Quality Care jobs - 49 jobs

Provides hands on care to each assigned patient. Delivers efficient and effective quality patient care. QUALIFICATIONS: Licensed Practical Nurse, currently licensed in the state of Tennessee. Current valid driver's license. Must be able to provide direct patient care and take on-call. Working knowledge of the home health care program and previous experience providing home health visits preferred. Computer data entry and word processing skills desirable. ESSENTIAL FUNCTIONS: Accepts patient care reports and patient assignments from the RN Team Leader for all patients assigned. Coordinates with the RN Team Leader timely completion of assigned visits and submission of the required documentation. Obtains a weekly visiting schedule for all assigned patients and conducts visits according to the schedule. Contacts the RN Team Leader on a daily basis for any changes to the schedule. Notifies the RN Team Leader of any anticipated problems with the posted schedule. Provides as much advance notice of changes/problems as is possible. Establishes and maintains an effective and efficient visit route and provides direct patient care in compliance with the plan of care. Provides frequent communication to the RN Team Leader, physicians, other team members, etc., and the patient/family in efforts to coordinate changes in patient care and assures appropriate follow-up and supporting documentation is done. This includes but is not limited to; lab reports, on-call/prn visits, transfer to ER or in-patient facility admission, etc. Assists the RN Team Leader in the maintenance of a complete and accurate calendar book, including disaster codes, emergency information, due dates for lab work, etc. Makes assigned patient care visits in accordance with physician orders. Completes supporting documentation in an accurate and timely manner, including but not limited to; visit report, care plan/plan of care revisions, medication profile, progress notes, revisions to the plan of treatment for recertification, discharge/transfer summary, etc. Is available and makes prn and routine patient visits when indicated and as requested. Is available and rotates on-call assignments when requested. Attends team conferences for all patients assigned to the nurse. Participates and offers input regarding each patient's care and progress toward individual patient goals. Assists the RN Team Leader in documenting above information and providing a progress report to the physician every 60 days. Oversees the timely requisition of indicated patient supplies in appropriate quantities. Obtains verification of physician licensure. Understands and assures adherence to all organizational policies, procedures, and processes (administrative, personnel, clinical, etc.). Seeks guidance and further clarification of organizational policies, procedures, and processes when uncertainty/confusion arises. Provides input in the evaluation of other team member's job performance upon request. Maintains confidentiality of information related to business practices, business activities and personnel. Attends inservices, seminars, or other meetings as assigned by the immediate supervisor or other management. Participates willingly with special projects and overtime work when requested. Maintains a professional attitude when working with staff, fostering the team philosophy and team environment for all personnel. Always provides proper notification and/or advance notice for absence or tardiness without abuse. Does not allow personal affairs to interfere with scheduled work time. Maintains a professional appearance at all times.

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.

A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting. Administrative Clerk II - Paragon Healthcare Schedule: Monday - Friday; 9:00am - 6:00pm Central Hybrid 1: 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 Administrative Clerk II is responsible for performing routine but varied clerical duties following standard procedures. How you will make an impact: * Makes and receives phone calls to exchange information to accomplish tasks. * Contacts customers, suppliers and/or company associates to exchange information. * Receives, sorts, and distributes incoming mail and email communication. * Sets up and maintains records, logs, and files. * Receives, classifies, reconciles, consolidates, and summarizes documents and information, as well as processing and coding them. * Compiles regular and special reports using established formats and procedures. * Scans claims, correspondence, and other related documents, and may maintain equipment. * Flags quality issues as they arise while completing and maintaining production logs. * It is an expectation of the role to use basic office equipment. Minimum Requirements: * Requires a H.S. diploma or equivalent and a minimum of 2 years of related work experience; or any combination of education and experience which would provide an equivalent background. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $18.66 to $27.98 Locations: Chicago, 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.

HR Employee Relations Consultant Sr. (Bilingual English/Spanish) 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. 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 HR Employee Relations Consultant Sr. (Bilingual English/Spanish) will be responsible for serving as the primary point of contact for associates and management for associate relations issues including but not limited to: investigations, agency charges (EEO, DOL), employment litigation, associate complaints, performance management, coaching, development, attendance, and other issues. How you will make an impact: * Provides advice, guidance, coaching, and training to associates and managers based on policies and legal consultation, and in accordance with employment laws and regulations. * Conducts investigations including managing the witness lists, determining line of questioning, analyzing credibility, researching related records as needed and maintaining written record of the investigation. * Debriefs leaders at all levels and HRBPs on findings. * Provides oversight of the company's internal investigations of associate complaints and serves as a liaison to Legal on associate relations matters. * Regularly partners with Ethics and Compliance on crossover investigations. * Partners with AR leadership and HRBP for requests for transition agreements related to the separation/termination process, and will regularly use persuasive and advanced communication skills to communicate will all levels of associates throughout the organization. * Develops and provides periodic associate relations-related analytical data and analyzes trends to determine appropriate action plans. Minimum Requirements: Requires a BA/BS degree and minimum of 5 years of human resources experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: * Bilingual English/Spanish strongly preferred. * HR designation strongly preferred (SHRM-CP or SHRM-SCP ). * Prior experience with Associate Relations and investigations strongly preferred. * Workday or similar HCM experience preferred. * ServiceNow experience preferred. * Fortune/large company experience 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.

Clinical Provider Auditor II Hybrid 1: 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. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Clinical Provider Auditor II is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. How you will make an impact: * Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. * Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claims lifecycle. * Researches new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. * Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. * Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation. * Assists with training of new associates. Minimum Requirements: * Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would provide an equivalent background. * Requires coding certification (CPC, CCS, CPMA). Preferred Skills, Capabilities, and Experiences: * Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology and Bachelors degree strongly preferred. * Medical coding and auditing experience 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.

JR166908 Account Management Executive, Behavioral Health, EAP Responsible for the proactive management, retention, and revenue growth of assigned Carelon Behavioral Health employer accounts. Independent development of Sales and retention strategy for assigned customers, market segments and our geographic areas. Assists in the development, launching, and maintenance of new services, products, and programs. Typical group size is 10,000 and larger. Location: Hybrid 1: 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. 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. How will you make an impact: * Proactive and predictable schedule of live/virtual employer account outreach to continually identify program success and areas of opportunity to improve value offering. * Defines and executes account management and retention strategy for a defined book of accounts, geographic area, and or market segment. * Identifies opportunities and executes strategies for penetration and up- sales. * Supports pursuit of new business opportunities either directly with a broker/consultant or potential client, or through a team approach with field office sales staff. * Responsible for growing company business within existing accounts. * Provides support with RFI, and RFP responses, proposals, client presentations, and underwriting coordination on new business sales opportunities. * Develops and leverages effective business relationships with brokers, consultants, and key decision makers in order to meet or exceed new and renewal sales targets. * Responsible for managing the annual renewal process for accounts, including underwriting negotiation, preparation of renewal analysis, and client presentations. * Coordinates and controls new business implementation activities. * Works directly with Sales Account Representatives/Account Service Representatives to assure that all aspects of account service run smoothly. Minimum requirements: * Requires a BS; 10 years of experience in account management and or sales: or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: * Prior experience managing employer EAP benefit accounts. * Excellent written and verbal communication skills. * Proven ability to prioritize and manage multiple tasks simultaneously. * Solid understanding of profitability and loss principles. * Skilled in identifying opportunities and challenges and developing and executing effective strategies. * Availability of working from one of our Pulse Point offices four times a month. * Willingness to travel up to 10% of the time. * Candidates from all states are welcome, but they must reside within commuting distance of a Pulse Point office location where we have an office to be considered. 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.

Location: Ideal candidates will be able to report to our Pulse Point location at 22 Century Blvd., Suite 310, Nashville, TN 37214, 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. 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. Work Hours: Monday to Friday, 8:00 am to 5:00 pm The Information Security Advisor is responsible for maintaining enterprise information security policies, technical standards, guidelines, procedures, and other elements of an infrastructure necessary to support information security in compliance with established company policies, regulatory requirements, and generally accepted information security controls. How you will make an impact: * Deliver strategic network security, access control and secure transaction/ messaging solutions. * Ensure security solutions involving the use of technologies are well-conceived, designed and implemented in compliance with enterprise standards. * Provide first level engineering design functions and trouble resolution. * Provide trouble resolution and serves as point of technical escalation on complex problems. * Lead or plan implementations for access management and network security technologies; develop testing plans to ensure quality of implementation. * Lead the investigation and reporting of data security events and incidents. * Provide system and network architecture support for information and network security technologies. * Provide technical support to business and technology associates in risk assessments and implementation of appropriate information security procedures, standards and technologies. * Maintain security incident response plans. * Represent major upgrades and business system replacements in change control. * Oversee Enterprise mix of vendor services. * Recommend changes and updates to strategy; may act a key contact for setting vendor strategy. * Design and engineer repetitive technical solutions based on business requirements and defined technology standards. * Develop support procedures and performance metrics reports. * Lead level 1 & 2 incident recoveries; may organize the efforts of other analysts as part of incident recovery. * Lead root cause analysis efforts. Minimum Requirements: Bachelor's degree in Computer Science, Information Technology, Information Systems, or related field of study Additional Requirements: * Five (5) years of experience in any occupation with Information Technology (IT) experience, or related. * Five (5) years of required IT, or related experience must include: Scripting/ Automation; Encryption/ Decryption; Metric/ KPI development and reporting; Identity and Access Management, Network Security; Splunk/ Log Analysis; Unix and AIX file systems, command aliases; DevOps tools such as: BitBucket, Bamboo; Powershell; Python; Secure Shell Protocol (SSH) Key Management; Cloud SSH Keys; OpenSSH; Cloud environments including: Azure, AWS, and GCP; Service Now or similar workflow management; Venafi Trust Protection Platform. Alternate Education/Experience Requirements: * Employer will accept a Master's degree plus three (3) years of experience in any occupation with Information Technology (IT) experience, or related. Must have skills listed above. Travel Requirements: * This position will work in a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations: 22 Century Blvd., Ste. 310 Nashville, TN 37214 (County: Davidson). APPLY: *********************************** 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.

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. The Group Underwriter, Sr is responsible for determining acceptability of insurance risks and appropriate premium rates for small, complex renewal and prospect employer groups in accordance with Corporate Underwriting Guidelines and Authority Limits. How You Will Make an Impact Primary duties may include, but are not limited to: * Determines and provides guidance to medical underwriters concerning the risk selection of applicants applying for commercial 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. * Works with product and sales partners to survey existing product portfolios by market, monitors sales results, trends and needs, recommends product portfolio changes. Minimum Requirements: Requires a BA/BS in a related field; Minimum 4 years of related experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: * CPCU, CLU, LOMA, HIAA, PAHM or other insurance related courses preferred * Level Funded medical underwriting experience strongly preferred. * Small group experience 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.

Location : Candidates must reside in the state of Tennessee to be considered. 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 Outreach Care Specialist is responsible for supporting our EMPOWER program. This program is focused on prevention and women's wellness for Neonatal Abstinence Syndrome (NAS) and Neonatal Opioid Withdrawal Syndrome (NOWS). We support individuals of reproductive age (18-40 years old) who are expecting or at risk for substance use disorders. The specialist is ensuring that appropriate member treatment plans are followed on less complex cases and for proactively identifying ways to improve the health of our members and meet quality goals. How you will make an impact: * Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs. * Assesses member compliance with medical treatment plans via telephone or through on-site visits. * Identifies barriers to plan compliance and coordinates resolutions. * Identifies opportunities that impact quality goals and recommends process improvements. * Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider. * Coordinates identification of and referral to local, state or federally funded programs. * Coaches members on ways to reduce health risks. * Prepares reports to document case and compliance updates. * Establishes and maintains relationships with agencies identified in appropriate contract. Minimum Requirements : * Requires a H.S. diploma or equivalent and a minimum of 1 year related experience; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities & Experiences: * Peer Specialist Certification strongly preferred. * BS/BA degree in a related field preferred. * Women's health experience 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.

