Operations Expert (US)

Anticipated End Date:

2026-01-12

Position Title:

Operations Expert (US)

Job Description:

Job Description

Operations Expert

Location: Hybrid 1: (2 days in the San Juan office): This role requires associates to be in-office (654 Munoz Rivera, San Juan 00901), two days (Monday and Tuesday) per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

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 an accommodation is granted as required by law 

Hours: Monday - Friday, 8 am - 5 pm AST, however, must be flexible to accommodate the needs of the business.  

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.

How will you make an impact: 

• 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.

• Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers.

• Additional expectations to include but not limited to: Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills, both with virtual and in-person interactions; attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts.  

• Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary.  

• Performs other duties as assigned.  

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.

Preferred Skills, Capabilities and Qualifications: 

• Previous leadership experience preferred.

• The ideal candidate demonstrates excellent interpersonal skills, a positive attitude, and the ability to perform well under pressure while maintaining attention to detail.

• For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Job Level:

Non-Management Non-Exempt

Workshift:

Job Family:

CUS > Service Operations

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors