Provider Operations Coordinator

Elevance Health•Chicago, IL

4d•Hybrid

About The Position

Provider Operations Coordinator Location: This role requires associates to be in-office 1 day 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. Alternate locations may be considered. Please note that per our policy on hybrid 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. The Provider Operations Coordinator will be responsible for participating in the execution of operational readiness activities in support of provider operations projects, Small Systems Change Requests, process improvement initiatives and training activities. How you will make an impact: Participating in the execution of operational readiness activities in support of provider operations projects, Small Systems Change Requests, process improvement initiatives and training activities. Participates in the development and delivery of job aids for production operational users. Monitors initiative impact to Provider Operations Key Performance Indicators. Participates in pre and post implementation claims audit reviews. Provides subject matter expertise support for production issues and targeted continuous improvement activities.

Requirements

Requires an AD in Business or related field and a minimum of 5 years of experience in a healthcare organization supporting operations, provider or claims; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

Knowledge of provider networks, the medical management process, internal business processes, and expertise with internal local technology preferred.
Experience with provider payer organization or payer relations within a large provider organization preferred.

Responsibilities

Participating in the execution of operational readiness activities in support of provider operations projects, Small Systems Change Requests, process improvement initiatives and training activities.
Participates in the development and delivery of job aids for production operational users.
Monitors initiative impact to Provider Operations Key Performance Indicators.
Participates in pre and post implementation claims audit reviews.
Provides subject matter expertise support for production issues and targeted continuous improvement activities.