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. 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. The Provider Reimburse Admin Sr ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. Serves as subject matter expert regarding reimbursement policies, edits, and coding conventions. Primary duties may include, but are not limited to: * Works with vendors and enterprise teams to develop enterprise reimbursement policies and edits, ensuring policies and edits do not conflict with Federal and state mandates. * Works with other departments on claims adjudication workflow development and business process improvements. * May lead the full range of provider reimbursement activities for a state(s). * Leads projects related to provider reimbursement initiatives. Serves as a mentor to less experienced administrators. Requirements: * a BA/BS degree and a minimum of 4 years related experience; or any combination of education and experience, which would provide an equivalent background. * RN; Medical billing and coding certification 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.

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 Senior AI Platform Engineer will design, build, and operate production AI systems that power platform experiences: RAG pipelines, model endpoints, evaluation harnesses, guardrails, and multi tenant AI services published through a developer hub/marketplace. How You Will Make an Impact: * Lead end to end AI solutioning: problem framing, data sourcing, labeling strategy, model/LLM selection, and safety considerations. * Build retrieval augmented generation and agentic workflows: document processing, chunking/embedding strategies, vector indexing, prompt/chain design, tool use, and guardrails (content filters, policy enforcement). * Implement evaluation with golden datasets, automatic metrics, rubric based grading, and human in the loop reviews; run A/B and interleaving tests. * Productionize inference (synchronous, batch, streaming) with autoscaling, caching, request routing/fallbacks, cost and token/latency budgets, and kill switch patterns. * Establish LLMOps/MLOps foundations: experiment tracking, model registry, data/model lineage, governance, CI/CD for models/prompts, and safe rollback. * Instrument AI observability (prompt traces, quality drift, hallucination/safety events, per tenant cost dashboards); drive continual improvement cycles. * Partner with platform engineers to expose AI capabilities as APIs/SDKs, publish to the marketplace with metadata, versioning, and deprecation policies. * Collaborate with security, privacy, and risk on data minimization, access controls, PII handling, and policy aligned evaluation, document tradeoffs and decisions. * Mentor engineers and data scientists; create reusable evaluation harnesses, prompt libraries, and templates that accelerate feature delivery. 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 6 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: * Strong Python plus one systems language; experience with model serving (batch/online), GPU utilization, and optimization (quantization, distillation). * Practical knowledge of vector databases, embedding generation, prompt/chain orchestration, and evaluation methodologies for generative systems. * Experience integrating with feature stores, catalogs/registries, and data governance controls in cloud environments. * Familiarity with responsible AI topics (safety, privacy, bias) and how to operationalize them in production. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $152,680 to $249,840. Locations: California, Illinois and Washington 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.

Location: 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. 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. The Medical Director-Cardiology Appeals is responsible for the review of appeals for physical health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. How you will make an impact: * Complete appeal reviews in your specialty daily to ensure timely and consistent responses to members and providers. * Provide guidance for clinical operational aspects of a program. * May conduct peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations * Serve as a resource and consultant to other areas of the company. * May be required to represent the company to external entities and/or serve on internal and/or external committees. * May chair company committees. * Interpret medical policies and clinical guidelines. * May lead, develop, direct, and implement clinical and non-clinical activities that impact health care quality cost and outcomes. * Identify and develop opportunities for innovation to increase effectiveness and quality. * Work independently with oversight from immediate manager. * May be responsible for an entire clinical program and/or independently perform clinical reviews. Minimum Qualifications * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed: American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Board certification in Cardiology. * Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. * Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. * Additional experience may be required by State contracts or regulations if the Medical Director is filling a role required by a State agency. * 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. 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 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.

