Operations Expert Lead

hace 2 semanas


San Juan, San Juan, Puerto Rico Elevance Health A tiempo completo

Job Summary
Elevance Health is seeking an experienced Operations Expert to provide technical direction, guidance, and resources to claims, customer service, and membership associates on a day-to-day basis.

Key Responsibilities
• 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
• 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
• Minimum Requirements: HS diploma or equivalent and a 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
Bilingual (English & Spanish). Must be able to write, read, and speak both languages in an intermediate level.
Previous leadership experience preferred.
Expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
Computer literate in Microsoft Windows applications, software, and internet.
Strong knowledge in Excel

About Elevance Health
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.



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