Process Expert II

The Elevance Health Companies of Puerto Rico, LLC; United States; Hybrid; USD 70,000 - 100,000; Full time

Job summary

Elevance Health is seeking a Process Expert II in San Juan, Puerto Rico. The role blends in-office collaboration with flexible hybrid work, requiring 3 days onsite and 5 days remote as needed.

Responsibilities include analyzing workflows, proposing improvements, developing project plans, and coordinating cross-functional initiatives within a high-volume managed care environment.

Qualifications

• BA/BS required with equivalent background considered.
• Experience in business analysis or process improvement in managed care preferred.
• Bilingual English/Spanish is strongly preferred.

Responsibilities

• Researches operations workflow problems and system irregularities.
• Develops tests and presents process improvement solutions for new systems and accounts.
• Develops and leads project plans and communicates project status.

Skills

Bilingual English Spanish

Workflow analysis

Process improvement

Project coordination

Communication skills

Facilitation skills

Analytical skills

Education

BA/BS

Job description

Anticipated End Date: 2026-10-06

Position Title: Process Expert II

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.

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.

Responsibilities

• 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.

Requirements

• 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

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.

Elevance Health requires 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 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 should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact.

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.

Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

Elevance Health will also follow all relevant federal, state and local laws.

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.