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. National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The Audit and Reimbursement Senior will support our Medicare Administrative Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement. This position provides a valuable opportunity to gain advanced experience in auditing and financial analysis within a growing healthcare industry. This position allows for educational opportunities leading to certifications and promotes a well-balanced lifestyle that includes professional networking opportunities. How you will make an impact: * Evaluate the work performed by other associates to ensure accurate reimbursement to providers. * Assist Audit and Reimbursement Leads and Managers in training, and development of other associates. * Participates in special projects as assigned. * Able to work independently on assignments and under minimal guidance from the manager. * Prepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) and CMS requirements. * Analyze and interpret data with recommendations based on judgment and experience. * Must be able to perform all duties of lower-level positions as directed by management. * Participate in development and maintenance of Audit & Reimbursement standard operating procedures. * Participate in workgroup initiatives to enhance quality, efficiency, and training. * Participate in all team meetings, staff meetings, and training sessions. * Assist in mentoring less experienced associates as assigned. * Prepare and perform supervisory review of cost report desk reviews and audits. * Review of complex exception requests and CMS change requests. * Perform supervisory review of workload involving complex areas of Medicare part A reimbursement such as Medicare DSH, Bad Debts, Medical Education, Nursing and Allied Health, Organ Acquisition, Wage Index and all cost based principles. Minimum Qualifications: * Requires a BA/BS and a minimum of 8 years of audit/reimbursement or related Medicare experience; or any combination of education and experience which would provide an equivalent background. * This position is part of our NGS (National Government Services) division which, per CMS TDL 190275, requires foreign national applicants meet the residency requirement of living in the United States at least three of the past five years. Preferred Qualifications: * Accounting degree preferred. * Knowledge of CMS program regulations and cost report format preferred. * Knowledge of CMS computer systems and Microsoft Office Word and Excel strongly preferred. * Must obtain Continuing Education Training requirements. * MBA, CPA, CIA or CFE preferred. * Demonstrated leadership experience preferred. * A valid driver's license and the ability to travel may be required. 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. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $ 73,720 to $122,220 Locations: Maryland, Minnesota, Nevada and 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.

Strategy & Program Development Director (Strategy & Prog Dev Dir) 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) in Tennessee will not be considered for employment, unless an accommodation is granted as required by law. The Strategy & Program Development Director is responsible for coordinating the relationship of a business unit with internal and external State partners to ensure growth and compliance. How you will make an impact: * Monitors related legislation and advises senior management relative to compliance. * Researches new ventures and prospective revenue expansion opportunities. * Assists in creating HealthPlan strategic and annual plans. * Travels to worksite and other locations as necessary. Minimum Requirements: Requires a BA/BS degree in a related field and a minimum of 10 years of related experience including 5 years of leadership experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: * MBA preferred. * Experience in administering long-term care programs and services strongly preferred. * CHOICES and ECF LTSS program experience in Tennessee strongly preferred. * Experience with implementation and driving execution of contractual requirements 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.

A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting. Referral Specialist II - Paragon Healthcare Schedule: Monday - Friday; 9:00am - 6:00pm Central Hybrid 1: 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 Referral Specialist II is responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals. How you will make an impact: * Acts as a first level SME, ability beyond intake calls that include working on production oriented work, may include physician assisting and/or special projects. * Acts as liaison between hospital, health plans, physicians, patients, vendors and other referral sources. * Reviews complex referrals for completeness and follows up for additional information if necessary. * Assigns referrals to staff as appropriate. * Verifies insurance coverage and obtains authorizations if needed from insurance plans. * Contacts physician offices as needed to obtain demographic information or related data. * Enters referrals, documents communications and actions in system. * Associates in this role are expected to have the ability to multi-task, including handling calls, texts, facsimiles, and electronic queues, while simultaneously taking notes and speaking to customers. * Additional expectations to include but not limited to: Proficient in maintaining focus during extended periods of sitting and handling multiple tasks in a fast-paced, high-pressure environment; strong verbal and written communication skills, both with virtual and in-person interactions; attentive to details, critical thinker, and a problem-solver; demonstrates empathy and persistence to resolve caller issues completely; comfort and proficiency with digital tools and platforms to enhance productivity and minimize manual efforts. * Associates in this role will have a structured work schedule with occasional overtime or flexibility based on business needs, including the ability to work from the office as necessary. * Performs other duties as assigned. Minimum Requirements: * Requires HS diploma or GED and a minimum of 1 year of experience in a high-volume, interactive customer service or call center in a healthcare environment; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: * Knowledge of medical terminology, plan specific guidelines; ICD-9 and CPT coding preferred. * Benefit verification and authorization 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.

