Anticipated End Date: 2024-11-12
Position Title: Process Expert II (US)
Job Description:
Process Expert II
Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of our Norfolk, VA, Roanoke, VA, Mason, OH or Las Vegas, NV PulsePoint locations.
A proud member of the Elevance Health family of companies, CarelonRx leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.
The Process Expert II supports a single operations department by participating in project and process work.
How you will make an impact:
- Research operations workflow problems and system irregularities; develops tests, presents process improvement solutions for new systems, new accounts and other operational improvements; develops and leads project plans and communicates project status.
- Assists in developing and configuring non-clinical components in the prior authorization workflow tool.
- Participates in quality assurance of non-clinical configuration components within the prior authorization workflow tool.
- Assists in implementing programs within the prior authorization space.
Minimum Requirements:
- Requires a BA/BS and minimum of 5 years' experience in business analysis, process improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing); or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
- Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements strongly preferred.
- Proficiency in Microsoft Word/Excel strongly preferred.
- Experience coordinating efforts in a team environment with stakeholders strongly preferred.
- Attention to detail.
Job Level: Non-Management Exempt
Workshift:
Job Family: BSP > Process Improvement
Who We Are:
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.
How We Work:
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
