Operations Expert (US) at Elevance Health in Columbus, Georgia

Posted in Other 10 days ago.





Job Description:

Operations Expert




Location: Must be located within 50 miles of the Columbus, GA , Houston, TX, or Las Vegas, NV PulsePoint.



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.


  • 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 and Experiences:



  • Previous leadership experience preferred.


  • Knowledge of the DMHC process is highly 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 preferred.



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