Virtual: This role enables associates to work virtually full-time, with the exception of required inperson 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. Work Shift: Monday - Friday 8AM -5PM (local time) The Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. How you will make an impact: * Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. * Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. * Utilizes audit tools, auditing workflow systems and reference information to generate audit determinations and formulate detailed audit findings letters. * Maintains accuracy and quality standards as established by audit management. * Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions (HACs). * Suggests and develops high quality, high value, concept and or process improvement and efficiency recommendations. Minimum Requirements: * Requires current, active, unrestricted Registered Nurse license in applicable state(s). * Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: * One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. * Experience with third party DRG Coding and/or Clinical Validation Audits or hospital clinical documentation improvement experience preferred. * Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer reimbursement policies, and coding terminology preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $81,852 to $155,088 Locations: California; Colorado; District of Columbia (Washington, DC), Illinois, New Jersey; Maryland, Minnesota, Nevada; New York; 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.

Director, Reporting & Data Analysis - Cost of Care Analytics 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. 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. The Director of Reporting & Data Analysis-Cost of Care Analytics is a strategic leader responsible for advancing analytics capabilities to drive insights and decisions that improve cost of care performance. This role oversees a high-performing analytics organization, aligning resources, tools, and methodologies to deliver actionable intelligence that supports both business unit objectives and enterprise-wide healthcare affordability strategies. How You Will Make an Impact * Provides visionary leadership in building and motivating a data-driven analytics team focused on cost of care insights. * Directs the development of advanced reporting, analytics, and forecasting to identify key cost drivers, efficiency opportunities, and performance improvement levers. * Partners with senior business leaders to translate analytics into strategy, ensuring insights directly inform cost management, operational decision-making, and value-based initiatives. * Develops organizational capabilities through coaching, training, and effective talent development practices. * Ensures accuracy, timeliness, and relevance of analytics deliverables across all supported business areas. * Builds strong relationships with stakeholders at all levels, serving as a trusted advisor on cost-of-care performance and analytics. * Manages fiscal responsibilities for assigned budgets, ensuring efficient use of resources. * Establishes and enforces consistent policies, practices, and methodologies for reporting and data analysis. * Leads cross-functional project management efforts, ensuring seamless collaboration across finance, clinical, and business teams. * Communicates complex technical and analytical findings in clear, actionable, business terms. Minimum Qualifications: * Requires a BA/BS degree and a minimum of 10 years of experience leading project teams, or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities, and Experience: * Deep knowledge of information management technologies and modern analytics platforms. * Demonstrated track record of developing and executing analytics strategies that impact cost of care or financial performance. * Experience leading multi-disciplinary teams and managing large, complex data initiatives. * Strong understanding of healthcare economics, medical cost drivers, and affordability levers. * Proven ability to influence and collaborate with executive leaders and external partners. * Exceptional communication skills, including facilitation, consultation, and executive-level storytelling. * Prior leadership in an analytics, finance, or healthcare environment with demonstrated impact on organizational performance. * Actuarial, Economics or Finance background preferred. * Experience Identifying medical cost drivers and mitigation factors. 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.

