Regional Claims Manager jobs in Portsmouth, VA

Description

Manager Rating/Claims Analysts

Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations listed here: Norfolk, VA; Atlanta, GA; Cincinnati, OH; Richmond, VA.

The Manager Rating/Claims Analysts will be responsible for managing the day to day workload/workflow for team members. Ensures that needs of all business partners are considered and appropriately met.

How you will make an impact:

• Sets direction for the team and associated systems.

• Acts as a liaison to other teams in regards to systems work and provides subject matter expertise.

• Works with business partners to address obstacles and communicates both feasibility and status of various requests.

• Educates business partners as to the process and functionality of the associated systems.

• May participate in systems analyst work.

• Hires, trains, coaches, counsels and evaluates performance of direct reports.

Minimum Requirements:

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 8 years systems analyst or business analyst experience; or any combination of education and experience, which would provide an equivalent background.

Highly Preferred Skills, Capabilities, and Experiences:

• Medicaid/Medicare experience preferred.

Preferred Skills, Capabilities, and Experiences:

• Agile and JIRA experience strongly preferred.

• People Management experience preferred.

• Claims operations experience preferred.

• Facets claims system experience preferred.

  
  

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.comfor assistance.