Process Expert I

Location: Must be located within 50 miles of Norfolk, VA

This position will work from home 4 days per week and in the Norfolk, VA office one day per week

Schedule: Monday-Friday 8am-5pm

The Process Expert I assists in identifying and researching workflow problems and system irregularities.

How you will make an impact:

• Monitors reports/has oversight of Intake Site.

• Reviews adjustment requests submitted to Intake site for accuracy and clarifies requests with the submitter as appropriate.

• Receives guidance and mentoring from more experienced process experts.

• Researches operations workflow problems and system irregularities; assists with the development and testing of process improvement solutions for new systems, new accounts and other operational improvements; assists with the development and leading of project plans and communicating project status.

Minimum Requirements:

• Requires a BA/BS and minimum of 3 years related experience (business analysis, process improvement, project coordination), experience in high-volume managed care operations (claims, customer service, enrollment and billing); or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Project administration/management experience preferred.

• Bachelor's degree preferred.

• Grievance/Appeals experience preferred.

• Proficiency in Microsoft Office Suite 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 preferred.