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 Indianapolis, IN or Nashville, TN. 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 Information Security Executive Advisor (Business Information Security Officer- BISO) develops strategic and tactical plans for a comprehensive enterprise-wide information security program. Leads the development of policies, technical standards, guidelines, procedures, and other elements of an infrastructure necessary to support information security in compliance with established company policies, regulatory requirements, and generally accepted information security controls. Responsible for the selection and delivery of strategic network security, access control and secure transaction/messaging solutions. How you will make an impact: * Establishes architecture oversight and planning for information and network security technologies. * Leads development of an information security risk management program that includes business, regulatory, industry practices and technical environment considerations. * Establishes strategic vendor relationships for security products and services. * Develops Enterprise-wide security incident response plans and strategies that includes integration with business, compliance, privacy, and legal constituents and requirements. * Provides advanced level engineering design functions. * Provides trouble resolution and serves as point of technical escalation on complex problems. * Creates presentations and seeks IT and business management approval and acceptance of significant replacements or reconfigurations of major security technologies serving the Enterprise. * Provides technical guidance and leadership to the technical engineers within the organization. * Participates in the design of the Enterprise architecture. * Proposes opportunities to improve results based on targeted or continuous assessment. * Researches relevant trends and activities in healthcare, business, competition and regulatory environments. * Recommends strategy adjustments. * Participates in Enterprise planning activity, including vendor assessment, technology platform selection and retirement, prioritization and integration. * Serves as a technical merger and acquisition lead. * Acts as a subject matter expert for executive management. * Provides top-tier support for 6 or more of the information security technology common body of knowledge skill sets: 1) Access Control, 2) Application Security, 3) Business Continuity and Disaster Recovery Planning, 4) Cryptography, 5) Information Security and Risk Management 6) Legal, Regulations, 7) Compliance and Investigations, 8) Operations Security, 9) Physical (Environmental) Security, 10) Security Architecture and Design, 11) Telecommunications and Network Security. Minimum Requirements: Requires BS/BA in Information Technology or related field of study and a minimum of 10 years of experience in systems administration and security aspects of information systems, access management and network security technologies, network communications, computer networking, telecommunications, systems development and management, hardware, software, data, and people; experience with multiple technical and business disciplines required; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: * Previous experience leading large security projects for individual business units highly preferred. * Expert Business Information Security Liaison experience highly preferred. * Ability to operate with ambiguous data to create a strategy and plan preferred. * Broad-based experience to plan and design highly complex systems preferred. * Expert knowledge and understanding of industry-accepted data processing controls and concepts preferred. * Security Certifications such as CISSP and other advanced technical security certifications (e.g. Information Systems Security Architecture Professional, Information Systems Security Engineering Professional, Certification and Accreditation or equivalent certifications) 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.

Responsible for fulfilling the need for social service evaluations by B.S.W. QUALIFICATIONS A qualified Social Work Assistant is a person who has a baccalaureate degree in social work, psychology, sociology, or another related field, with one year social work experience in a health care setting preferred . Must be capable of performing job duties. KEY RESPONSIBILITIES Completes initial assessment visit to patient within 5-7 days of receipt of referral from nursing staff or physician and develops a care plan. Completes all required paper work associated with visits on a daily basis. Writes supplemental orders as needed and within 24 hours after receipt of verbal orders from the physician. Submits all documentation associated with daily visits within 24 hours of visit date. Prepares daily route and time sheet; submits within 24 hours of visit date. Maintains all records and information relevant to the patient for purposes of their service provided in coordination with the general policies of the agency. Assists the physician and other members of the health team in understanding the significant social and emotional factors related to the patient's health problems. Assesses the social and emotional factors in order to estimate the patient's capacity and potential to cope with problems of daily living. Helps the patient and his family to understand, accept and follow medical recommendations. Provides services planned to restore the patient to optimum social and health adjustments within his capacity. Assists patient and their families with personal and environmental difficulties which predispose toward illness or interfere with obtaining maximum benefits from medical care. Utilizes resources, such as family and community agencies to assist patient in resuming life in the community or learning to live with his disability. Participates with agency staff to determine source of payment for services to be rendered. Participates in conferences as needed or required to coordinate the care of an individual patient. Conducts inservices as needed to agency personnel. Attends in-services, seminars, or other meetings as assigned by the immediate supervisor or other management. Maintains confidentiality of information related to business practices, business activities, and personnel. Maintains a professional attitude when working with staff, fostering the team philosophy and team environment for all personnel. Does not allow personal affairs to interfere with scheduled work time. Maintains a professional appearance at all times. Provides proper notification and/or advanced notice of absence or tardiness without abuse. Participates willingly with special projects and/or overtime work when requested. Follows all agency policies and procedures.