs

Qualifications

• Minimum 5 years experience in business analysis and process improvement.
• Strong knowledge of medical terminology and health insurance policies.

Responsibilities

• Research and develop process improvement solutions.
• Monitor and adjust implemented processes for productivity.
• Provide training and support to staff on new procedures.

Skills

Problem-Solving

Analysis

Collaboration

Education

BA/BS

Tools

Claims Processing Software

Job description

Anticipated End Date:

2025-05-28

Position Title:

Process Expert II

Job Description:

Process Expert II

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.

The Process Expert II is responsible for supporting a single operations department by participating in project and process work.

How You Will Make an Impact

Primary duties may include, but are not limited to:

• Researches operations workflow problems and system irregularities; develops tests, presents process improvement solutions for new systems, new accounts and other operational improvements; develops and leads project plans and communicates project status.
• Review and assess current claim processes, identify areas for improvement, and suggest practical solutions for enhancement.
• Constantly monitor the effectiveness of the implemented processes, making necessary adjustments to achieve optimal productivity.
• Collaborate with other team members to guarantee proper execution of processes.
• Provide training and support to staff concerning new procedures and policies.
• Assure adherence to all government and agency regulations and standards.
• Prepare reports on process operations and efficiency for management.
• Respond to claim-related issues and queries promptly, ensuring a quality-focused resolution.

Minimum Requirements:

Requires a BA/BS and minimum of 5 years experience in business analysis, process improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing); or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements strongly preferred.
• Excellent problem-solving skills with the ability to develop effective process strategies.
• Strong knowledge of medical terminology, codes, and health insurance policies.
• Proficient in using claims processing software.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

BSP > Process Improvement

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.