Allied Resources Technical Consultants job in Toledo, OH
About the Role:
We are seeking a VDC Coordinator to support industrial and manufacturing projects. This role partners with project and field teams to manage 3D models, support coordination efforts, and provide accurate layout and installation information.
Key Responsibilities:
Review and coordinate piping and/or electrical 3D models using Revit, Navisworks, and/or Revizto
Support 3D coordination and clash detection with project teams
Prepare installation and layout drawings for equipment, piping, and cable tray
Assist field layout teams and support robotic layout workflows
Utilize 3D scanning for verification and as-built documentation
Manage coordination models, shop drawings, and model-based submittals
Communicate model-based information to project and field teams
Qualifications:
Experience in VDC/BIM coordination on industrial or complex construction projects
Proficiency with Revit, Navisworks, and/or Revizto
Strong understanding of construction documents and field coordination
EEO Policy: Allied Resources complies with all Equal Employment Opportunity (EEO) affirmative action laws and regulations. Allied Resources does not discriminate on the basis of age, race, religion, color, sex, national origin, marital status, genetic information, sexual orientation, gender identity and expression, disability, veteran status or other status protected by law
$31k-46k yearly est. 4d ago
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Estimating Manager
Allied Resources Technical Consultants 4.1
Allied Resources Technical Consultants job in Toledo, OH
Allied Resources is seeking a Estimating Manager to direct and supervise the proposal development process and assisting team members with labor and material takeoffs to create accurate project budgets.The opportunity provides excellent compensation and a comprehensive benefits package including medical, dental, vision, 401k with company match, and more!
A day in the life:
Perform material and equipment takeoffs and obtain vendor pricing.
Consolidate labor and material estimates into a summary proposal.
Review all final estimate packages to ensure accuracy and completeness prior to formal quotation.
Serve as a technical resource for estimators in the group to answer questions and improve accuracy across trades.
The wish list:
3-5 years of management experience in heavy industrial construction.
EEO Policy:
Allied Resources complies with all Equal Employment Opportunity (EEO) affirmative action laws and regulations. Allied Resources does not discriminate on the basis of age, race, religion, color, sex, national origin, marital status, genetic information, sexual orientation, gender identity and expression, disability, veteran status or other status protected by law.
$62k-83k yearly est. 1d ago
Performance Quality Analyst II
Carebridge 3.8
Cincinnati, OH job
Location: This role requires associates to be in-office 1 - 2 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. 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 an accommodation is granted as required by law.
The Performance Quality Analyst II is responsible for driving service quality excellence by evaluating the quality of services and interactions provided by organizations within the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries.
How you will make an impact:
* Assists higher level auditor/lead on field work as assigned and acts as auditor in charge on small and less complex audits.
* Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment & billing transactions and the corrective action plan process.
* Demonstrates ability to audit multiple lines of business, multiple functions, and multiple systems.
* Analyzes and interprets data and makes recommendations for change based on judgment and experience, applies audit policy, and assesses risks to minimize our exposure and mitigate those risks.
* Works closely with the business to provide consultation and advice to management related to policy and procedure identified as out of date or incomplete and investigates, develops and recommends process improvements and solutions.
* Functions as a subject matter expert for discrepancy review, questions from team and business partners, and interpretation of guidelines and audit process.
* Acts as a mentor to peer auditors, providing training and managing work and projects as necessary.
Minimum Requirements:
Requires a BS/BA; a minimum of 3 years related experience in an enrollment and billing, claims and/or customer contact automated environment (preferably in healthcare or insurance sector), including a minimum of 1 year related experience in a quality audit capacity; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
* WGS Claims processing experience strongly preferred.
* Experience/knowledge with local claim processing.
* Understanding of individual member benefits and cost shares preferred.
* Understanding of small, large and national group benefits and cost shares preferred.
* Prefer contract language.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$60k-82k yearly est. Auto-Apply 60d+ ago
Director II Medical Cost Intelligence AI & Engineering
Carebridge 3.8
Columbus, OH job
Director II Medical Cost Intelligence AI & Engineering (Dir II Engineering) Location: 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.
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. Alternate locations may be considered if candidate resides within a commutable distance from an office.
The Director II Medical Cost Intelligence AI & Engineering is responsible for strategic oversight and delivery of enterprise technology solutions, inclusive of AI, analytics and agentic solutions, business units and enterprise functions focused on managing medical cost. Delivery responsibilities will include leading engineering teams and collaborating with internal technology teams to deliver scalable enterprise level solutions that will proactively manage medical costs through the use of AI & analytics focused capabilities to drive affordable healthcare across the industry. The role will also be responsible for drive innovation technology solutions that change the strategic landscape of how Elevance Health manages medical costs and proactively identifies and takes actions to ensure affordable healthcare.
