Qureos Mentor

Elevance Health

<div>JOB ID - JP00046282 
Anticipated Start Date: 1/19/2026
Please note this is the target date and is subject to change. BCForward will send official notice ahead of a confirmed start date.
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. 
THIS IS AN ONSITE ROLE (M-F, 8-4:30p PST) at our 711 Broadway Street San Francisco, CA. 94133 LOCATION
Responsible for handling all walk-in customers by responding to inquiries for all lines of business.
Primary duties may include, but are not limited to:
<ul><li>Receives and verifies premium payments. Assists customers with information required to make decisions on health care coverage that best meets their needs by explaining benefits and rates for all policies.
</li><li>Researches and responds to walk-in customer concerns.
</li><li>Accepts premium payments and prepares written receipts.
</li><li>Assists customers in the selection of health care coverage that best suits their needs.
</li><li>Assist customers in making policy change decisions that result in retained business.
</li><li>Identify complex and unusual inquiries that may cause problems; document and submit problem reports for resolution; tracks trends and problems that directly impact company performance.
</li><li>Provide feedback to appropriate areas to improve service.
</li><li>Acts as liaison between customer and operating units. Assists with research of executive inquiries.
</li></ul>Requirements:<ul><li>
Requires HS diploma or equivalent and a minimum of 5 years of operations or customer service experience; or any combination of education and experience which would provide an equivalent background. Life and Health License preferred.</li><li>
Bi-lingual required in some locations.
</li><li>Prior sales experience preferred.</li></ul>
Additional Information:<ul><li>
Highly Preferred: Healthcare (Medicare) background.
</li><li>Customer Service exp.
</li><li>REQUIRED fluency in Chinese, both Mandarin and Cantonese dialects.
</li><li>Possible to extend and/or FTE opportunities.</li></ul>
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, contractors 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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
About BCForward:
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.
BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.
BCForward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.
To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.
This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.
<div>Pay Rate Range
16.69 - 30.27 USD hourly
</div><div>Additional Notes
The pay range is the range BCForward 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.
</div><div>Benefits Information
BCForward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.
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. This does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).</div></div>

Walk - In Customer Rep (contract)

<div>
 
 Work Location:
 
 
 Virtual
 
 
 
 This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), 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.
 
 
 
 
 Seeking candidates who have an active, unrestricted RN Compact license or Multi-state RN licenses in either of the following states: AZ, FL, IA, IN, KS, MA, NM, OH, TN, TX, NJ, HI or VA.
 
 
 
 
 Carebridge Health
 
 is a proud member of the Elevance Health family of companies, within our Carelon business. Carebridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through home-care and community based services
 
 
 
 Work Shift - Multiple Shifts Available
 
 
 
 
 11am - 9pm CST
 
 
 
 
 1pm - 11pm CST
 
 
 
 The RN will work eight (8)10-hour work shifts, in a two-week period which includes Saturday and Sunday every other weekend.
 
 
 The
 
 Triage Nurse I - CareBridge
 
 is responsible for determining the appropriate Care Management program for members referred through internal and external sources and various data sources and reports. Utilizing department guidelines, completes triage process and applies established criteria to assign members to appropriate care management component. Deals with least complex cases having limited or no previous Triage care experience.
 
 
 Primary duties may include but are not limited to
 
 
 <ul>
 <li>
 Utilizes the nursing process to meet an individual's health needs, utilizing plan benefits and community resources.
 </li>
 <li>
 Educates members about contracted physicians, facilities and healthcare providers.
 </li>
 <li>
 Learn to develop favorable working partnerships and collaborative relationships with members, physicians, healthcare service providers, and internal and external customers to help improve health outcomes for members.
 </li>
 <li>
 Works in collaboration with medical management and care management associates to identify issues, problems, and resource needs and assign to appropriate care management program.
 </li>
 <li>
 Facilitates selecting appropriate candidates for referral to CM and/or DM.
 </li>
 <li>
 Partners with social work as appropriate.
 </li>
 <li>
 Identifies and refers cases or issues to QI, SIU, Subrogation, Underwriting, or other departments as appropriate.
 </li>
 <li>
 Documents appropriate clinical information, decisions, and determinations in a timely, accurate, and concise manner.
 </li>
 <li>
 Develops a working knowledge of member benefits, contracts, medical policy, professional standards of practice, and current health care practices.
 
 
 </li>
 </ul>
 Position requirements
 
 
 <ul>
 <li>
 Requires AS in nursing and minimum of 2 years of acute care clinical experience; or any combination of education and experience, which would provide an equivalent background.
 </li>
 <li>
 Current unrestricted RN license in the applicable state(s) required.
 
 
 </li>
 </ul>
 
 Preferred Qualifications, Skills, And Experiences
 
 
 
 <ul>
 <li>
 Current, active, RN Compact license highly preferred.
 </li>
 <li>
 Emergency Room and/or Urgent Care experience highly preferred.
 </li>
 <li>
 Telehealth experience.
 </li>
 <li>
 Experience with EMR systems.
 </li>
 <li>
 BS in nursing preferred.
 </li>
 <li>
 Participation and/or certification in a managed care or utilization management organization preferred.
 </li>
 <li>
 Ability to understand clinical information and prepare a concise summary following department standards strongly preferred.
 </li>
 <li>
 Basic knowledge of the medical management and care management process and role preferred.
 
 
 </li>
 </ul>
 For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $67,200 to $115,920
 
 
 Locations: Cleveland, OH; Columbus, OH; Massachusetts; New Jersey, Hawaii
 
 
 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's sole discretion,
 
 
 </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 - 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.
</div>

Triage RN - Virtual - CareBridge

<div>
 
 Work Location:
 
 
 Virtual
 
 
 
 This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), 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.
 
 
 
 
 Seeking candidates who have an active, unrestricted RN Compact license or Multi-state RN licenses in either of the following states: AZ, FL, IA, IN, KS, MA, NM, OH, TN, TX, NJ, HI or VA.
 
 
 
 
 Carebridge Health
 
 is a proud member of the Elevance Health family of companies, within our Carelon business. Carebridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through home-care and community based services
 
 
 
 Work Shift -
 
 
 Overnight: 10p
 
 
 m - 8am
 
 
 (Central Standard Time)
 
 
 
 The RN will work eight (8)10-hour work shifts, in a two-week period which includes Saturday and Sunday every other weekend.
 
 
 The
 
 Triage Nurse I - Overnight - CareBridge
 
 is responsible for determining the appropriate Care Management program for members referred through internal and external sources and various data sources and reports. Utilizing department guidelines, completes triage process and applies established criteria to assign members to appropriate care management component. Deals with least complex cases having limited or no previous Triage care experience.
 
 
 Primary duties may include but are not limited to
 
 
 <ul>
 <li>
 Utilizes the nursing process to meet an individual's health needs, utilizing plan benefits and community resources.
 </li>
 <li>
 Educates members about contracted physicians, facilities and healthcare providers.
 </li>
 <li>
 Learn to develop favorable working partnerships and collaborative relationships with members, physicians, healthcare service providers, and internal and external customers to help improve health outcomes for members.
 </li>
 <li>
 Works in collaboration with medical management and care management associates to identify issues, problems, and resource needs and assign to appropriate care management program.
 </li>
 <li>
 Facilitates selecting appropriate candidates for referral to CM and/or DM.
 </li>
 <li>
 Partners with social work as appropriate.
 </li>
 <li>
 Identifies and refers cases or issues to QI, SIU, Subrogation, Underwriting, or other departments as appropriate.
 </li>
 <li>
 Documents appropriate clinical information, decisions, and determinations in a timely, accurate, and concise manner.
 </li>
 <li>
 Develops a working knowledge of member benefits, contracts, medical policy, professional standards of practice, and current health care practices.
 
 
 </li>
 </ul>
 Position requirements
 
 
 <ul>
 <li>
 Requires AS in nursing and minimum of 2 years of acute care clinical experience; or any combination of education and experience, which would provide an equivalent background.
 </li>
 <li>
 Current unrestricted RN license in the applicable state(s) required.
 
 
 </li>
 </ul>
 
 Preferred Qualifications, Skills, And Experiences
 
 
 
 <ul>
 <li>
 Current, active, RN Compact license highly preferred.
 </li>
 <li>
 Emergency Room and/or Urgent Care experience highly preferred.
 </li>
 <li>
 Telehealth experience.
 </li>
 <li>
 Experience with EMR systems.
 </li>
 <li>
 BS in nursing preferred.
 </li>
 <li>
 Participation and/or certification in a managed care or utilization management organization preferred.
 </li>
 <li>
 Ability to understand clinical information and prepare a concise summary following department standards strongly preferred.
 </li>
 <li>
 Basic knowledge of the medical management and care management process and role preferred.
 
 
 </li>
 </ul>
 For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $67,200 to $115,920
 
 
 Locations: Cleveland, OH; Columbus, OH; Massachusetts; New Jersey, Hawaii
 
 
 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's sole discretion,
 
 
 </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 - 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.
</div>

Triage RN - Virtual - Overnight - CareBridge

<div>
 
 Location: This role enables associates to work virtually full-time, except for 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 accommodation is granted as required by law.
 
 
 
 The
 
 Respiratory Therapist
 
 is responsible for providing guidance to condition management members to help make positive lifestyle changes to improve respiratory health.
 
 
 
 How You Will Make An Impact
 
 
 
 <ul>
 <li>
 Collaborates with other health professionals to improve the health of members.
 </li>
 <li>
 Provides instructions to members on the use of inhalers, breathing techniques, Bipaps, and peak flow meters, as well as prevention techniques to reduce medical issues.
 </li>
 <li>
 Coaches members to make positive health changes with specialized health education focused on Asthma and COPD population.
 
 
 </li>
 </ul>
 
 Minimum Requirements
 
 
 
 <ul>
 <li>
 Requires AS in Respiratory Therapy and minimum of 3 years of clinical experience as a respiratory therapist; or any combination of education and experience, which would provide an equivalent background.
 </li>
 <li>
 Current Respiratory Care Professional license required.
 </li>
 <li>
 NBRC credentialing required.
 </li>
 <li>
 American Association of Respiratory Care registration required.
 
 
 </li>
 </ul>
 
 Preferred Experiences, Skills And Capabilities
 
 
 
 <ul>
 <li>
 BA/BS preferred.
 </li>
 <li>
 Telephonic experience strongly preferred.
 </li>
 <li>
 Experience with DME strongly preferred.
 
 
 </li>
 </ul>
 For candidates working in person or virtually in the below locations, the salary* range for this specific position is $61,572 to $92,358
 
 
 Location: 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.
 
 
 <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 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.
</div>

Respiratory Therapist

<div>Provider Reimbursement Administrator Senior
Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Provider Reimbursement Administrator Senior ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. The role serves as the subject matter expert regarding reimbursement policies, edits, and coding conventions.
How you will make an impact:<ul><li>
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.</li><li>
Works with other departments on claims adjudication workflow development and business process improvements.</li><li>
May lead the full range of provider reimbursement activities for a state(s).</li><li>
Leads projects related to provider reimbursement initiatives.</li><li>
Serves as a mentor to less experienced administrators.</li></ul>
Minimum Requirements: Requires 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.
Preferred Skills, Capabilities and Experiences:<ul><li>
RN; Medical billing and coding certification strongly preferred.</li><li>
Prior experience with Excel and data analysis preferred.</li><li>
Smartsheet experience preferred.</li><li>
Claims and systems testing experience preferred.</li><li>
Experience gathering requirements and completing/comprehending Business Requirements Documents (BRDs) 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.</div>

Provider Reimbursement Administrator Senior

<div><div><div>Pharmacy Technician, Purchasing - BioPlus Specialty Pharmacy</div><div>
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.</div><div>
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 accommodation is granted as required by law.</div><div>
Schedule: Monday-Friday, 8:00am-5:00pm (1-hour lunch) or 8:30am-5:00pm (30-minute lunch)</div></div><div>
BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and 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 Technician, Purchasing - BioPlus Specialty Pharmacy is responsible for supporting all activities related to effective inventory ordering and reconciliation.
How you will make an impact:<ul><li>
Responsible for ordering drugs and supplies for pharmacy, based on established order points and as directed.</li><li>
Ensure that purchased items meet customer service demands, pharmacy operations requirements, and specified pricing models.</li><li>
Utilize inventory control programs and policies to achieve targeted inventory levels.</li><li>
Review inventory and purchasing needs on a daily basis to ensure the uninterrupted flow of products through appropriate purchasing procedures.</li><li>
Communicate in real time shortages of medications or changes in stock availability and coordinate resolutions of all inventory order problems (i.e. back orders, manufacture outs, etc.).</li><li>
Oversee required responses to and management of medication recall notifications in conjunction with the pharmacy manager.</li><li>
Ensure the accuracy of computerized inventory records.</li><li>
Direct the performance of cycle counts on a regular basis to validate physical inventoried items against system records.</li><li>
Investigate variances and report on findings to management.</li><li>
Direct periodic physical inventories in compliance with standards set by management.</li><li>
Enter completed count sheets into the database and investigate discrepancies.</li><li>
Work with accounting to resolve all reconciliation issues as they arise.</li><li>
Develop and foster working relationships with wholesalers to collaborate, proactively resolve issues, and optimize the inventory ordering process.</li><li>
Optimize program reports detailing volume.</li><li>
Profitability, pricing, and other reporting metrics as needed.</li><li>
Strive to consistently improve the overall efficiency and optimal operation of the inventory ordering process.</li></ul>
Minimum Requirements:<ul><li>
Requires an active, professional license, if required by state law, State Pharmacy Technician Certification or National Certification based on applicable state(s) requirements, to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States.</li><li>
Requires H.S. diploma or equivalent and minimum of 3 years of experience in inventory control and purchasing; or any combination of education and experience, which would provide an equivalent background.</li></ul>
Preferred Skills, Capabilities and Experiences:<ul><li>
CPhT.</li><li>
Experience in dispensing pharmacy setting.</li><li>
Knowledge of pharmacy terminology.</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.</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.</div>

Pharmacy Technician, Purchasing - BioPlus Specialty Pharmacy

<div>Pharmacy Technician - Fulfillment 
Location: TX-RICHARDSON, 1748 N GREENVILLE AVE
Schedule: M-F; 930am &ndash; 6pm
On-site: 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.
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 Technician - Fulfillment is responsible for preparing and labeling prescriptions. Counts, weighs, measures, and pours prescription medication or stock legend drugs and controlled substances including the filling of an automated medication system.
How you will make an impact:
<ul><li>Utilizes pharmacy&rsquo;s adjudication platform, to enter required information in order to record all legal requirements for preparation of prescription verification by Pharmacist.</li><li>
Maintain compliance with regulations from applicable State Board of Pharmacy, local, state, and federal requirements as it pertains to prescriptions.</li><li>
Communicates with prescribers, customers, other staff, and any other entity required to complete prescription. Assists the Pharmacist in reviewing, processing, preparing, filling, labeling and dispensing of medications and supplies.</li><li>
Arranges work activities so that the pharmaceutical needs of customers are met.</li><li>
Answers phones, responds to questions and requests or refers them to appropriate staff for medication information.</li><li>
Verifies data entry information.</li><li>
Maintains records by recording and filling physician&rsquo;s orders and prescriptions.</li><li>
Checks medications and administration supply inventory for out of date products, removes products from inventory and works with the appropriate resource to record out of date products.</li><li>
Maintains a clean and safe pharmacy by complying with procedures, rules and regulations.</li></ul>
Minimum Requirements:<ul><li>
Requires H.S. diploma or equivalent and minimum of 1 year experience as a Registered Pharmacy Technician and previous experience in pharmacy environment; or any combination of education and experience, which would provide an equivalent background.</li><li>
Valid Registered Pharmacy Technician required.</li></ul>
Preferred Skills, Capabilities and Experiences:<ul><li>
Pharmacy Technician Certification Board certificate preferred.</li><li>
Experience with pharmacy adjudication platform.</li><li>
Experience in dispensing pharmacy setting preferred.</li><li>
Knowledge of pharmacy terminology strongly preferred.</li><li>
ACPE-accredited IV/sterile compounding certification.</li><li>
Experience working in specialty/infusion pharmacy.</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.</div>

Pharmacy Technician - Fulfillment

Join Elevance Health and explore 19   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.