Director leading Digital Claims Operations at Elevance Health, overseeing operational functions within Claims and driving digitization initiatives for efficiency.
Responsibilities
Lead key operational functions within Claims
Oversee teams requiring more complex processes or support
Ensure timely issue resolution and stability across Claims platforms and processes
Drive process optimization efforts across Claims operations to improve cycle time
Manage digitization initiatives to support operational business processes
Obtain and manage resources to get things accomplished within units of responsibility
Ensure teams meet production levels and quality, guiding corrective actions as needed
Build strong partnerships with various internal teams
Requirements
Requires a BA/BS degree in Information Technology, Computer Science or related field
Minimum of 7 years of experience leading technology teams and/or cross functional project teams
5 years management and/or leadership experience
Proven experience leading Claims Operations teams and strategy within a large healthcare payor environment strongly preferred
Proven track record leading Digital Transformation in a Claims operational setting strongly preferred
Digital literacy strongly preferred
Health insurance industry experience strongly preferred
Government Operations Consultant II managing contracts in Chronic Disease Prevention for Florida Department of Health. Ensuring compliance and providing administrative oversight in contract actions.
Administrative Hearing Officer conducting hearings for the Department of Children & Families, ensuring legal requirements fulfillment and decision creation based on case facts.
Agricultural Technician II with Florida Department of Agriculture performing pest management and survey duties. Engaging in field diagnostics and regulatory activities for plant protection.
Park Ranger supporting operations and visitor services at The Ridge Environmental Education and Event Center. Responsibilities include maintenance, guest assistance, and protection of park resources.
Biological Scientist I assisting Division of Plant Industry with specimen collections and conservation. Involves sorting, processing, and digitizing samples for research use.
Team Leader supervising call center associates at Concentrix. Ensuring performance metrics are met through coaching and accountability in a customer service environment.
Director of Variable Compensation Operations at Workday leading teams in designing and implementing compensation plans. Overseeing commission calculations and managing operational efficiency with cross - functional collaboration.
Agronomy Operations Intern at CHS learning general agronomy skills and providing customer assistance. Collaborating with customers for excellent service and maintaining inventory quality in Onida, SD.
Agronomy Operations Intern supporting agronomy services at CHS in Freeman, SD. Collaborating with customers and performing agronomy operations with safety and service excellence.