How you will make an impact:
* Planning, directing, and controlling multiple teams of resources and initiatives to accomplish the objectives and requirements defined by senior technology and product management across multiple teams. This is inclusive of design, development, and testing teams delivering AI & analytics solutions.
* Provides technology thought leadership to business partners ensuring teams are delivering scalable solutions that enable enterprise level priorities and financial goals.
* Responsible for the planning and execution of technology solutions and the ability to manage to budgetary constraints.
* Interfaces with key technology solution vendors; develops strategies and facilitates performance measurement plans to optimize vendor and associate performance and outcomes.
* Develops application technology plans, forecasting for an enterprise application, enterprise-wide tool, infrastructure, or a center or domain that is equivalent in scope and complexity.
* Manages a domain or suite of applications (or the equivalent capital and/or level of responsibility).
* Oversees strategic planning, budget development, and management for a single large or multiple cost centers, contract compliance, and any necessary integration of government regulatory requirements.
* Ensures disaster recovery and business continuity plan are implemented, monitored, and updated on a recurring basis.
* Ensures delivery and supports system solutions that support the continuous operations.
* Identifies and resolves hurdles for assigned areas/groups according to established deadlines.
* Establishes and maintains collaborative relationships with key business partners.
* Partners with customers in order to understand new product enhancements or features being requested.
* Plans and executes annual projects while maintaining profit and loss (P&L) responsibility.
* Establishes and maintains collaborative relationships with key business partners.
* Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Minimum Requirements:
Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 8 years of IT management experience in the area of function being managed; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
* Health insurance industry experience, specifically at a provider or payer strongly preferred.
* AI delivery of business solutions strongly preferred.
* Experience delivering AI and technology solutions for a targeted business function strongly preferred.
* Prior people leadership experience preferred.
If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. Please Note: If this is not a straight backfill, please consult with your HR Business Partner prior to posting/using this job.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $199,936 to $327,168.
Locations: California, District of Columbia (Washington DC), Illinois, New York
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 may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be 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 unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$108k-153k yearly est. Auto-Apply 60d+ ago
Billing Representative - Collections
Bridgeview Eye Partners 4.6
Maumee, OH job
With direction from the A/R and Collections Manager, the Collections Billing Representative will collect insurance monies due to Midwest Eye Consultants in a manner that is legal, professional, timely and within the guidelines of Midwest Eye Consultants, Medicare, Medicaid and all third-party payors.
Locations: Maumee, OH
ESSENTIAL RESPONSIBILITIES:
Demonstrate and uphold the mission statement and values of Midwest Eye Consultants.
Resolve insurance billing related issues with insurance companies in regards to facility and physician billing.
Correct and re-bill insurance claims for payment per the billing guidelines of the payor.
Resolve coding and claim discrepancies with insurance companies.
Expedite payment from Medicare, Medicaid and third-party payors to reduce accounts receivable aging.
Assist with billing questions from staff at all MWEC sites, by being a resource for insurance coverage and general insurance/software related questions.
Respond to denied claims quickly and efficiently to ensure prompt payment.
Communicate common denial errors to the Accounts Receivable and Collections Manager with suggested solutions to improve.
Assist with the education of the office staff to improve collections performance.
Perform any other related duties as assigned by Supervisor.
OTHER RESPONSIBILITIES:
Demonstrate knowledge of the content and context of billing forms and documents such as insurance remittances and HCFA forms.
Maintain strong working knowledge of Medicare, Medicaid and third party coding, billing and collection policies, procedures and laws.
Demonstrate a strong working knowledge of CPT and ICD-10 codes and competency regarding procedural, diagnosis and HCPC coding.
Demonstrate knowledge of insurance companies' guidelines for claims preparation, billing and collections.
Demonstrate a strong working knowledge of Compulink EyeMD and claims clearinghouse software.
Work with ten-key calculators, computers and practice management software in a competent manner.
Protect MWEC and its assets by following all billing and compliance guidelines, rules and regulations and never knowingly committing a fraudulent act.
EDUCATION AND/OR EXPERIENCE:
A minimum of one (1) year experience in patient services and or Medicare/Medical billing.
Experience in Optometry/Ophthalmology billing preferred.
COMPETENCIES:
Communication skills
Attention to detail
Adaptability
Customer service oriented
Problem solving skills
Integrity
Confidentiality
Decision-making skills
Adaptable to change
Stress tolerance
PHYSICAL DEMANDS AND WORK ENVIRONMENT (per ADA guidelines):
Physical Activity: Talking, Hearing, Repetitive motion.
Physical Requirements: Sedentary work. Involves sitting most of the time.
The worker is required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned.
PERSONAL DEVELOPMENT:
Demonstrate and maintain technical knowledge of the job and of related procedures and policies in order to provide high quality support to the department. This may involve participation in advanced training and/or certification in field as appropriate.
