Wellpoint Federal SME II

Elevance Health (Anthem); Indianapolis (IN); Hybrid; USD 110,000 - 140,000; Full time

Job summary

Elevance Health is seeking a Wellpoint Federal SME II to provide subject matter expertise for Medicare customer care training programs and documentation. The role combines in-person collaboration 1-2 days weekly with flexible remote work and may require travel to worksites.

The candidate will review Medicare policies, develop training content, and collaborate with CMS and contractors to ensure accuracy and impact.

Qualifications

• Requires BA/BS degree and a minimum of 6 years of Medicare experience.
• Background checks and government clearances may apply for Government Business Division roles.
• Residency requirement: United States living at least three of the past five years for Wellpoint Federal division.

Responsibilities

• Researches, reviews, extrapolates, revises and validates training materials and documentation to ensure accuracy per Medicare policies.
• Assists Training, Quality and Content team with needs analysis and root-cause identification.
• Supports development and maintenance of training materials and documentation.
• Keeps knowledge current by reviewing Medicare policies and program materials.
• Researches new Medicare Regulations and provides impact summaries to stakeholders.
• Designs new and enhanced training programs and documentation.
• Assesses training outcomes and may deliver train-the-trainer sessions.
• Makes recommendations on training and content improvements to management.
• Participates in meetings with primary contractor and CMS as needed.
• May assist with process re-engineering and project work.
• Is a high level Medicare expert in 2-3 lines of business.
• Travels to worksite and other locations as necessary.

Skills

Medicare knowledge

Claims knowledge

Project management

Education

BA/BS degree

Job description

Anticipated End Date:

2026-11-28

Position Title:

Wellpoint Federal SME II

Job Description:

Wellpoint Federal SME II

Hybrid 1:

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 if candidates reside within a commuting distance from an office.

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 accommodation is granted as required by law.

Wellpoint Federal, a subsidiary of Elevance Health, brings deep industry expertise and healthcare service capabilities to support federal programs. The organization delivers solutions across claims administration, data, and care delivery to help address complex challenges and improve health outcomes for federal populations.

The Wellpoint Federal SME II is responsible for providing Subject Matter Expertise for a variety of Medicare Customer Care training programs and content documentation such as scripts and reference materials.

How you will make an impact

Primary duties may include, but are not limited to:

• Researches, reviews, extrapolates, revises and validates training materials and documentation to ensure that they are accurate and complete according to Medicare policies, procedures and related call center technologies.
• Assists Training, Quality and Content team with analyzing and assessing needs and identifying root causes.
• Supports development and maintenance of training materials and documentation.
• Keeps knowledge and expertise current by reviewing Medicare policies, procedures, publications, program materials, etc.
• Researches newly deployed and/or pending Medicare Regulations (e.g. Change Requests and Joint Signature Memorandums: and provides impact summaries to the impacted stakeholders).
• Designs new and enhanced training programs and documentation based on needs.
• Assesses training outcomes and determines if further training or documentation is needed. Supports delivery and/or delivers train-the-trainer sessions.
• Makes recommendations to management on training and content improvements or enhancements.
• As needed, participates in meetings with primary contractor and Centers for Medicare and Medicaid Services (CMS).
• Manages day-to-day interactions and relationships and acts as a liaison with primary contractor associates.
• May assist with process re-engineering and with project work.
• Is a high level Medicare expert in 2-3 or more lines of business.
• Travels to worksite and other locations as necessary.

Minimum Requirements:

Requires BA/BS degree and a minimum of 6 years of Medicare experience; or any combination of education and experience, which would provide an equivalent background.

If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.

This position is part of our Wellpoint Federal division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years.

Preferred Skills, Capabilities and Experiences:

• Strong knowledge of Medicare A and B is highly preferred
• Claims knowledge and understanding is preferred
• Project Management experience is preferred

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

EDT > Learning Design

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 associ