Provider Operations Manager- AmeriBen

Location : This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Columbus, GA Elevance Health PulsePoint location.

AmeriBen is a proud member of the Elevance Health family of companies. We are a third-party administrator (TPA) of medical benefits, also providing medical management, human resource consulting and retirement benefits administration services.

The Provider Operations Manager is responsible for developing, executing and delivering operational readiness plans for provider experience strategic initiatives.

How you will make an impact:

• 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.

Minimum Requirements:

Requires a BA/BS degree in Business or related field and 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); or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Prior experience in Provider Contract management highly preferred.

• Prior experience in healthcare insurance highly preferred.

• Previous experience in healthcare insurance implementation highly preferred.

• Experience in system/software implementation for the purpose of automation preferred.

• Ability to build strong relationships preferred.

• Effective oral and written communication skills as well as the ability to communicate at all levels of an organization is strongly preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $84,252 to $ 144,432

Locations: California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.