GBD Ops Analyst
Elevance Health•Columbus, VA
•Remote
About The Position
The GBD Operations Analyst will be the use of this job is limited to the Health Plan. Responsible for researching, analyzing, documenting and coordinating the resolution of escalated and/or complex claims issues for the Health Plan and requires expert knowledge of all systems, tools and processes. How you will make an impact: Receiving and responding to state or federal regulatory complaints related to claims Managing health plan dispute escalations Quality review of various dispute outcomes Managing complex system issues Managing state updates
Requirements
- Requires a BA/BS degree and a minimum of 5 years of claims research and/or issue resolution or analysis of reimbursement methodologies within the health care industry; or any combination of education and experience which would provide an equivalent background.
Nice To Haves
- GBD FACETS
- Claims research and processing
- Claims resolution
Responsibilities
- Receiving and responding to state or federal regulatory complaints related to claims
- Managing health plan dispute escalations
- Quality review of various dispute outcomes
- Managing complex system issues
- Managing state updates
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical, dental, vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