$33k-39k yearly est. 26d ago
Physician Network Liaison
Bridgeview Eye Partners 4.6
Akron, OH job
The Physician Network Liaison is responsible for building positive relationships between physician practices and our medical team. The Liaison will develop and market ideas to continually engage physicians and peak their awareness of the services provided by our medical practices.
REPORTS TO: Vice President of Surgical Development
LOCATION: Akron, OH Area
ESSENTIAL RESPONSIBILITES:
Evaluate market data, competitive information, and financial data to determine effective marketing and public relations strategies to accomplish business goals
Develop and maintain an atmosphere of personalized service through individual contact with key healthcare administrators, physicians, community/business leaders and influential residents in the target market
Maintain co-managing physician database
Contact Information / Mailing Lists
Engagement history
Co-management standing orders
Provide doctor and staff education
Attend and assist with continuing education seminars
Mini fellowships
Lunch and Learns
Provide reporting and analysis on co-managed patients
Track physician concerns to trend issues for process improvement and customer relationship management
Respond quickly to issues identified by physicians
Collaborating skillfully with the appropriate operational management team
Helping with issue resolution and responding back to the physician in a timely manner
Stay current and adhere to Stark, CMS, and IRS regulations to maintain compliant practices
Maintain inventory on educational materials in stock and communicate needs to suppliers in a timely fashion. Regularly verify quantity, correctness, and condition of educational supplies in company practices
EDUCATION AND/OR EXPERIENCE:
Bachelor's degree, relevent experience may be substituted for degree requirements
Previous experience in Sales preferred
Knowledge in fields of Ophthalmology/Optometry is preferred
COMPETENCIES:
Excellent interpersonal, written, and verbal communication skills
Decisive leadership with above average judgment
Detail oriented, self-starter, with strong organizational skills
Able to effectively sustain multiple, simultaneous tasks
Ability to build and maintain good rapport with the doctors, staff and patients, and handle situations with confidence, tact and resourcefulness
Proactive, adaptable, with the ability to work under pressure to accomplish projects and meet deadlines in a fast-paced environment
PHYSICAL DEMANDS AND WORK ENVIRONMENT (per ADA guidelines):
Physical Activity: Standing, walking, talking, hearing
Physical Requirements: Light work, some lifting is required
The worker is required to have close visual acuity to perform each activity of the position
Frequent travel is required for this position, with some late night and/or overnight travel, and requires a valid driver's license
$134k-219k yearly est. 20d ago
AI Machine Learning Scientist Associate
Carebridge 3.8
Mason, OH job
Location: Atlanta, GA; Richmond, VA; Indianapolis, IN; Mason, OH; Chicago, IL (preferred). This role requires associates to be in-office 1 - 2 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. 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 an accommodation is granted as required by law.
PLEASE NOTE: This position is not eligible for current or future visa sponsorship.
The AI Machine Learning Scientist Associate is responsible for junior level Artificial Intelligence (AI) scientific and statistical methods to assist with product creation, development and improvement.
How you will make an impact:
* Develops and maintains infrastructure systems that connect internal data sets.
* Creates new data collection frameworks for structured and unstructured data.
* Assists in leading enterprise-scale AI initiatives by designing horizontal capabilities such as RAG, evaluations-as-a-service, prompt/version control, guardrails, feature, and vector stores, adopted across business units.
* Develops, analyzes, and models complex operational, clinical, and economic data, while delivering end-to-end ML systems (XGBoost / LightGBM) and LLM systems with clear SLOs.
* Assists in building scalable solutions including cloud lakehouse (Databricks / Spark, SQL), streaming (Kafka/Kinesis), and API-first approaches; oversees serving technologies (vLLM / Triton / KServe / Ray / SageMaker).
* Establishes and manages LLMOps / MLOps processes using tools like MLflow, CI/CD, and IaC, focusing on observability, drift detection, hallucination rates, and maintaining SLOs/SLAs.
* Implements data leadership strategies that include data contracts, quality SLAs, and FHIR-aware design for PHI/PII, with a focus on embedding/vectorization strategies.
* Develops Responsible AI frameworks including fairness/robustness evaluations, red-teaming, and model risk management, ensuring audit readiness (HIPAA, SOC 2, HITRUST).
* Assists other Machine Learning Scientists with development and implementation of machine learning algorithms and data modeling.
* Assists in determining cause and effect relations.
Minimum Requirements:
* Requires a Bachelor's degree in a highly quantitative field (Computer Science, Machine Learning, Operational Research, Statistics, Mathematics, etc.) or equivalent degree and 1 or more years of experience; or any combination of education and experience in configuration management, which would provide an equivalent background.
