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Elevance Health Operations Expert - Bilingual (US) in San Juan, Puerto Rico

Operations Expert

Location: Hybrid 654 Avenue Munoz Rivera, San Juan, PR

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. For URAC accredited areas, the following preferred 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.
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