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Operations Expert - Paragon Home Infusion

The Elevance Health Companies, Inc.

Location TX-PLANO, 3033 W PRESIDENT GEORGE BUSH HWY, STE 100 Hybrid Work Arrangement Role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Responsibilities Acts as a first level SME, providing technical direction, guidance and resources to operations, claims, customer service, or membership associates on a day‑to‑day basis. 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. Takes the ability to multi‑task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers. Handles multiple tasks in a fast‑paced, high‑pressure environment with strong verbal and written communication skills. Demonstrates empathy and persistence to resolve caller issues completely. Comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts. Performs other duties as assigned. Qualifications High school diploma or equivalent and a minimum of 5 years related experience which includes a minimum of 3 years of directly related experience and expertise with company relevant automated processing systems. Preferred: Previous leadership experience. 5+ years' experience with healthcare benefit referrals, authorizations, appeals, and cost estimates. Healthcare Commercial and Government experience. NextGen experience. Benefits Health, dental, vision, and short and long term disability benefits. 401(k) with match. Paid time off, paid holidays, and incentive bonus programs. Stock purchase plan, life insurance, wellness programs and financial education resources. Equal Employment Opportunity 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. EEO Statement Elevance Health is an Equal Employment Opportunity Employer and an Equal Opportunity Employer for individuals with disabilities and veterans. All qualified applicants will receive consideration for employment without regard to any protected characteristic. #J-18808-Ljbffr The Elevance Health Companies, Inc.

Vacancy posted 1 day ago
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