Operations Expert at Elevance Health in Cincinnati, Ohio

Job Description:

Title: Operations Expert




Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.


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The Operations Expert will be 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

• HS diploma or equivalent.


• Minimum of 5 years related experience.


• 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.


• 
  FHPS 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. Apply Now