Operations Expert (US)
Core
Provides technical direction, guidance, and resources to operations, claims, customer service, and membership associates on a day-to-day basis.
Role type
Operations Expert (Service Operations)
Builds
Operational workflows and service delivery for healthcare members
Domain
Healthcare / Insurance Operations
Deliverable
client delivery
Required skills
Automated processing systems expertise, case research and resolution, inventory monitoring, policy and procedure review, multi-tasking in high-pressure environments, digital tools proficiency
Preferred skills
Leadership experience, facilitation skills, analytical skills
Responsibilities
Serves as a first line resource for workflow and technical processes; provides operational training; handles complex case research and resolution; reviews and maintains service level and quality records; works with training department to ensure procedures are accurate
Seniority
Individual Contributor, Non-Management