Gurugram, Haryana, India · On-site
Position Title: US Healthcare - People Management - Lead EBA - BO - BF - 13783-44874 - JR194163 Job Family: MBR > Membership & Enrollment Rep Shift: Job Description: Job Title Lead EBA Requirement Type Full-Time Employee…
Skills: US Healthcare Knowledge, People Management, Benefit Configuration, Claims Testing, Capacity Planning
Cincinnati, Ohio, United States · Hybrid
Anticipated End Date: 2026-06-29 Position Title: Compliance Director - Medicaid Job Description: Compliance Director - Medicaid Locations: This role requires associates to be in-office(Ohio based) 2-3 days per week, fost…
Skills: Compliance Monitoring, Regulatory Audits, Risk Assessment, Corrective Action Planning, Medicaid Managed Care
Indianapolis, Indiana, United States · Hybrid
$72k–$131k/yr
Anticipated End Date: 2026-07-31 Position Title: Nurse Case Mgr II Job Description: Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum f…
Skills: Care Management, Clinical Assessment, Discharge Planning, Care Coordination, Utilization Management
Phoenix, Arizona, United States · Hybrid
Anticipated End Date: 2026-08-10 Position Title: Grievance and Appeals Analyst I Job Description: Grievance/Appeals Analyst I Shift: M-F (Must be willing to work weekends and holidays) Location: Virtual: This role enable…
Skills: Business Writing, Analytical Skills, Problem-Solving, Interpersonal Communication, Facilitation Skills
Los Angeles, California, United States · Hybrid
$96k–$166k/yr
Anticipated End Date: 2026-07-07 Position Title: Business Consultant Senior Job Description: Business Consultant Senior Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration…
Skills: Business Analysis, Project Management, Mainframe Computer Systems, SQL, Agile Methodologies
Indianapolis, Indiana, United States · Hybrid
Anticipated End Date: 2026-07-08 Position Title: Strategic Account Manager Job Description: Strategic Account Manager Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration a…
Skills: Account Management, Sales Process Execution, Relationship Building, Consultative Selling, Strategic Business Planning
Metairie, Louisiana, United States · Hybrid
Anticipated End Date: 2026-07-24 Position Title: Behavioral Health Medical Director – Psychiatrist - Louisiana Market Job Description: Behavioral Health Medical Director – Psychiatrist - Louisiana Market Location: This r…
Skills: Utilization Management, Medical Necessity Review, Peer-to-Peer Clinical Reviews, Clinical Operations, Medical Policy Interpretation
Taguig, Metro Manila, Philippines · On-site
Position Title: Clinical Quality Evaluator- Core (PHL) Shift: Job Description: Responsible for evaluating the quality of services and interactions provided by organizations within the enterprise. Primary duties may inclu…
Skills: Quality Assurance, Clinical Auditing, Root Cause Analysis, Medical Terminology, Utilization Management
Bengaluru, Karnataka, India · On-site
Position Title: Graphic Design - Senior Associate - Studio Services - CO - GR - 37337-54062 - JR196432 Job Family: MKT > Creative Design Shift: Job Description: Job Title Senior Associate - Studio Services Requirement Ty…
Skills: Video Editing, Graphic Designing, Motion Graphics, 2D/3D Animation, GenAi
Columbus, Ohio, United States · Hybrid
$92k–$138k/yr
Anticipated End Date: 2026-07-07 Position Title: Strategic Sales Manager Job Description: Strategic Sales Manager Location: This role requires associates to be in-office 2 days per week, fostering collaboration and conne…
Skills: New Business Acquisition, Consultative Sales, Strategic Business Planning, Relationship Management, RFP Management
Lake Mary, Florida, United States · Hybrid
Anticipated End Date: 2026-06-30 Position Title: National Account Advisor Job Description: Strategic Sales Advisor Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and …
Skills: Account Management, Strategic Sales, Benefit Plan Design, Client Relationship Management, Upselling
Nashville, Tennessee, United States · On-site
Anticipated End Date: 2026-07-11 Position Title: Registered Nurse (PRN) – Paragon Infusion Centers Job Description: Registered Nurse (PRN) – Paragon Infusion Centers Location: 601 Grassmere Park Drive, Suite 19. Nashvill…
