Provider Operations Manager

$92,276 - $115,345/Yr

Elevance Health - Indianapolis, IN

posted 13 days ago

Full-time - Mid Level
Indianapolis, IN
Insurance Carriers and Related Activities

About the position

The Provider Operations Manager is responsible for developing, executing and delivering operational readiness plans for provider experience strategic initiatives. Primary duties may include, but are not limited to: Leads the standardization of operational readiness plans for provider experience initiatives and mentors team members. Coordinates the development and delivery of required training to support the needs of the project team and operational/production users. Facilitates development and delivery of job aids for production operational users. Monitors overall impact to Provider Experience Key Performance Indicators to identify and facilitate changes. Manages pre and post implementation claims audits to identify and facilitate changes to provider experience processes. Provides subject matter expertise support for projects and Small Systems Change Requests delivery. Leads and defines standards for provider experience business applications. Identifies, leads and/or participates in targeted continuous improvement activities.

Responsibilities

  • Leads the standardization of operational readiness plans for provider experience initiatives and mentors team members.
  • Coordinates the development and delivery of required training to support the needs of the project team and operational/production users.
  • Facilitates development and delivery of job aids for production operational users.
  • Monitors overall impact to Provider Experience Key Performance Indicators to identify and facilitate changes.
  • Manages pre and post implementation claims audits to identify and facilitate changes to provider experience processes.
  • Provides subject matter expertise support for projects and Small Systems Change Requests delivery.
  • Leads and defines standards for provider experience business applications.
  • Identifies, leads and/or participates in targeted continuous improvement activities.

Requirements

  • A BA/BS degree in Business or related field.
  • A minimum of 5 years within a healthcare organization supporting operations, provider or claims including experience with delivery of business systems and/or process improvement.
  • Minimum of 5 years of provider experience business disciplines within provider experience (provider call center, pricing, provider demographics).
  • Any combination of education and experience, which would provide an equivalent background.

Benefits

  • Comprehensive benefits package.
  • Incentive and recognition programs.
  • Equity stock purchase.
  • 401k contribution.
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