Large

Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner.  

Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. 

We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.

Science & Healthcare

Elevance Health

Cincinnati

Location: This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office per week .


 * The ideal candidate will live within 50 miles and a 1-hour commute to one of our Elevance Health major office (PulsePoint) locations. Elevance Health supports a hybrid workplace model with PulsePoint sites used for collaboration, community, and connection.
   
   

The Creative Resource Manager is responsible for managing the Creative Department resource assignments in a way that fosters the development of exceptional creative resources while being mindful of efficiencies. In this role you are a dot-connecter who understands the nuances of creative skillsets, workflows and projects. You’re highly organized and can juggle a high-volume of projects, changing schedules, and the needs of a large team. You’re energized by our brand purpose – to improve the health of humanity – and proud to help bring it to life.

How You Will Make An Impact

Primary duties may include, but are not limited to:


 * Evaluates available creative resources against the creative needs of the project to deploy the right resources to the right assignment.
 * Understands the skills, background, and career goals of creative resources, and uses this information to balance workloads while meeting project needs effectively and efficiently.
 * Seeks advice on developmental needs and opportunities within the creative department and creates plans to address.
 * Forecasts creative staffing needs for full-time and freelance resources.
 * Collaborates with Project Managers and Creative Directors to understand on-going project changes and prioritizes assignments.
 * Tracks creative utilization and provides insightful reporting and analysis to creative leadership and project teams.
 * Anticipates and mediates workflow problems as identified.
   
   

Minimum Requirements

Requires a BA/BS degree and a minimum of 3 years of related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, And Experiences


 * Workfront experience preferred.
 * An understanding of talent and optimization of creative resources for the development of breakthrough creative
 * Has high standards and attention to detail
 * Strong problem-solving, communication and relationship building skills
 * Proficiency in Microsoft Office
 * Have a thorough understanding of creative skills, steps and projects
 * Experience with Workfront (or similar project mgmt. programs) a plus
 * A mix of brand and agency experience is a plus.

Creative Resource Manager (US) - Elevance Health

&lt;strong&gt;Location:&lt;/strong&gt; This position will take part in Elevance Health's hybrid workforce strategy which &lt;strong&gt;includes virtual work and 1-2 days in office per week&lt;/strong&gt; .&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt; The ideal candidate will live within 50 miles and a 1-hour commute to one of our Elevance Health major office (PulsePoint) locations. Elevance Health supports a hybrid workplace model with PulsePoint sites used for collaboration, community, and connection.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;The &lt;strong&gt;Creative Resource Manager&lt;/strong&gt; is responsible for managing the Creative Department resource assignments in a way that fosters the development of exceptional creative resources while being mindful of efficiencies. In this role you are a dot-connecter who understands the nuances of creative skillsets, workflows and projects. You’re highly organized and can juggle a high-volume of projects, changing schedules, and the needs of a large team. You’re energized by our brand purpose – to improve the health of humanity – and proud to help bring it to life.&lt;br&gt;&lt;br&gt;&lt;strong&gt;How You Will Make An Impact&lt;br&gt;&lt;br&gt;&lt;/strong&gt;Primary duties may include, but are not limited to:&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt;Evaluates available creative resources against the creative needs of the project to deploy the right resources to the right assignment.&lt;/li&gt;&lt;li&gt;Understands the skills, background, and career goals of creative resources, and uses this information to balance workloads while meeting project needs effectively and efficiently.&lt;/li&gt;&lt;li&gt;Seeks advice on developmental needs and opportunities within the creative department and creates plans to address.&lt;/li&gt;&lt;li&gt;Forecasts creative staffing needs for full-time and freelance resources.&lt;/li&gt;&lt;li&gt;Collaborates with Project Managers and Creative Directors to understand on-going project changes and prioritizes assignments.&lt;/li&gt;&lt;li&gt;Tracks creative utilization and provides insightful reporting and analysis to creative leadership and project teams.&lt;/li&gt;&lt;li&gt;Anticipates and mediates workflow problems as identified.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Minimum Requirements&lt;br&gt;&lt;br&gt;&lt;/strong&gt;Requires a BA/BS degree and a minimum of 3 years of related experience; or any combination of education and experience, which would provide an equivalent background.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Preferred Skills, Capabilities, And Experiences&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Workfront experience preferred.&lt;/li&gt;&lt;li&gt;An understanding of talent and optimization of creative resources for the development of breakthrough creative &lt;/li&gt;&lt;li&gt;Has high standards and attention to detail &lt;/li&gt;&lt;li&gt;Strong problem-solving, communication and relationship building skills &lt;/li&gt;&lt;li&gt;Proficiency in Microsoft Office &lt;/li&gt;&lt;li&gt;Have a thorough understanding of creative skills, steps and projects &lt;/li&gt;&lt;li&gt;Experience with Workfront (or similar project mgmt. programs) a plus &lt;/li&gt;&lt;li&gt;A mix of brand and agency experience is a plus.&lt;/li&gt;&lt;/ul&gt;

Creative Resource Manager (US)

Dallas

Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

The HR Business Partner Director will be responsible to solve organizational challenges through people-related solutions and serve as an integral part of a market, assigned area(s) of a market or enterprise area's senior and/or executive leadership team, to understand every aspect of the business and be a thought leader on human capital and organizational topics..

How You Will Make An Impact


 * Create and implement the end-to-end human capital strategy that will drive the business to meet its goals
 * This role requires strategic reasoning and thinking, use of data to guide work, being comfortable challenging convention and, in some cases, influencing leaders to reassess how work is done
 * Partner with a cross-functional group of subject matter experts within HR centers of excellence to design and execute your strategy for how the business staffs, onboards, develops, motivates, retains and organizes work
 * As a core part of this role, this position will execute programs to support associates, including talent management, career planning, performance management, leadership coaching, data analysis, compensation and rewards, learning and development, recognition programs and strategic organizational development
 * Responsible to be a subject matter expert regarding organizational and people related planning and execution
 * Provide insightful data to guide decision making and offer proactive solutions, solving problems and getting to the root cause of any issue, regardless of complexity
 * Consult with leadership to create comprehensive people plans to influence lasting and sustainable efficiencies
 * Design and quickly implement solutions that cut across multiple disciplines, even those beyond human capital and organizational solutions
 * Strong analytical and problem solving skills, ability to analyze data, understand trends, including the development and monitoring of the EEO/AA action plan for designated site/location; develop recommendations for action based on the analysis
 * Strong ability to influence through strong relationships, expertise and data
 * Ability to manage a complex set of stakeholders
 * Comfortable rolling up your sleeves to get things done and the next moment, being part of deeply complex strategy discussions
 * Strong sense of the importance of teamwork and collaboration
 * Superior communication skills and understand how to communicate large, complex change
 * May provide guidance, mentoring and coaching to HR Consultants and/or other Human Resources Business Partners
   
   

Minimum Requirements

Requires a BA/BS degree and a minimum of 5 years of relevant work experience, including HR experience, business partner or generalist experience with data, analysis, trends and reports; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, And Experiences


 * Strongly preferred HR designation (SHRM-CP or SHRM-SCP).
 * Workday experience preferred.

HR Business Partner Director - Elevance Health

&lt;strong&gt;Location:&lt;/strong&gt; This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.&lt;br&gt;&lt;br&gt;The &lt;strong&gt;HR Business Partner Director&lt;/strong&gt; will be responsible to solve organizational challenges through people-related solutions and serve as an integral part of a market, assigned area(s) of a market or enterprise area's senior and/or executive leadership team, to understand every aspect of the business and be a thought leader on human capital and organizational topics..&lt;br&gt;&lt;br&gt;&lt;strong&gt;How You Will Make An Impact&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Create and implement the end-to-end human capital strategy that will drive the business to meet its goals&lt;/li&gt;&lt;li&gt;This role requires strategic reasoning and thinking, use of data to guide work, being comfortable challenging convention and, in some cases, influencing leaders to reassess how work is done&lt;/li&gt;&lt;li&gt;Partner with a cross-functional group of subject matter experts within HR centers of excellence to design and execute your strategy for how the business staffs, onboards, develops, motivates, retains and organizes work&lt;/li&gt;&lt;li&gt;As a core part of this role, this position will execute programs to support associates, including talent management, career planning, performance management, leadership coaching, data analysis, compensation and rewards, learning and development, recognition programs and strategic organizational development&lt;/li&gt;&lt;li&gt;Responsible to be a subject matter expert regarding organizational and people related planning and execution&lt;/li&gt;&lt;li&gt;Provide insightful data to guide decision making and offer proactive solutions, solving problems and getting to the root cause of any issue, regardless of complexity&lt;/li&gt;&lt;li&gt;Consult with leadership to create comprehensive people plans to influence lasting and sustainable efficiencies&lt;/li&gt;&lt;li&gt;Design and quickly implement solutions that cut across multiple disciplines, even those beyond human capital and organizational solutions&lt;/li&gt;&lt;li&gt;Strong analytical and problem solving skills, ability to analyze data, understand trends, including the development and monitoring of the EEO/AA action plan for designated site/location; develop recommendations for action based on the analysis&lt;/li&gt;&lt;li&gt;Strong ability to influence through strong relationships, expertise and data&lt;/li&gt;&lt;li&gt;Ability to manage a complex set of stakeholders&lt;/li&gt;&lt;li&gt;Comfortable rolling up your sleeves to get things done and the next moment, being part of deeply complex strategy discussions&lt;/li&gt;&lt;li&gt;Strong sense of the importance of teamwork and collaboration&lt;/li&gt;&lt;li&gt;Superior communication skills and understand how to communicate large, complex change&lt;/li&gt;&lt;li&gt;May provide guidance, mentoring and coaching to HR Consultants and/or other Human Resources Business Partners&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Minimum Requirements&lt;br&gt;&lt;br&gt;&lt;/strong&gt;Requires a BA/BS degree and a minimum of 5 years of relevant work experience, including HR experience, business partner or generalist experience with data, analysis, trends and reports; or any combination of education and experience, which would provide an equivalent background.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Preferred Skills, Capabilities, And Experiences&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Strongly preferred HR designation (SHRM-CP or SHRM-SCP).&lt;/li&gt;&lt;li&gt;Workday experience preferred.&lt;/li&gt;&lt;/ul&gt;

HR Business Partner Director

Plano

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.

The Referral Specialist is responsible for providing support to a clinical team to facilitate the administrative components of clinical referrals.

How You Will Make An Impact

Primary duties may include, but are not limited to:


 * 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.
 * Enters referrals, documents communications, actions, and other data in system.
   
   

Minimum Requirements


 * Requires HS diploma or GED.
 * 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 preferred
 * ICD-9 and CPT coding preferred.

Referral Specialist (Patient Access) - Paragon Healthcare - Elevance Health

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.&lt;br&gt;&lt;br&gt;The &lt;strong&gt;Referral Specialist&lt;/strong&gt; is responsible for providing support to a clinical team to facilitate the administrative components of clinical referrals.&lt;br&gt;&lt;br&gt;&lt;strong&gt;How You Will Make An Impact&lt;br&gt;&lt;br&gt;&lt;/strong&gt;Primary duties may include, but are not limited to:&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt;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.&lt;/li&gt;&lt;li&gt;Acts as liaison between hospital, health plans, physicians, patients, vendors, and other referral sources.&lt;/li&gt;&lt;li&gt;Reviews complex referrals for completeness and follows up for additional information if necessary.&lt;/li&gt;&lt;li&gt;Assigns referrals to staff as appropriate.&lt;/li&gt;&lt;li&gt;Verifies insurance coverage and obtains authorizations if needed from insurance plans.&lt;/li&gt;&lt;li&gt;Contacts physician offices as needed to obtain demographic information or related data.&lt;/li&gt;&lt;li&gt;Enters referrals, documents communications and actions in system.&lt;/li&gt;&lt;li&gt;Enters referrals, documents communications, actions, and other data in system.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Minimum Requirements&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Requires HS diploma or GED.&lt;/li&gt;&lt;li&gt;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.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Preferred Skills, Capabilities And Experiences&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Knowledge of medical terminology, plan specific guidelines preferred&lt;/li&gt;&lt;li&gt;ICD-9 and CPT coding preferred.&lt;/li&gt;&lt;/ul&gt;

Referral Specialist (Patient Access) - Paragon Healthcare

Indianapolis

Location: This is a virtual position and prefer candidates reside within 50 miles of an Elevance Health PulsePoint location listed on the requisition.

Schedule: Monday - Friday 9:00 am to 5:30 pm EST.

The Nurse Appeals is responsible for investigating and processing and medical necessity appeals requests from members and providers.

How You Will Make An Impact


 * Conducts investigations and reviews of member and provider medical necessity appeals.
 * Reviews prospective, inpatient, or retrospective medical records of denied services for medical necessity.
 * Extrapolates and summarizes medical information for medical director, consultants and other external review.
 * Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval.
 * Ensures that appeals and grievances are resolved timely to meet regulatory timeframes.
 * Documents and logs appeal/grievance information on relevant tracking systems and mainframe systems.
 * Generates written correspondence to providers, members, and regulatory entities.
 * Utilizes leadership skills and serves as a subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting the resolution of outstanding issues.
   
   

Minimum Requirements


 * Requires minimum of 2 years of experience in a managed care healthcare setting; or any combination of education and experience, which would provide an equivalent background.
 * Current active unrestricted RN license to practice as a health professional within the scope of licensure in applicable state(s) or territory of the United States required.
   
   

Preferred Capabilities, Skills And Experiences


 * AS or BS in Nursing preferred.
 * ER experience preferred.
 * Managed Care experience preferred.
 * MCG (Milliman Care Guidelines) 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.
   
   

For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $68,376 to $107,448.

Locations: Colorado, Nevada

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.

Nurse Appeals - Elevance Health

&lt;strong&gt;Location: This is a virtual position and prefer candidates reside within 50 miles of an Elevance Health PulsePoint location listed on the requisition.&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;Schedule: Monday - Friday 9:00 am to 5:30 pm EST.&lt;br&gt;&lt;br&gt;&lt;/strong&gt;The &lt;strong&gt;Nurse Appeals&lt;/strong&gt; is responsible for investigating and processing and medical necessity appeals requests from members and providers.&lt;br&gt;&lt;br&gt;&lt;strong&gt;How You Will Make An Impact&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Conducts investigations and reviews of member and provider medical necessity appeals.&lt;/li&gt;&lt;li&gt;Reviews prospective, inpatient, or retrospective medical records of denied services for medical necessity.&lt;/li&gt;&lt;li&gt;Extrapolates and summarizes medical information for medical director, consultants and other external review.&lt;/li&gt;&lt;li&gt;Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval.&lt;/li&gt;&lt;li&gt;Ensures that appeals and grievances are resolved timely to meet regulatory timeframes.&lt;/li&gt;&lt;li&gt;Documents and logs appeal/grievance information on relevant tracking systems and mainframe systems.&lt;/li&gt;&lt;li&gt;Generates written correspondence to providers, members, and regulatory entities.&lt;/li&gt;&lt;li&gt;Utilizes leadership skills and serves as a subject matter expert for appeals/grievances/quality of care issues and is a resource for clinical and non clinical team members in expediting the resolution of outstanding issues.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Minimum Requirements&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Requires minimum of 2 years of experience in a managed care healthcare setting; or any combination of education and experience, which would provide an equivalent background.&lt;/li&gt;&lt;li&gt;Current active unrestricted RN license to practice as a health professional within the scope of licensure in applicable state(s) or territory of the United States required.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Preferred Capabilities, Skills And Experiences&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;AS or BS in Nursing preferred.&lt;/li&gt;&lt;li&gt;ER experience preferred.&lt;/li&gt;&lt;li&gt;Managed Care experience preferred.&lt;/li&gt;&lt;li&gt;MCG (Milliman Care Guidelines) preferred.&lt;/li&gt;&lt;li&gt;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.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $68,376 to $107,448.&lt;br&gt;&lt;br&gt;Locations: Colorado, Nevada&lt;br&gt;&lt;br&gt;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 &lt;em&gt;.&lt;br&gt;&lt;br&gt;&lt;/em&gt;&lt;ul&gt;&lt;li&gt;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.&lt;/li&gt;&lt;/ul&gt;

Elevance Health

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