Qureos Mentor

Elevance Health

<div>Principal Cloud Engineer - Data Platforms
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.
PLEASE NOTE: This position is not eligible for current or future visa sponsorship.
At Elevance Health, we are transforming how data platforms enable healthcare insights and operations. The Principal Cloud Engineer - Data Platforms serves as a strategic technical leader responsible for defining, advancing and governing enterprise data platforms, ensuring scalability, security, and reliability.
The Principal Cloud Engineer - Data Platforms works with the business and technology stakeholder's on the development and delivery of end to end application technology products and services for enterprise wide technology application platforms that are aligned to the organizations strategic objectives and initiatives.
How you will make an Impact:<ul><li>
Define enterprise data platform architecture across multiple cloud providers.</li><li>
Author and evangelize whitepapers/position papers defining principals and strategies for data and data platforms at Elevance Health.</li><li>
Design scalable cloud solutions to host data platforms (lakehouse, warehouse, streaming).</li><li>
Partner with Data Engineering, Enterprise Architecture, and Information Security to establish data architecture standards, models, and patterns.</li><li>
Design automation platforms supporting cloud data architectures.</li><li>
Drive adoption of modern data architectures (data mesh, data fabric)</li><li>
Define data governance, quality, lineage, and compliance frameworks</li><li>
Partner with engineering teams to deliver data pipelines and platforms</li><li>
Evaluate and implement data technologies (Databricks, Snowflake, etc.)</li><li>
Works with stakeholders to establish the overall applications architecture vision and ensures specific components are appropriately designed and leveraged in a multi-product environment.</li><li>
Recommends new technology solutions and products are delivered to stakeholders and align with enterprise strategic objectives.</li><li>
Collaborate with stakeholders and technology to define business requirements.</li><li>
Oversee the development and delivery of technical and/or functional specifications.</li><li>
Oversee the technical design reviews and testing to architectural technologies for application solutions and products meet business requirements.</li><li>
Leading and define the overall application system technology and architecture, development.</li><li>
Provides continuous consulting services and direction on projects.</li><li>
Champions and responsible for architectural standards, guidelines, principles, frameworks, and reference models.</li><li>
Collaborate with all stakeholders to define architectures for new strategic initiatives as well.</li></ul>
Minimum Requirements:
 Requires an BA/BS degree in Information Technology, Computer Science or related field of study a minimum of 11 years experience; multi dimensional platform experience, expert level experience with business and technical applications; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Experiences and Competencies:<ul><li>
Hands on experience with AI tooling; IDE and Services</li><li>
Expertise in distributed data systems and platforms</li><li>
Experience with cloud data platforms</li><li>
Strong understanding of data modeling and warehousing</li><li>
Experience in regulated environments (HIPAA, HITRUST)</li><li>
Experience working with a variety of executives and their teams in a matrixed environment to deliver value and drive change. Cross-functional experience (e.g., strategy, change management, business process management)</li><li>
Experience with healthcare data domains</li><li>
Experience with big data technologies (Spark, Databricks)</li><li>
Experience with streaming platforms (Kafka, Kinesis)</li><li>
Experience with modern architectures (lakehouse, data mesh)</li></ul> 

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 &ndash; 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 elevancehealthjobssupport@elevancehealth.com 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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.</div>

Principal Cloud Engineer - Data Platforms

<div>Shift: Monday &ndash; Friday; 11:30am &ndash; 8:00pm EST
Location: On-site, with an opportunity to transition to hybrid, Alternate locations may be considered if candidates reside within a commuting distance from an office
Onsite: This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support. 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
BioPlus Specialty Pharmacy is a proud member of the Elevance Health family of companies. BioPlus offer consumers and providers an unparalleled level of service that&rsquo;s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an elevated experience, affordability, and personalized support throughout the consumer&rsquo;s treatment journey.
The Pharmacy Customer Associate II is responsible for responding to moderately complex customer questions via telephone and written correspondence regarding pharmacy retail and mail order prescriptions. A successful Benefits Investigation professional demonstrates a strong foundation in healthcare coverage analysis, claims processing, and clear communication.
How you will make an impact:<ul><li>
Develops and maintains positive customer relations and coordinates with functions within the company to ensure customer requests are handled and resolved appropriately and in a timely manner.</li><li>
Interacts with internal and external customers (could include subscribers, providers, group or benefit administrators, physician offices, third party representatives, and other Blue Cross Plans) to provide claims, customer service, and/or membership support.</li><li>
Responds to client issues via telephone and written correspondence regarding insurance benefits member, provider contracts, eligibility, claims, etc.</li><li>
Proficiency in adjudicating claims through Pharmacy Benefit Managers (PBMs), with the ability to accurately read, interpret, and troubleshoot both paid and rejected claims.</li><li>
Completes necessary research to provide proactive, thorough solutions. Ability to research and interpret both medical and pharmacy benefit plans, including a comprehensive understanding of benefit structures such as copays, coinsurance, deductibles, out-of-pocket maximums, and coordination of benefits.</li><li>
Displays ownership of service requests ensuring high quality resolution and follow-through.</li><li>
Supports and guides the customer with their personal options and decisions and helps the customer become knowledgeable and confident about using technology, tools and resources available to them.</li><li>
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.</li><li>
Working knowledge of pharmacy and medical terminology and the ability to interpret prescriptions, including selecting appropriate dosing and units based on day supply requirements.</li><li>
Strong attention to detail with the ability to analyze complex information, identify discrepancies, and ensure accurate benefit determination.</li><li>
Excellent written and verbal communication skills to clearly document assessments and effectively convey benefit information to internal and external stakeholders.</li><li>
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.</li><li>
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.</li><li>
Performs other duties as assigned.</li></ul>
Minimum requirements:
<ul><li>Requires a HS diploma or equivalent and a minimum of 1 year of the company's experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.</li></ul>
Preferred skills, capabilities, and experiences:
<ul><li>General knowledge of company pharmacy services, products, insurance benefits, contracts and claims preferred.</li></ul>
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 virtually in the below location(s), the salary* range for this specific position is $18.66 to $29.32 hourly
Locations: Illinois, 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.
<ul><li>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&rsquo;s sole discretion, consistent with the law.</li></ul> 

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 &ndash; 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 elevancehealthjobssupport@elevancehealth.com 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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.</div>

Pharmacy Customer Associate II

<div>Pharmacist Program Manager
Location(s): Indianapolis, IN, Atlanta, GA, Miami, FL, Tampa, FL, Norfolk, VA, Overland Park, KS, Mason, OH
Hybrid: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. 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 Pharmacist Program Manager leads pharmacy programs to improve Stars performance and lower cost of care in value-based organizations. Please note: This role is not practicing clinical pharmacy.
How you will make an impact:<ul><li>
Manages both internal and external stakeholders, resolve pharmacy benefit issues, and support Sales and provider-facing pharmacists with clinical guidance, standardized workflows, and cross-functional alignment to ensure compliance.</li><li>
Ensures the proper reaction to and resolution of issues concerning the pharmacy benefit program.</li><li>
Acts as a support resource for the sales team regarding efforts to improve the performance of the pharmacy benefit for existing accounts.</li><li>
Lead analytics-driven pharmacy programs to improve Medicare Stars medication measures, close quality gaps, and reduce avoidable cost of care.</li></ul>
Minimum Requirements<ul><li>
Requires BA/BS in Pharmacy and a minimum of 2 years of managed care pharmacy experience; or any combination of education and experience, which would provide an equivalent background.</li><li>
Current unrestricted Pharmacist license in applicable state(s) required.</li></ul>
Preferred Qualifications, Skills, and Experiences:<ul><li>
Knowledge of current health care and managed care pharmacy practices strongly preferred.</li><li>
Professional designation preferred.</li></ul> 

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 &ndash; 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 elevancehealthjobssupport@elevancehealth.com 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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.</div>

Pharmacist Program Manager - CarelonRx

<div>PBM Pricing Strategy Analyst Manager
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 PBM Pricing Strategy Analyst Manager is responsible for Pharmacy Services pricing and Administrative Services Only (ASO) support functions.
How You Will Make an Impact:<ul><li>
Implements new processes, process improvements, and best practices related to pricing, guarantee monitoring, and ASO pass back activities.</li><li>
Creates and implements metrics and supports performance measures to establish performance objectives for revenue maximization and pharmacy pricing.</li><li>
Creates tools and processes to monitor margin revenue, pricing accuracy, and client retention.</li><li>
Monitors revenue performing below thresholds and implements necessary tasks to bring performance to or above targets.</li><li>
Implements pricing in the system related to margin.</li><li>
Supports the Pharmacy Services team in implementing future revenue, member expansion and growth capacity.</li><li>
Assists with developing pharmacy pricing training to underwriters and updates to underwriting guidelines.</li></ul>
Minimum Requirements:
Requires a BA/BS in Finance or related field and a minimum of 5 years of experience with a Pharmacy Benefits Manage (PBM), pricing, data analysis; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:<ul><li>
Pharmacy Underwriting knowledge and concepts
</li><li>Strong analytical skills
</li><li>Experience responding to Request for Proposals</li></ul> 

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 &ndash; 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 elevancehealthjobssupport@elevancehealth.com 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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.</div>

PBM Pricing Strategy Analyst Manager

<div>Sign On Bonus: $1,000
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 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.
This position is not eligible for employment based sponsorship.
Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.
PRIMARY DUTIES:<ul><li>
Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code.</li><li>
Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy.</li><li>
Translates medical policies into reimbursement rules.</li><li>
Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits.</li><li>
Coordinates research and responds to system inquiries and appeals.</li><li>
Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy.</li><li>
Perform pre-adjudication claims reviews to ensure proper coding was used.</li><li>
Prepares correspondence to providers regarding coding and fee schedule updates.</li><li>
Trains customer service staff on system issues.</li><li>
Works with providers contracting staff when new/modified reimbursement contracts are needed.</li></ul>
Minimum Requirements:<ul><li>
Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background.</li><li>
Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required.</li></ul>
Preferred Skills, Capabilities and Experience:<ul><li>
CEMC, RHIT, CCS, CCS-P certifications preferred.</li></ul> 

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 &ndash; 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 elevancehealthjobssupport@elevancehealth.com 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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.</div>

Med Coding Appeals Analyst

<div>Cloud Principal Engineer - Security
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.
PLEASE NOTE: This position is not eligible for current or future visa sponsorship.
At Elevance Health, we are transforming how cloud technology supports healthcare delivery and innovation. The ideal Cloud Principal Engineer - Security candidate combines deep expertise in cloud platforms with advanced cloud security knowledge, and operates as a trusted advisor to senior leadership while mentoring cloud engineering and teams and driving a security-first culture.
The Cloud Principal Engineer - Security works with the business and technology stakeholders on the development and delivery of end-to-end application technology products and services for enterprise-wide technology application platforms that are aligned with the organization's strategic objectives and initiatives.
How you will make an Impact:<ul><li>
In partnership with OCISO and Enterprise Architecture, author and evangelize whitepapers/position papers covering all facets of cloud security.</li><li>
Lead the design of secure, scalable, and resilient cloud architectures across AWS, Azure, and/or GCP environments.</li><li>
Define enterprise cloud security policies, standards, reference architectures, and engineering guardrails aligned with Elevance Health policies.</li><li>
Design compliance-automation with healthcare regulations and frameworks (HIPAA, HITRUST, NIST, ISO).</li><li>
Design automated, secure patterns for IAM, encryption, network security, and zero trust architecture.</li><li>
Lead threat modeling, risk assessments, and remediation strategies for cloud-based systems.</li><li>
Champion DevSecOps practices; automated security testing, policy-as-code, and secure CI/CD pipelines.</li><li>
Partner with enterprise architecture, application teams, and security organizations to embed security into the cloud SDLC.</li><li>
Serve as a key advisor to leadership on cloud risk, strategy, and emerging technologies.</li><li>
Partners with leadership to design processes that will shape the foundation for emerging cloud technologies.</li><li>
Leads initiatives relating to cloud governance.</li><li>
Recommends new technology solutions and products are delivered to stakeholders and align with enterprise strategic objectives.</li><li>
Oversee the development and delivery of technical and/or functional specifications.</li><li>
Oversee the technical design reviews and testing to architectural technologies for application solutions and products meet business requirements.</li><li>
Assesses the compatibility and integration of solutions and products.</li><li>
Provides continuous consulting services and direction on projects.</li><li>
Champions and responsible for architectural standards, guidelines, principles, frameworks, and reference models.</li></ul>
Minimum Requirements:
 Requires an BA/BS degree in Information Technology, Computer Science or related field of study a minimum of 11 years experience; multi dimensional platform experience, expert level experience with business and technical applications; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Experiences and Competencies:<ul><li>
Hands on experience with AI tooling; IDE and Services</li><li>
Strong expertise in cloud security including IAM, encryption, network security, and workload protection.</li><li>
Hands-on experience with infrastructure-as-code and automation tools.</li><li>
Deep understanding of networking concepts including VPCs, subnets, firewalls, and zero trust.</li><li>
Hands on experience implementing DevSecOps and secure CI/CD pipelines.</li><li>
Experience working in regulated environments, preferably healthcare.</li><li>
Strong knowledge of compliance frameworks such as HIPAA, HITRUST, NIST, and SOC2.</li><li>
Strong knowledge, and expertise, in cloud control policies and frameworks.</li><li>
Experience working with a variety of executives and their teams in a matrixed environment to deliver value and drive change. Cross-functional experience (e.g., strategy, change management, business process management).</li><li>
Industry certifications such as AWS Solutions Architect, AWS Security Specialty, Azure Security Engineer, or CISSP.</li><li>
Experience with containerization and orchestration (Docker, Kubernetes).</li><li>
Experience with cloud security tools such as CSPM, CWPP, SIEM, and secrets management platforms.</li><li>
Strong background in application security and secure coding practices.</li><li>
Experience in large-scale enterprise healthcare environments.</li></ul> 

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 &ndash; 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 elevancehealthjobssupport@elevancehealth.com 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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.</div>

Cloud Principal Engineer - Security

<div></div><div><div><div><div><div>Crisis &amp; Referral Specialist
Location : Seeking candidates that reside in the state of Georgia. 
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.
Work Schedule : We operate 24 hours a day, 7 days a week, 365 days out of the year. This is a 24-hour call center, we are hiring for all shifts to include weekends and holidays. Training will be conducted Monday-Friday 10:00am-6:30pm EST.
A proud member of the Elevance Health family of companies, Carelon Behavioral Health uses our powerful combination of experience, expertise, dedication and compassion to see what's possible and what's better. Born out of one of the largest healthcare systems organization in the United States, our rich history gives us a unique and valuable perspective on how to solve the most pressing healthcare challenges.
The Crisis &amp; Referral Specialist is responsible for screening, assessing, training, and providing telephonic intervention/de-escalation for helpline callers using established protocols to determine an immediate course of action.
How you will make an impact :<ul><li>
Takes inbound calls, texts and chats from individuals needing support, services, or who may be in crisis.
</li><li>Performs safety screenings and assessments to discern presence and acuity of risk to the safety of the individual or others.
</li><li>Uses information provided by the caller and obtained during the screenings and assessments to accurately understand the individual's needs and develop a plan of action in collaboration with the individual.
</li><li>Completes appropriate, timely, and accurate documentation of interactions in accordance with established criteria.
</li><li>Provides linkage follow-up as directed to assure individual accessed services.
</li><li>Coordinates with other agencies, organizations and individuals to insure optimal use of resources, services and natural support systems.
</li><li>Ensures compliance with all HIPAA, OSHA, and other federal, state, and local regulations.
</li></ul>Minimum Requirements :<ul><li>
Requires a HS diploma or the equivalent and a minimum of 1 year of experience in behavioral health or a minimum of 6 months of direct crisis experience to include screenings and assessments to determine appropriate interventions; or any combination of education and experience which would provide an equivalent background.
</li></ul>Preferred Skills, Capabilities &amp; Experiences :
<ul><li>BS/BA degree in a mental health or other human services field and two years of experience working directly with individuals in need of behavioral health services strongly preferred.</li><li>
Call Center experience preferred.</li><li>
Crisis experience preferred.</li></ul></div></div></div></div> 
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 &ndash; 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 elevancehealthjobssupport@elevancehealth.com 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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.</div>

Crisis & Referral Specialist

Join Elevance Health and explore 22   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.