Operations Expert - Remote

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

Job Description


SHIFT: Day Job

SCHEDULE: Full-time

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.


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.


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.

+ For URAC accredited areas the following applies: Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Preferred qualifications:

Previous leadership experience preferred.

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: PS56636
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Job Posting: JC194823840

Posted On: Oct 14, 2021

Updated On: Oct 24, 2021