Overview

Operations Expert Lead – First Shift Jobs in Mason, OH at Elevance Health

Anticipated End Date:

2024-01-26

Position Title:

Operations Expert Lead – First Shift

Job Description:

Operations Expert Lead – First Shift

The ideal candidate will reside WITHIN 50 miles of the Mason, Ohio office. The associate will work fully virtual and come onsite for trainings, meetings, or as otherwise required by the manager.

Schedule: 1st Shift, 7:00am-3:30pm EST; Tuesday-Saturday

CarelonRx Pharmacy is now part of CarelonRx (formerly IngenioRx), a proud member of the Elevance Health family of companies.  The CarelonRx Home Delivery Pharmacy will deliver a digital first pharmacy experience that is convenient, simpler to use, and more affordable for our patients and payors.  Our Pharmacy model focuses on whole person care, providing the best member experience to drive adherence, affordability, and improved overall health outcomes by putting the patient first.

The Operations Expert Lead 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 Capabilities, Skills, and Experiences:

Experience in high volume mail order or specialty pharmacy 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.

Job Level:

Non-Management Non-Exempt

Workshift:

1st Shift (United States of America)

Job Family:

CUS > Service Operations

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

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 cons…

Title: Operations Expert Lead – First Shift

Company: Elevance Health

Location: Mason, OH

Category:

 

Upload your CV/resume or any other relevant file. Max. file size: 800 MB.