Process Expert II

Elevance Health•San Juan, PR
•Hybrid

About The Position

The Process Expert II is responsible for supporting a single operations department by participating in project and process work. Axium Healthcare Puerto Rico, a Carelon company, is a clinical pharmacy that offers highly individualized and comprehensive total life care programs to patients and their families. Serving Puerto Rico since 2007, the organization blends a high-touch, caring patient experience with specialized clinical knowledge, personalized care programs, and administrative expertise.

Requirements

  • Requires a BA/BS and minimum of 5 years experience in business analysis, process improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing); or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

  • Fully Bilingual (English & Spanish), Must be able to write, read and speak both languages in a proficiency level.
  • Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements strongly preferred.
  • Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Responsibilities

  • Researches operations workflow problems and system irregularities.
  • Develops tests, presents process improvement solutions for new systems, new accounts and other operational improvements.
  • Develops and leads project plans and communicates project status.

Benefits

  • 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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