Anticipated End Date: 2026-03-25 Position Title: Managed Care Coordinator Job Description: Job Description Managed Care Coordinator Location: Virtual: This role enables associate to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Managed Care Coordinator is responsible for performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordination and management of member's program needs. How you will make an impact: - Using tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high risk complications) and coordinates those member's cases with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. The process does not involve clinical judgment. - Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of services. - Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, and physicians. Identifies members that would benefit from expanded services. Minimum Requirements: - Requires BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community based organizations; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: - BA/BS degree field of study in health care related field preferred. - ASAM criteria experience preferred - Coordinating Care experience with substance us disorder preferred - VA Medicaid - Cardinal Care experience preferred - It is strongly preferred that you are a Qualified Mental Health Professional Certified. Job Level: Non-Management Non-Exempt Workshift: Job Family: MED > Care Coord & Care Mgmt (Non-Licensed) 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. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

It's more than a career, it's a calling. MO-REMOTE Worker Type: Regular Job Summary: Supports clinic, department or program in an administrative capacity. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES - Performs duties under supervision and within well established guidelines. - Greets patients or visitors, answers/screens/routes telephone calls, files, distributes mail and performs other general clerical duties. - May provide assistance with programs/software for Providers. May assemble and maintain patient charts. - Responsible for making copies, answering phones, making appointments, and maintaining records. - May be responsible for maintaining office inventory including ordering supplies. Ensures that office equipment is in good working order and requests repairs or maintenance as needed. - Communicates with patients, families, physicians and other healthcare team members about patient care according to protocol. - Performs other duties as assigned. EDUCATION - High School diploma/GED or 10 years of work experience EXPERIENCE - No experience required PHYSICAL REQUIREMENTS - Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. - Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. - Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. - Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. - Frequent keyboard use/data entry. - Occasional bending, stooping, kneeling, squatting, twisting and gripping. - Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. - Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS - None Work Shift: Day Shift (United States of America) Job Type: Employee Department: 8746030033 Sys Utilization Management Scheduled Weekly Hours: 40 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. - Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). - Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. - Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.

Department: 11221 Population Health - WI Administration: Care Management Status: Part time Benefits Eligible: No Hours Per Week: 0 Schedule Details/Additional Information: Zero assigned, day shift. Fully remote. Pay Range $20.80 - $31.20 Major Responsibilities: - Manage incoming fax, phone, and portal communications or any other requests from internal and external customers pertaining to clinical requests, approvals, authorizations, and denials; determine action required, and document all activities performed accurately and clearly in the designated database/area(s) of EHR. - Communicate clinical needs, authorizations, and denials to the Utilization Review Nurses and Managers for follow up - Verify insurance information provided by callers, fax, or Portal and send information to payers as requested, including discharge dates and disposition or clinical reviews/summaries prepared by UM RNs (if directed to do), while ensuring that all actions taken align/comply with the confidentiality and HIPAA compliance guidelines - Follow up with payers to validate the authorization and confirm the days approved, and capture approved days in the EHR - Enter data into database, spreadsheets, and perform analysis as directed. Provide efficient, courteous, and expert customer service to all internal and external callers. Open, sort, and process incoming mail/correspondence directed to the Utilization Review. Maintain the department records and files. - Ensure provider compliance with Patient Status Admit Order (PSAO) co-signatures across the hospital sites covered by centralized UM. - Utilize standard reports/patient lists withing the EHR to identify PSAO co-signature delinquencies and follow up with reminders/escalations to physicians to sign admission orders - Follow the standard process to notify treating physician via perfect serve or other approved/designated methods of communication. - Interact with Site and System Physician Advisors based on guidelines for escalation. Document all actions taken and status updates in the EHR. - Maintain PSAO spreadsheet to track signature requests. Provide support and instruction to physicians to assist in the LOC order signature process. Education/Experience Required: - Level of Education: - Four + years secretarial experience and High School Graduate or equivalent or - Associates Degree Years of Experience: 2+ years of secretarial experience –preferably in a medical environment Knowledge, Skills & Abilities Required: - Competent in advanced functions with Microsoft Outlook, Word, Power Point, Excel and complete basic reporting Type 55+ words per minute. - Strong critical thinking and communication skills to problem solve, and interact with colleagues, physician and payers. - Ability to foster and maintain effective professional relationships, manage conflict while demonstrating Advocate Aurora’s Behaviors of Excellence at all times. - Ability to be flexible and function well in a fast paced, continually changing environment. - Assume responsibility for self-development by seeking out opportunities for growth and be an active participant in department, site and system initiatives. - Comply with strict adherence to predetermined procedures and processes, safety, compliance and privacy/HIPAA guidelines. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training - Premium pay such as shift, on call, and more based on a teammate's job - Incentive pay for select positions - Opportunity for annual increases based on performance Benefits and more - Paid Time Off programs - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability - Flexible Spending Accounts for eligible health care and dependent care expenses - Family benefits such as adoption assistance and paid parental leave - Defined contribution retirement plans with employer match and other financial wellness programs - Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

