Operations Expert
Elevance Health

Job Info

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Operations Expert

Work Schedule: Must be available to work any shift between the hours of operation 7:00 am - 2:00 am, EST, Monday - Friday and 7:00 am - 6:00 pm EST on Saturday & Sunday.

Location: This is a remote position and virtual hands -on training will be required for the first 6 months. We are hiring for specific office locations: Norfolk VA, Las Vegas NV, St. Louis MO, Mason OH, Winston-Salem NC and Savannah GA.

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. As a part of the Elevance Health family of companies, CarelonRx leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.

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.

How you will make an impact:

• Serves as a first line resource for operation associates for workflow and technical related processes
  
• Provides operational training; assists associates by answering day-to-day technical questions
  
• Encourages a teamwork environment and monitors inventory to ensure workflow remains uninterrupted
  
• Handles complex case research and resolution; reviews, interprets and maintains records of service level, quality, accuracy, and productivity
  
• Reviews department policy and procedure manuals for accuracy
  
• Works with training department to ensure procedures and policies are accurate and complete.
  

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 :

• Previous leadership experience 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.
  

For candidates working in person or remotely in the below location, the salary* range for this specific position is $21.93 to $34.53.

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.

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