Preferred Skills, Capabilities & Experiences:
* Prefer Master's or PhD. degrees in a quantitative field (or equivalent) and 2+ years of experience in building production ML/LLM systems.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $110,440 to $165,660
Locations: Chicago, IL
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 may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be 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 unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$27k-37k yearly est. Auto-Apply 60d+ ago
Claims Representative I (Health & Dental)
Carebridge 3.8
Mason, OH job
Title: Claims Representative I (Health & Dental) Virtual: This role enables associates to work virtually full-time, with the exception of 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.
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.
The Claims Representative I responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery.
How you will make an impact:
* Learning the activities/tasks associated with his/her role.
* Works under direct supervision.
* Relies on others for instruction, guidance, and direction.
* Work is reviewed for technical accuracy and soundness.
* Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made.
* Researches and analyzes claims issues.
Minimum Requirements
* HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences
* Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$28k-36k yearly est. Auto-Apply 60d+ ago
RVP CarelonRx Account Management
Carebridge 3.8
Mason, OH job
A proud member of the Elevance Health family of companies, CarelonRx leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. This is an exceptional leadership opportunity to drive transformation and performance supporting the unique needs of CarelonRx clients that are integrated with Anthem medical. Growing, retaining and delivering unique and valuable solutions to this segment is a critical priority for CarelonRx.
RVP CarelonRx Pharmacy Account Management Commercial
Location: May be located in any Elevance Health PulsePoint office preferably in New York, NY, Atlanta, GA, Chicago, IL, Indianapolis, IN, St. Louis, MO, Mason, OH, or Richmond, VA.
This role requires associates to be in-office at least 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. Alternate locations may be considered. 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.
Summary
Provides leadership for Pharmacy Services with management oversight of Account Managers and Account Executives leading strategies for renewal business for Commercial Integrated CarelonRx clients.
Position Responsibilities
Sales and Account Management:
* Serves as primary Pharmacy Business Driver leading Account Management.
* Communicates the Company value proposition to clients and prospects and meeting revenue goals, profitability, satisfaction, and retention parameters as per the Key Performance Indicator (KPI) structure.
Client Retention and Satisfaction:
* Delivers client retention and satisfaction strategies that drive results, execution excellence.
* Involves significant engagement with matrixed resources that support accounts, resulting in client satisfaction and retention.
* Works with internal partners to develop client strategies that drive growth, retention, ongoing profitability, and operational excellence.
Team Collaboration and Management:
* In collaboration with VP & Chief Sales Officer CarelonRx, helps align pharmacy services team efforts with business objectives.
* Interacts with Anthem leadership, including regional leaders, plan presidents, and other key stakeholders responsible for customer experience.
* Builds solid internal cross-functional relationships at all levels of Client Management, Finance, Operations, and IT.
Strategic Implementation and Upselling:
* Involves launching, expanding, and enhancing the CarelonRx pharmacy growth and retention model in collaboration with Anthem leadership and market regional sales/account management leaders.
* Works with market account management leaders to develop and implement client-specific retention strategies and broader solution upselling strategies to meet business objectives.
Leadership, Training and Professional Development:
* Hires, trains, coaches, counsels, evaluates performance of direct reports.
Position Requirements
* Requires a BA/BS and at least 5 years of professional/leadership experience or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences
* Master's degree.
* Account Management/Account Executive PBM experience strongly preferred.
* Integrated Medical and Pharmacy model experience strongly preferred.
* 10+ years of progressively responsible Account Management, Sales or Operations experience in the PBM or managed care industry.
* Possess thorough understanding of account management principles.
* Business, Financial, Clinical and Operational acumen.
* Exceptional leadership skills required.
* Strategic thinking/planning and results oriented.
* Team player, winning, bias towards action, and exceptional execution mindset.
* Integrated medical/pharmacy solution experience
* Experience in a highly matrixed organization and familiar with multiple funding types.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $166,960.00 to $300,528.00.
Locations: Illinois, New York
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 may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be 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 unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$39k-58k yearly est. Auto-Apply 60d+ ago
Health Promotion Manager
Carebridge 3.8
Cincinnati, OH job
Location: This role requires associates to be in our Cincinnati, OH, Indianapolis, IN, Louisville, KY or Chicago, IL office 1 - 2 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. 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 an accommodation is granted as required by law.
Hours: Monday - Friday 8:00am to 4:30pm or 8:30am to 5:00pm EST.
The Health Promotion Manager is responsible for consulting and leveraging health promotion and healthy lifestyle behaviors for employers, consultants and consumers to win new business, retain accounts and grow membership in all lines of business.
How you will make an impact:
* Develops multi-year health promotion plans and engagement strategies.
* Conducts customer worksite wellness assessments.
* Designs customized health promotion solutions leveraging capabilities as market-place differentiators with the employer and consultant communities.
* Optimizes the use of wellness dollars to promote member engagement and position wellness as a competitive differentiator with clients.
