Elevance Health · 10 hours ago
Process Expert II - Concept Growth/COB Discovery
Louisville, KY
Full-time
Hybrid
Senior Level
5+ years expElevance Health is a health company dedicated to improving lives and communities. The Process Expert II - Concept Growth/COB Discovery supports a single operations department by participating in project and process work.
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
Qualification
Required
Requires a BA/BS and minimum of 5 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
5-7 years of comprehensive experience in COB auditing, covering both CB and GB concepts
Expert in COB guidelines, including NAIC regulations and Medicare Secondary Payer Rules, applicable across all business lines
Proficient in developing, exploring, and executing SQL queries on complex COB concepts, utilizing extensive experience with data insights and auditing techniques
Skilled in conducting thorough investigation research and engaging in necessary outreach (e.g., OHI, CMS, employers, ESRs) to ensure accurate validation of primacy and eligibility updates
Adept at researching and analyzing data gaps and system inconsistencies to enhance efficiency and capture savings opportunities through prevention and recoveries
Capable of identifying innovative ideas, approaches, and processes to optimize savings and operational efficiency
Consistently uphold high standards of quality assurance
Strong analytical and problem-solving abilities
Support user acceptance testing and contribute to data validation and reporting analysis
Proficient in data validation and reporting analysis
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