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Overview

Company
Elevance Health
Location
all cities, TN 43
Employment type
On-site
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Back to Jobs
Elevance HealthVerified Employer

Business Services & Consulting • all cities, TN 43

GBD Ops Analyst (43)

all cities, TN 43On-sitePosted 8 hours ago
Business Services & Consulting

About the Role

GBD Ops Analyst

Anticipated End Date: 2026-07-27

Shift: Monday-Friday. This position may require weekends and/or holidays.

Location: Virtual. This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.

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 accommodation is granted as required by law.

The GBD Operations Analyst will be responsible for researching, analyzing, documenting, and coordinating the resolution of escalated and/or complex claims issues for the Health Plan and requires expert knowledge of all systems, tools, and processes.

How you will make an impact:

  • Receiving and responding to state or federal regulatory complaints related to claims
  • Managing health plan dispute escalations
  • Quality review of various dispute outcomes
  • Managing complex system issues
  • Managing state updates

Minimum Requirements:

Requires a BA/BS degree and a minimum of 5 years of claims research and/or issue resolution or analysis of reimbursement methodologies within the health care industry; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

  • GBD FACETS
  • Claims research and processing
  • Claims resolution

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $26.08/hr to $32.60/hr.

Location(s): Virginia

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting.This range may be modified in the future and actual compensation will vary depending on the above factors as well as market/business considerations.No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans.

The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion, consistent with the law.

Job Level: Non-Management Non-Exempt

Workshift: CLM > Claims Reps

GBD Ops Analyst

Anticipated End Date: 2026-07-27

Shift: Monday-Friday. This position may require weekends and/or holidays.

Location: Virtual. This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.

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 accommodation is granted as required by law.

The GBD Operations Analyst will be responsible for researching, analyzing, documenting, and coordinating the resolution of escalated and/or complex claims issues for the Health Plan and requires expert knowledge of all systems, tools, and processes.

How you will make an impact:

  • Receiving and responding to state or federal regulatory complaints related to claims
  • Managing health plan dispute escalations
  • Quality review of various dispute outcomes
  • Managing complex system issues
  • Managing state updates

Minimum Requirements:

Requires a BA/BS degree and a minimum of 5 years of claims research and/or issue resolution or analysis of reimbursement methodologies within the health care industry; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

  • GBD FACETS
  • Claims research and processing
  • Claims resolution

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $26.08/hr to $32.60/hr.

Location(s): Virginia

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting.This range may be modified in the future and actual compensation will vary depending on the above factors as well as market/business considerations.No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans.

The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion, consistent with the law.

Job Level: Non-Management Non-Exempt

Workshift: CLM > Claims Reps

What You'll Do

Receiving and responding to state or federal regulatory complaints related to claims
Managing health plan dispute escalations
Quality review of various dispute outcomes
Managing complex system issues
Managing state updates
GBD FACETS

Skills & Technologies

Business Services & Consulting

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