* Designs and trains the Sales team on how to market and implement innovative health promotion solutions and best practices.
Minimum Requirements:
* Requires an BA/BS degree in Health Education, Public Health or related field and a minimum of 6 years' experience; or any combination of education and experience which would provide and equivalent background.
Preferred Capabilities, Skills and Experiences:
* MS/MA degree preferred.
* Registered Nurse, Certified Health Education Specialist, Registered Dietician, or Exercise Physiologist preferred.
* Ability to monitor medical utilization data for trends, analyze geographic health statistics, disease prevalence, and program engagement.
For candidates working in person or virtually in the below locations, the salary* range for this specific position is $89,936 to $134,904.
Locations: Illinois
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 may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be 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 unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$89.9k-134.9k yearly Auto-Apply 60d+ ago
Business Information Consultant- Health System Reimbursement
Carebridge 3.8
Mason, OH job
Location: This role requires associates to be in-office 1 day 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. Ideal candidates will be able to report to one of our Pulse Point locations in Atlanta, GA, Richmond, VA, Indianapolis, IN, Wallingford, CT or Mason, OH. 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 an accommodation is granted as required by law.
The Business Information Consultant- Health System Reimbursement is responsible for serving as an expert in data analysis, reporting and formulating recommendations and providing guidance to other data analysts.
How you will make an impact:
* Establishes, improves, and optimizes the consolidating processes for forecast and month-end results.
* Consolidates and prepares executive summary reports for various business segments in the SBU for top management decision-making.
* Analyzes and designs solutions to address varied and highly complex business needs.
* Collaborates with businesses and technical areas to implement new or enhanced products.
* Coordinates with external audits as appropriate.
* Acts as the central contact with internal departments and external auditors.
* Creates and maintains databases to track business performance.
* Analyzes data and summarizes performance using summary statistical procedures.
* Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.
* Creates and publishes periodic reports, as well as any necessary ad hoc reports.
* Makes recommendations based upon data analysis.
* Provides analytic consultation to other business areas, leadership or external customers.
* Data analysis and reporting encompasses a much higher level of complexity.
Minimum Requirements:
Requires a BS/BA degree in related field and a minimum of 5 years of experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
* Proficient in modeling the financial impacts of changes in reimbursement structures and rates for health systems such as hospitals and physician practices highly preferred.
* Experience benchmarking hospital or physician rates against Medicare reimbursement highly preferred.
* Excel, SQL, and SAS experience highly preferred.
* Strong knowledge of products as well as our internal business models and data systems highly preferred.
* Experience providing leadership in evaluating financial performance of complex organizations highly preferred.
* Excellent leadership, problem solving, organizational, planning, presentation and interpersonal skills highly preferred.
* Ability to work independently and draw up plans to address issues/concerns highly preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$74k-98k yearly est. Auto-Apply 60d+ ago
Quality Control Chemist
Oakwood Labs 4.2
Solon, OH job
Job Description
We are adding to our Pharmaceutical Quality Control Chemistry Staff. We are currently seeking entry level individuals to:
Perform analytical testing of raw material, in-process product, final product release and stability testing.
Clear documentation of test activities in approved worksheets and laboratory notebooks.
Execute mathematical calculations as outlined in test methods.
Assess data to determine if the material tested meets specifications.
Peer review of quality control data.
Participate in investigational testing and assist with root cause analysis.
Create and review SOP's and author Change Controls.
Other general lab related duties as necessary.
We are seeking individuals with:
Bachelor's degree in Chemistry, Biochemistry, Biology, or related field
One to two years' experience with hands on testing such as pH, titrations, determination of physical appearance, UV, IR and other wet chemistry tests. Instrumentation work with KF, HPLC, and GC, including instrumentation software a plus.
Hands-on analytical chemistry experience
Prior success working with regulatory, USP, GLP, GDP, and cGMP requirements.
Ability to use Microsoft Suite of tools.
Pharmaceutical experience a plus.
$49k-62k yearly est. 24d ago
Behavioral Health EAP Consultant II
Carebridge 3.8
Cincinnati, OH job
Shift: Monday - Friday; 9:30am - 6:00pm MST Virtual: This role enables associates to work virtually full-time, with the exception of 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.
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.
The Behavioral Health EAP Consultant II is responsible for providing 24/7 Behavioral Health and Employee Assistance services to up to approximately 10 million lives.
How you will make an impact:
* Supports Employee Assistance Program (EAP) service department by responding to initial customer contacts and request for services; receives client request, assesses situation, determines appropriate course of action.
* Provides telephone and/or on-site support for crisis intervention, assessment, short term problem resolution and referral to appropriate provider(s).
* Manages Critical Incident Stress Debriefing requests.
* Assesses members and assists them in accessing behavioral healthcare benefits available under their health plan.
