Process Expert II

Elevance Health (Anthem); San Juan (PR); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Elevance Health in San Juan, Puerto Rico, is seeking a Process Expert II to support a single operations department by participating in project and process work. The role emphasizes identifying workflow issues, proposing improvements, and leading project plans with clear status updates.

Minimum requirements include a BA/BS and at least 5 years of experience in business analysis, process improvement, or project coordination within a high-volume managed care environment.

Qualifications

• Requires a BA/BS and minimum 5 years experience in business analysis, process improvement, or project coordination in a high-volume managed care operation.
• Fully bilingual in English and Spanish with ability to write, read and speak both languages.
• Experience analyzing workflows, processes, supporting systems and identifying improvements.

Responsibilities

• Supports a single operations department by participating in project and process work.
• Researches operations workflow problems and system irregularities and develops improvement solutions.
• Develops and leads project plans and communicates project status.
• Collaborates with cross-functional teams to implement process improvements.

Skills

Bilingual English/Spanish

Workflow analysis

Project coordination

Process improvement

Education

BA/BS

Job description

Process Expert II

Anticipated End Date: 2026-10-06

Location: San Juan, Puerto Rico.

Hybrid 2: This role requires associates to be in-office 3 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. This position will be based on: 1001 San Roberto St, Ste 101, 401 & 501, San Juan, PR.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Schedule: This position will work 8-hour shifts Monday through Friday and must be available to work within the operational hours of 8:00 a.m. to 6:00 p.m. (AST). Additional hours, including weekends or holidays, may be required based on operational needs.

Axium Healthcare Puerto Rico, a Carelon company, is a clinical pharmacy that offers highly individualized and comprehensive total life care programs to patients and their families. Serving Puerto Rico since 2007, the organization blends a high-touch, caring patient experience with specialized clinical knowledge, personalized care programs, and administrative expertise.

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

• 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.

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

• Fully Bilingual (English & Spanish), Must be able to write, read and speak both languages in a proficiency level.
• Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements strongly 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.

Job Level

Non-Management Exempt

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 Opportun