Skills: IV Administration, Port Access, PICC Line Management, Peripheral Line Management, Medication Mixing
Indianapolis, Indiana, United States · Hybrid
Anticipated End Date: 2026-07-03 Position Title: Nurse Case Manager Lead Job Description: Telephonic Nurse Case Manager Lead Sign on Bonus: $3000. Location: This role enables associates to work virtually full-time, with …
Skills: Care Management, Case Management, Clinical Assessment, Discharge Planning, Utilization Management
Dothan, Alabama, United States · On-site
Anticipated End Date: 2026-06-30 Position Title: Pharmacy Technician Job Description: Pharmacy Technician II Location: AL-Dothan, 2511 Ross Clark Cir. Shift: Mon-Fri 8:00 am to 5:00 pm CT Onsite: This role requires assoc…
Skills: Prescription Data Entry, Prior Authorization Processing, Pharmacy Adjudication, Member Education, Grievance Resolution
Gurugram, Haryana, India · On-site
Position Title: Delivery Strategy & Transformation - Associate Director BPM - BO - BF - 38361-61019-3 - JR192127 Job Family: CLM > Leadership Shift: Job Description: Job Title Associate Director BPM Requirement Type Full…
Skills: Analytical Thinking, Tech Fluency, Leadership, Communication, Change Agility
Montgomery, Alabama, United States · On-site
Anticipated End Date: 2026-07-11 Position Title: Registered Nurse (PRN) – Paragon Infusion Centers Job Description: Registered Nurse (PRN) – Paragon Infusion Centers Location: 3255 Malcolm Dr, Montgomery, AL, 36116 Shift…
Skills: IV Administration, Port Access, PICC Line Management, Peripheral Line Management, Medication Mixing
Greensboro, North Carolina, United States · Hybrid
Anticipated End Date: 2026-07-31 Position Title: Field Adv Practice Provider Job Description: Location: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated …
Skills: Palliative Care, Clinical Care Planning, Patient Education, Physical Examination, Medication Prescription
Atlanta, Georgia, United States · Hybrid
Anticipated End Date: 2026-06-30 Position Title: Provider Contract/Cost of Care Consultant Job Description: Provider Contract/Cost of Care Consultant Location: This role requires associates to be in-office 1-2 days per w…
Skills: Statistical Analysis, Healthcare Modeling, SQL, SAS, Teradata
Woburn, Massachusetts, United States · Hybrid
$86k–$129k/yr
Anticipated End Date: 2026-06-29 Position Title: Project Manager Job Description: Project Manager Location: This role requires associates to be in-office 1-2 days, per week, fostering collaboration and connectivity, whil…
Skills: Project Management, Project Charter Development, Communication Management, Work Plan Structuring, Project Scheduling
Costa Mesa, California, United States · Hybrid
$37/hr–$58/hr
Anticipated End Date: 2026-07-02 Position Title: Nurse Case Manager I Job Description: Nurse Case Manager I Location: This role enables associates to work virtually full-time, with the exception of required in-person tra…
Skills: Care Management, Clinical Assessment, Care Planning, Discharge Planning, Case Management
Gurugram, Haryana, India • On-site
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The Lead EBA is responsible for managing day-to-day operations, meeting internal metrics, and handling capacity planning and forecasting. They also act as a liaison with business partners and manage team performance through appraisals and engagement activities.
Requires 8 to 12 years of experience in US Healthcare, with a preference for expertise in benefit configuration and claims testing. A bachelor's or master's degree and strong people management skills are required.
Lead EBA
Full-Time Employee
Gurugram
Lead EBA(IND)
Senior Manager
US Healthcare Knowledge
CBS/EBA Configuration
Generic
Elevance Health is a leading health company in America dedicated to improving lives and communities and making healthcare simpler. It is the largest managed health care company in the Blue Cross Blue Shield (BCBS) Association serving more than 45 million lives across 14 states.
A regular in Fortune 500 list, Elevance Health ranked 20 in 2022. Gail Boudreaux, President and CEO of Elevance Health has been a consistent name in the Fortune list of most powerful women and currently holds 4th rank on this list.