* Applies specialized knowledge in substance abuse, domestic abuse, grief counseling, workplace problems, and management consultation.
* Provides employer consultation to supervisors, managers, and Human Resources of the EAP contracted organization.
* Manages shared mailbox that is used by clients and external vendor to forward information that must be reviewed and placed in documentation system.
Minimum Requirements:
* Requires a HS diploma or equivalent and a minimum of 5 years of direct psychiatric and/or substance abuse experience and prior managed care experience; or any combination of education and experience, which would provide an equivalent background.
* Current unrestricted license such as (but not limited to) LPC (as allowed by applicable state laws), LCSW, LMSW, LMFT, LMHC, or Licensed Professional Counselor, in applicable state(s) required.
Preferred skills, capabilities, and experiences:
* MA/MS preferred.
* Spanish bilingual preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$29k-48k yearly est. Auto-Apply 60d+ ago
Clinical Pharmacist, Population Health
Carebridge 3.8
Cincinnati, OH job
Be Part of an Extraordinary Team CarelonRx is a proud member of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits. By leveraging the power of new technologies, our strong, clinical-first lens and deep pharmacy expertise, we are actively defining our innovative role in the industry.
Build the Possibilities. Make an Extraordinary Impact.
Title: Clinical Pharmacist, Population Health
Location(s): Mason, OH, Cincinnati, OH, Seven Hills, OH, Columbus, OH
Hybrid: This role requires associates to be in-office 1 - 2 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.
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.
The Clinical Pharmacist, Population Health is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR, DIS, and formulary management. This role also involves providing pharmacy support to Medicare, Commercial, and Medicaid providers, focusing on improving quality (STAR and HEDIS) and cost measures. You will work closely with providers engaged in value-based care, influencing prescribing practices to improve members' health and reduce the total cost of care.
How you will make an impact:
* Researches and synthesizes detailed clinical data related to pharmaceuticals to assist contracted providers in achieving cost and quality goals.
* Evaluate pharmacy quality program data and work with stakeholders to identify, prioritize, and implement strategies to optimize medication use and manage pharmacy spending effectively.
* During practice-level discussions, act as a subject matter expert in pharmacy-related clinical measures for value-based care agreements.
* Work to improve pharmacy quality by staying up to date on STAR and HEDIS measures.
* Provider education to support clinical pharmacy measures and reduce pharmacy costs.
* Build impactful relationships with providers to close the feedback loop between pharmacy and provider.
Minimum Requirements:
* Requires BA/BS in Pharmacy.
* Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; or any combination of education and experience, which would provide an equivalent background.
* Requires a registered pharmacist.
* Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh).
* For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required for this position.
Preferred Skills, Capabilities, and Experiences:
* PharmD preferred.
* Experience with Medicaid programs, particularly in Ohio preferred.
* Microsoft Excel experience strongly preferred.
* PBM or managed care experience strongly preferred.
* Passionate about building relationships with external provider partners to improve member health 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.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$33k-54k yearly est. Auto-Apply 60d+ ago
Group Underwriting Consultant Sr.
Carebridge 3.8
Independence, OH job
Group Underwriting Consultant Senior Location: This role requires associates to be in-office 1 - 2 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. 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 an accommodation is granted as required by law.
The Group Underwriting Consultant Senior will be responsible for determining acceptability of insurance risks and appropriate premium rates for large and complex group cases. Position is the most senior technical underwriting expert.
How you will make an impact:
* Calculates renewal rates for large complex cases based on thorough analysis of experience, location, demographics, etc.
* Determines and provides guidance to medical underwriters concerning the risk selection of applicants applying for individual health coverage.
* Coordinates with other departments to ensure accuracy and consistency of overall account reporting.
* Proposes rates for prospective business utilizing a combination of other carrier experience, demographic data and manual rates.
* Performs post-sale reviews.
* Prepares or supervises preparation of annual settlements, ERISA reports, rate projections, or benefit change increments and decrements.
* Surveys existing product portfolios by market, monitors sales results, trends and needs, recommends product portfolio changes.
* Assists in establishing rating and administrative procedures.
* Participates in major multi-functional teams as an underwriting representative.
* Assists in the technical development of underwriting associates, which may include monitoring reports and workflow to provide recommendations on productivity and efficiency improvements.
* Updates and monitors departmental processes and procedures in compliance with system, regulatory and business requirements.
Minimum Requirements:
Requires a BA/BS in a related field; Minimum 7 years of related experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
* Medical insurance underwriting experience strongly preferred.
* Intermediate Microsoft Excel experience to include advanced proficiency in formulas, PivotTables, VLOOKUPs, and macros is strongly preferred.
* CPCU, CLU, LOMA, HIAA or other insurance related courses preferred.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $95,600 to $164,910.
