Operations Expert- Remote

at Anthem, Inc in Little Rock, Arkansas, United States

Job Description


SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.


An Operations Expert is Responsible for providing technical direction, guidance and resources to claims, customer service, or membership associates on a day-to-day basis.

Primary duties may include, but are not limited to:

+ 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.

+ Analyze and research claims to ensure proper adjudication has been executed

This position will work virtually. Working virtually is defined as working from home daily with some periodic requests to meet at a local Anthem office for specific training, team engagement, equipment pick-up or support if associates have ongoing IT issues


+ 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 Qualifications

+ Previous leadership experience preferred. For URAC accredited areas the following applies

+ Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

+ Intermediate Excel skills, including ability to analyze and manipulate Pivot tables

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions. REQNUMBER: PS58266
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Job Posting: JC193384907

Posted On: Sep 26, 2021

Updated On: Nov 11, 2021