GBD Ops Analyst

GBD Operations Analyst Shift: Monday-Friday: This position may require weekends and/or holidays. Location: Virtual – This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. The GBD Operations Analyst will be the use of this job is limited to the Health Plan. If you believe this to be the best match for your position, please consult with your Human Resources partner prior to using this job. Responsible for researching, analyzing, documenting and coordinating the resolution of escalated and/or complex claims issues for the Health Plan and requires expert knowledge of all systems, tools and processes. Responsibilities Receiving and responding to state or federal regulatory complaints related to claims Managing health plan dispute escalations Quality review of various dispute outcomes Managing complex system issues Managing state updates Qualifications Requires a BA/BS degree and a minimum of 5 years of claims research and/or issue resolution or analysis of reimbursement methodologies within the health care industry; or any combination of education and experience which would provide an equivalent background. Preferred Experience

GBD FACETS

Claims research and processing Claims resolution Salary range (Virginia): $26.08/hr to $32.60/hr. Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution. Benefits are subject to eligibility requirements. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact View email address on click.appcast.io for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration ( #J-18808-Ljbffr Elevance Health