Locations: California, Colorado, Illinois, Washington State
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 may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be 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 unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$95.6k-164.9k yearly Auto-Apply 60d+ ago
Patient Support Call Center - Part-Time
Bridgeview Eye Partners 4.6
Maumee, OH job
The Scheduling Coordinator is responsible for providing exceptional customer service through patient communication management and patient education and sales. This individual is responsible for practice success through schedule management and optimization.
NO LATE NIGHTS OR WEEKENDS!!!! PAID HOLIDAYS OFF (after 60 days)!!!!
ESSENTIAL RESPONSIBILITES:
Ensures Quality of Care and Exceptional Customer Service through:
Patient Communication Management
Greet patients in a friendly, professional manner using proper telephone etiquette
Follow up on missed and cancelled appointments
Triage patient's needs to schedule appropriately
Patient Education
Provide patient education on the purpose and expectations and expectations of their appointment
Make patients aware of insurance eligibility
Ensures Practice Success throughout each patient encounter through:
Appointment capture
Effective schedule management and optimization
Data Collection and Accuracy:
Collecting and entering thorough demographic data and verify its accuracy.
This is a call center - medical environment
EDUCATION AND/OR EXPERIENCE:
High school graduate, or equivalent
Previous medical office experience is preferred
COMPETENCIES:
Polite, professional, and courteous.
A focus on the provision of quality care and service excellence.
Proficient in EHR, including proven competency in accuracy of data entry.
Proficient with optometric medical terminology.
Recognition of the exam process and the ability to record exam details.
Ability to effectively communicate in person, by phone, and in writing.
Superior organizational skills and attention to detail.
Dependable and self-motivated.
Proactive, adaptable, with the ability to work under pressure to accomplish projects and meet deadlines in a fast-paced environment
ENVIRONMENT AND PHYSICAL DEMANDS:
Physical Activity: Talking, Hearing.
Physical requirements: Sedentary work. Involves sitting most of the time.
The worker is required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned.
PERSONAL DEVELOPMENT:
Staff members are required to meet training expectations within the initial 90-day probationary period.
Obtaining certification through in optometric certification program is encouraged. BVEP will aid all employees eligible for the Employee Career Development Program.
$30k-42k yearly est. 12d ago
Compliance Manager
Carebridge 3.8
Independence, OH job
Location: This role requires associates to be in-office 1 - 2 days per week at one of our four Ohio offices (Cincinnati, Columbus, Mason, Seven Hills) 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.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location will not be considered for employment, unless an accommodation is granted as required by law.
The Compliance Manager is responsible for managing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.
How You Will Make an Impact
* Manage/oversee projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments; audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness.
* Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates.
* Maintain knowledge of laws, regulations, company strategies to assess impact, and consult with clients as subject matter expert.
* Conducts complex investigations, document findings, and ensure corrective actions are made.
* Interface with external clients, regulators, vendors, supplier; internal stakeholders, high level of management.
Minimum Requirements
* Requires a BA/BS and minimum of 6 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences
* Experience with Medicaid, Medicare or Dual Special Needs Plans highly preferred.
* Ability to travel may be required.
* MS/MBA/JD or professional designation preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$74k-106k yearly est. Auto-Apply 60d+ ago
Housing Modification Specialist
Carebridge 3.8
Columbus, OH job
Virtual: This role enables associates to work virtually full-time, with the exception of 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.
Work Schedule : Monday - Friday 8am - 5pm EST
The Housing Modification Specialist is responsible for developing and implementing the health plans home modification strategy and program. This includes the approach to assisting individuals in the HCBS Waiver in receiving modifications to their home to allow them to have greater access to their home environment (i.e. wheelchair accessible ramp, accessible shower, widening of doorways, etc.).
How you will make an impact :
* Collaborate with home modification providers and internal health plan stakeholders to ensure an efficient process for members accessing home modifications.
* Partner with MyCare lead trainers to develop and implement training specific to home modifications in Ohio.
* Support Care Coordinators and Support Coordinators in identifying home modification needs and ensuring an efficient process.
Minimum Requirements:
* Requires a minimum of 3 years experience in developing housing and/or housing policy at a local, state or federal level for special populations such as the elderly, people with disability and/or people with mental health challenges to secure accessible, affordable housing through Federal and local programs; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities & Experiences:
* Certified Aging in Place Specialist (CAPS) preferred or commitment to obtain certification within one year of employment.
* Strong preference for case management experience with older adults or individuals with disabilities.
* BA/BS in Health/Nursing preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$34k-47k yearly est. Auto-Apply 60d+ ago
Cloud Network Engineer Senior
Carebridge 3.8
Cincinnati, OH job
Location: Richmond, VA ; Indianapolis, IN; Cincinnati, OH; Atlanta, GA (preferred). This role requires associates to be in-office 1 - 2 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. 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 an accommodation is granted as required by law.
