Operations Expert Lead - Grand Prairie, United States - Elevance Health

    Elevance Health
    Elevance Health Grand Prairie, United States

    1 month ago

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    Description

    Operations Expert Lead – First Shift
    _The ideal candidate will reside WITHIN 50 miles of the Grand Prairie, TX office. The associate will work fully virtual and come onsite for trainings, meetings, or as otherwise required by the manager._

    Schedule:
    1st Shift, 8:00am-4:30pm CST; Tuesday - Saturday.
    CarelonRx Pharmacy is now part of CarelonRx (formerly IngenioRx), a proud member of the Elevance Health family of companies.

    The CarelonRx Home Delivery Pharmacy will deliver a digital first pharmacy experience that is convenient, simpler to use, and more affordable for our patients and payors.

    Our Pharmacy model focuses on whole person care, providing the best member experience to drive adherence, affordability, and improved overall health outcomes by putting the patient first.

    The
    Operations Expert Lead is responsible for providing technical direction, guidance and resources to claims, customer service, or membership associates on a day-to-day basis.


    How you will make an impact:

    • Serves as a first line resource for operation associates for workflow and technical related processes.
    • Provides operational training; assists associates by answering day-to-day technical questions; encourages a teamwork environment.
    • Monitors inventory to ensure workflow remains uninterrupted.
    • Handles complex case research and resolution; reviews, interprets and maintains records of service level, quality, accuracy, and productivity.
    • Reviews department policy and procedure manuals for accuracy; works with training department to ensure procedures and policies are accurate and complete.

    Minimum Requirements:

    • Requires HS diploma or equivalent and a minimum of 5 years related experience and a minimum of 3 years of experience and expertise with company relevant automated processing systems; or any combination of education and experience which would provide an equivalent background. ​

    Preferred Capabilities, Skills, and Experiences:

    • Experience in high volume mail order or specialty pharmacy preferred.
    • For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.