Elevance Health · 8 hours ago
Process Expert Senior - Growth/COB Discovery
TN-NASHVILLE, 22 CENTURY BLVD, STE 310
Full-time
Hybrid
Senior Level, Lead/Staff
8+ years expElevance Health is a health company dedicated to improving lives and communities by making healthcare simpler. The Process Expert Senior - Growth/COB Discovery supports multiple operations departments by participating in project and process work, focusing on researching workflow problems and developing process improvement solutions.
Health CareHealth InsurancePersonal HealthWellness
Responsibilities
Researches operations workflow problems and system irregularities
Develops, tests, presents process improvement solutions for new systems, new accounts and other operational improvements
Develops and leads project plans and communicates project status
Provides process direction and decision making for all minor and major project work
Provides guidance to process experts
May perform duties as a lead when involved with enterprise wide initiatives/projects
Qualification
Required
Requires a BA/BS and minimum of 8 years experience in business analysis, process improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing); or any combination of education and experience, which would provide an equivalent background
Preferred
8-10 years of extensive experience in COB auditing with complex concepts, covering both CB and GB
Expertise in COB, including thorough understanding of NAIC guidelines and Medicare Secondary Payer Rules across all business sectors
Advanced skills in developing, exploring, and executing SQL queries on intricate COB concepts, utilizing deep experience with data insights and auditing methods
Proficient in conducting detailed investigative research and performing necessary outreach (e.g., OHI, CMS, employers, ESRs) to ensure accurate validation of primacy and LL updates
Ability to generate and implement innovative ideas, approaches, and processes to enhance savings opportunities and operational efficiencies
Strong analytical and problem-solving expertise
Excellent communication skills, both verbal and written
Capable of re-auditing to identify opportunities for training and providing constructive feedback
Experienced in training, coaching, and mentoring others
Skilled in identifying refinements to existing concepts or newly devised logic opportunities
Supportive of UAT testing and proficient in data validation and reporting analysis
Capable of handling ad-hoc enterprise reporting requests concerning COB
Benefits
Merit increases
Paid holidays
Paid Time Off
Incentive bonus programs
Medical
Dental
Vision
Short and long term disability benefits
401(k) +match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources
Company
Elevance Health
Elevance Health is an integrated whole-health approach to help people in health journey and address their full range of needs.
10001+ employees
H1B Sponsorship
Elevance Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (488)
2024 (604)
2023 (660)
2022 (222)
Funding
Current Stage
Public CompanyTotal Funding
unknown2001-10-30IPO
Leadership Team
Gail K. Boudreaux
President and CEO
Geeta Wilson
Chief Technology Officer (CTO): Digital Health and Service Experience Platforms
Recent News
2026-01-25
Company data provided by crunchbase