PLEASE NOTE: This position is not eligible for current or future sponsorship.
The Cloud Network Engineer Senior performs analysis and research of systems and networks. Reviews detailed business and technical requirements in order to recommend technical solutions. The ideal candidate will have a deep understanding of cloud networking technologies across multiple cloud platforms and experience in designing, implementing, and maintaining secure network infrastructures.
How you will make an impact:
* Provides advanced-level engineering design functions; provides technical leadership and guidance to cross-functional teams, including network engineers, security engineers, and cloud architects, to enhance network security and compliance posture and to ensure successful delivery of projects.
* Design, implement, and optimize cloud network and DNS architectures across multiple cloud platforms (e.g., AWS, Azure, Google Cloud).
* Configures network and DNS components within different cloud environments (AWS, Azure, Google Cloud, etc.) to support application and service requirements.
* Create comprehensive network documentation, including network diagrams, configurations, and compliance reports, to support auditing and regulatory reporting.
* Directs the construction of architecture components (e.g., data architecture, application architecture, technical architecture).
* Sets up and manage hybrid cloud connections, such as VPNs and Direct Connect/ExpressRoute links, to integrate on-premises infrastructure with cloud environments.
* Sets up and manage multi-cloud connectivity to enable private connectivity between cloud platforms (e.g., AWS, Azure, and Google Cloud).
* Develops scripts and automation tools (e.g., using Terraform, Ansible) to streamline network provisioning and management.
* Participates in the design of the enterprise architecture; works with technical teams to lead IT Business Transformation architecture strategy and vision.
* Assesses the compatibility and integration of solutions and products; assess and mitigate risks associated with network infrastructure.
* Proposes opportunities to improve network performance, scalability, and reliability in multi-cloud environments while maintaining security and compliance standards.
* Participates in enterprise planning activity, including vendor assessment, technology platform selection, retirement, prioritization, and integration.
* Routinely acts as a subject matter expert for executive management; responsible for and champions architectural standards, guidelines, principles, frameworks, and reference models.
* Provide continuous improvement and direction on projects and stay up-to-date with industry trends, emerging technologies, and regulatory changes related to cloud networking.
Minimum Requirements:
* Requires a BA/BS degree in Information Technology, Computer Science or a related field of study and a minimum of 10 years in one or more of the following: information systems, computer networking, telecommunications, systems development and management required; significant experience with multiple technical and business disciplines required; broad-based experience to plan and design highly complex systems; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, & Experiences:
* Experience mentoring others, driving teams to achieve results, leading multiple or large complex technical projects, and providing troubleshooting support strongly preferred.
* In-depth knowledge of networking concepts, protocols, and technologies (e.g., TCP/IP, BGP, VPN, SDN).
* Strong understanding of cloud networking services and technologies (e.g., VPC, VPN Gateway, Direct Connect, Virtual Network Peering).
* Knowledge and understanding of Infrastructure as Code (IaC) technologies (e.g., Terraform, Ansible, CloudFormation) and methodologies for building and maintaining cloud infrastructure.
* Experience working within an agile environment and methodologies.
* Relevant certifications such as CCNP, CCIE, AWS Certified Advanced Networking or equivalent.
* Experience with network security technologies and practices, including firewalls, IDS/IPS, SIEM, and encryption.
* Excellent communication skills and the ability to effectively collaborate with cross-functional teams and stakeholders.
* Strong analytical and problem-solving skills, with the ability to identify and resolve complex network issues.
* Strong technical expertise, leadership skills, and the ability to work in a fast-paced environment with changing priorities.
* The position may require occasional travel and participation in on-call rotation for network-related incidents or emergencies.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$87k-113k yearly est. Auto-Apply 60d+ ago
Business Information Consultant Senior
Carebridge 3.8
Mason, OH job
Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The Business Information Consultant Senior is responsible for coordinating and consolidating various impact analyses for management reporting.
How you will make an impact:
* Establishes, improves, and optimizes the consolidating processes for forecast and month-end results.
* Consolidates and prepares executive summary reports for various business segments in the SBU for top management decision-making.
* Analyzes and designs solutions to address varied and highly complex business needs.
* May collaborate with businesses and technical areas to implement new or enhanced products.
* May require strong knowledge of products as well as our internal business models and data systems.
* May coordinate with external audits as appropriate.
* Acts as the central contact with internal departments and external auditors.
Minimum Requirements:
Requires a BA/BS degree in Statistics, Economics, or Business Administration and minimum of 8 years of relevant experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
* Experience providing leadership in evaluating financial performance of complex organizations strongly preferred.
* Excellent leadership, problem solving, organizational, planning, presentation and interpersonal skills strongly preferred.
* Ability to work independently and draw up plans to address issues/concerns strongly preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
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