Process Expert II
Location: San Juan, Puerto Rico.
Hybrid 2: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. This position will be based on: 1001 San Roberto St, Ste 101, 401 & 501, San Juan, PR.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Schedule: This position will work 8-hour shifts Monday through Friday and must be available to work within the operational hours of 8:00 a.m. to 6:00 p.m. (AST). Additional hours, including weekends or holidays, may be required based on operational needs.
Axium Healthcare Puerto Rico, a Carelon company, is a clinical pharmacy that offers highly individualized and comprehensive total life care programs to patients and their families. Serving Puerto Rico since 2007, the organization blends a high-touch, caring patient experience with specialized clinical knowledge, personalized care programs, and administrative expertise.
The Process Expert II is responsible for supporting a single operations department by participating in project and process work.
How you will make an impact:
Primary duties may include, but are not limited to:
- 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.
Minimum Requirements:
- 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 Skills, Capabilities, and Experiences:
- Fully Bilingual (English & Spanish), Must be able to write, read and speak both languages in a proficiency level.
- Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements strongly 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.
Job Level: Non-Management Exempt
Workshift:
Job Family: BSP > Process Improvement