Process Expert Sr.

2 weeks ago


Norfolk, United States Elevance Health Full time

LOCATION: This is a hybrid role and can be based from either Norfolk or Richmond. You must be within 50 miles/1-hour commute from either location. HOURS: General business hours, Monday through Friday. The Process Expert Sr. supports multiple operations departments by participating in project and process work. Primary duties may include, but are not limited to: Researches 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.

Provides process direction and decision making for all minor and major project work; provides guidance to process experts.

May perform duties as a lead when involved with enterprise wide initiatives/projects.

Required Qualifications A minimum of 8 years experience in business analysis, process improvement, or project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing).

Requires a BA/BS, or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements strongly preferred.

Experience with a provider data management system strongly preferred.

Experience with provider enrollment communication, credentialing, and contracting preferred.

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