Operations Expert (US) at Elevance Health in Los Angeles, California

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.


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.


• Knowledge in CI&W and E2E processing 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 locations, the salary* range for this specific position is $23.03/hr. to $37.82/hr.


Locations: New York, California


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. Apply Now