Carelon Global Solutions (CGS) is a healthcare solutions company that is simplifying complex operational processes to improve the health of the healthcare system.
Previously known as Legato Health Technologies, Carelon Global Solutions (hereinafter, CGS) underwent a name change and joined the Carelon family of brands in January 2023, as a fully owned subsidiary of Elevance Health (Previously Anthem Inc.). CGS brings together a global team of like-minded innovators who manage and optimize operational processes for health plans as well as providers.
Our brightest minds housed across our global headquarters in Indianapolis as well as Bengaluru, Hyderabad and Gurugram in India, Manila in the Philippines, Limerick in Ireland and San Juan in Puerto Rico bring with them innovative capabilities and an unmatched depth of experience. This global team uniquely positions CGS to enable scalable, next-generation platforms and specialized digital tools that make healthcare operations more practical, effective and efficient.
Our Mission: Improving Lives and Communities. Simplifying Healthcare. Expecting More.
Our Values: Leadership | Community | Integrity | Agility | Diversity
Carelon Global Solutions India is seeking Lead EBA who have good US healthcare knowledge & People management skills. Preferably experience in Claims Testing and Benefit configuration is an added advantage.
Lead EBA will be responsible for the following:
Minimum 8-12 years' Experience in US Health Care .Preferably experience in Benefit configuration is an added advantage.
Managing the day-to-day operations
Responsible for meeting daily, weekly, monthly internal metrics (AHT, Utilization, Internal & External Quality, TAT, Productivity)
Forecasting & Capacity planning
Assess capacity shortages and requirement for overtime.
Ensures individuals and the team meet their performance objectives.
Act as a liaison with the various internal & external business partners for any process updates, additional scope, training
Responsible for ensuring SOPs and Training Materials are up to date.
Review capacity requirements on an ongoing basis and initiate hiring, redeployment requests as required.
Additional focus required for Open Enrollment capacity planning.
Operational management including driving KRA's and feedback.
Conduct timely performance appraisal for associates
Excellent knowledge on Excel & PowerPoint.
Assists in Function level reporting
Inter-team collaboration with other leaders providing assistance and seeking support wherever required
Active participation on Process improvements & Project Management.
Willing to work in US shifts & flexible for all shifts
Timely management of bottom quartiles performers
Partner connects
People management
Employee Retention/Employee engagement
Experience in JIRA EWM applications
Team player in organizational activities
Quality Management – Experience in Quality metrics/Tools, RCA & CAPA
Bachelors’ or Masters’ degree
8 to 12 years of experience in US healthcare process
Strong US Healthcare expertise
Experience in Claims Testing and Benefit Configuration
People Management & Stakeholder/Partner Management
Day-to-day operational management & Delivering results
Good vocal and written communication skills
Good PowerPoint and presentation skills
Excellent reporting and excel skills
Capacity planning & Forecasting
Conflict Management
Decision-making
Process improvements & Project Management
Relationship Building
Planning and Organizing
Adaptability/Change Management
Efficient Problem-Solving Skills
Aligning with our brand belief of ‘limitless minds are our biggest asset’, we offer a world of limitless opportunities to our associates.
It is our strong belief that one is committed to a role when it is not just what the role entails, but also what lies in its periphery that completes the value circle for an associate.
This world of limitless opportunities thrives in an environment that fosters growth and well-being, and gives you purpose and the feeling of belonging.
Extensive focus on learning and development
An inspiring culture built on innovation, creativity, and freedom.
Holistic well-being
Comprehensive range of rewards and recognitions
Competitive health and medical insurance coverage
Best-in-class amenities and workspaces
Policies designed with associates at the center
Carelon is committed to a diverse and inclusive workplace and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.
Our inclusive culture empowers Carelon to deliver the best results for our customers. We not only celebrate the diversity of our workforce, but we also celebrate the diverse ways we work.
If you have a disability and need accommodation such as an interpreter or a different interview format, please ask for the Reasonable Accommodation Request Form.
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.
Offices: 220 Virginia Ave, Indianapolis, Indiana 46204, US
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.
Offices: 220 Virginia Ave, Indianapolis, Indiana 46204, US
