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Operations Expert

Location: St. Louis, MO
JobFamily: Customer Service
Req #: PS61700
Date Posted: Nov 2, 2021

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Description:

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.


This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50


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

Work Schedule:

  • Work any 8-hour shift between the hours of 7am-10pm Mon-Fri and 9am-6pm on Saturday and Sunday’s
  • Weekend and Closing shifts are scheduled on a rotating 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
  • Take escalated calls as needed
  • 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

Qualifications

Minimum Requirements:

  • Requires HS diploma or equivalent
  • 5 years related experience and 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 Requirements:

Previous leadership experience preferred

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

 

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 careers.antheminc.com.

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.

Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem.