Teams at Elevance Health

Serve as a strategic business and systems partner to translate business needs into requirements, lead cross-functional workstreams, analyze processes and data, define testing strategies (UAT), support implementations, and improve system performance across claims, provider, and member functions.

Perform nursing case management for members with complex/chronic needs: assess, develop, implement, coordinate, monitor, and evaluate individualized care plans; facilitate authorizations/referrals; coordinate resources; liaise with medical directors and providers; help resolve provider/claims issues and negotiate reimbursement rates.

Field-based sales role executing a regional strategy to drive adoption of BioPlus Specialty Pharmacy across specialty therapy areas. Build and maintain provider and stakeholder relationships, document activity and performance in Salesforce/databases, maintain call cycles, provide clinical and reimbursement support, attend meetings and conferences, and travel frequently within the Northeast territory.