FEP Performance Specialist (US) at Elevance Health

Roanoke, Virginia, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

BA/BS degree and a minimum of 3 years of FEP experience; or any combination of education and experience which would provide an equivalent background
Reside within a reasonable commuting distance from an office (in-office 1-2 days per week; alternate locations considered if within commuting distance)
If assigned to Government Business Division, subject to additional requirements for 'sensitive position' designation (e.g., more stringent requirements)

Responsibilities

Research, review, extrapolate, revise, and validate training materials and documentation to ensure accuracy and completeness according to FEP policies, procedures, and call center technologies
Train associates on upskilling for customer service and claims, including professional medical service facility correspondence, usage of healthcare provider portals, and adjustments
Serve as an advisor for continuous education needs by conducting side-by-side training to enhance associate performance and increase member satisfaction
Assist Training Quality and Content team with analyzing, assessing needs, and identifying root causes
Supply information for development and maintenance of training materials and documentation
Keep knowledge and expertise current by reviewing FEP policies, procedures, publications, program materials, etc
Research newly deployed/pending FEP regulations (e.g., Change Requests, mandates, OPM memorandums) and provide impact summaries to stakeholders
Design new and enhanced training programs and documentation based on needs
Assess training outcomes and determine if further training or documentation is needed
Support delivery and/or deliver train-the-trainer sessions for upskilling courses and project initiatives (e.g., system implementations and enhancements)
Make recommendations to management on training and content improvements or enhancements
Participate in meetings with primary contractor and FEP Director’s Office as needed
Manage day-to-day interactions and relationships; act as a liaison with primary contractor associates
Assist with process re-engineering and project work as needed
Travel to worksite and other locations as necessary

Skills

FEP

Customer Care

Training

Call Center

Claims Processing

Healthcare Provider Portals

Medical Correspondence

Upskilling

Side-by-Side Training

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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