The Cigna Group Ventures Overview As the corporate venture capital arm of The Cigna Group, we invest in early and growth stage healthcare services and technology companies that align with The Cigna Group’s mission to improve the health and vitality of those we serve – building strategic partnerships that accelerate innovation and deliver meaningful impact. Position Overview We are seeking a highly organized, execution‑focused professional with strong operational skills to join our team as an Administrative and Operations Coordinator. This role provides direct executive support to the Head of The Cigna Group Ventures and partners closely across the team to drive operational excellence and support day‑to‑day fund execution. Designed as a learning‑rich opportunity, this role offers exceptional foundational exposure to the business. Through close partnership with senior leadership, the Administrative and Operations Coordinator will develop strong business acumen, executive judgment, and operational fluency by gaining firsthand insight into strategic priorities, venture operations, and day‑to‑day decision‑making. This role is ideal for someone who enjoys operating as a true extension of the executive and the broader business. It balances high‑touch executive support with meaningful exposure to venture and cross‑functional work, and requires a high degree of discretion, sound judgment, and the ability to move quickly and accurately in a dynamic, senior‑leader environment. Successful candidates are proactive, forward‑thinking operators who thrive in ambiguity, anticipate needs before they arise, and are energized by supporting senior leaders in fast‑moving, high‑impact settings. Key Responsibilities Executive Support - Strategically manage executive calendars, including complex ELT scheduling - Prepare polished, high-level materials for executive briefings and actively manage follow-throughs - Support extensive travel scheduling, including all logistics and expense management - Manage scheduling and content coordination for team meetings, including Investment Committee meetings and key internal / external stakeholder meetings - Build and maintain strong internal relationships across Executive Assistants and other key functional groups - Act as a trusted partner with the team and senior leadership, anticipating needs, exercising sound judgment, and supporting effective decision-making Events, Meetings & Team Cadence - Maintain the annual calendar and coordinate team’s participation in key industry events and conferences, including logistics and budgets - Manage weekly team meetings and quarterly on-sites, including agenda, materials, notes, and time-bound follow-ups - Support the team’s operating cadence, including reviews and internal reporting, and track follow-ups to completion CRM, Reporting & Operational Tools - Maintain and support CRM tools and core operational platforms - Support CRM data management, reporting, and data hygiene (including pipeline tracking and leadership-ready summaries) - Lead coordination of vendor contract activity in partnership with Procurement, Legal, IT, and Finance teams Social & Communications Coordination - Coordinate the annual communications calendar with external agencies and Corporate Communications - Draft and coordinate internal communications, updates, and leadership-ready summaries to support alignment across the Ventures organization - Coordinate review and approval process for press releases with Corporate Communications and Legal Qualifications - 5+ years of progressively responsible administrative / executive assistant or project management experience supporting senior leaders strongly preferred - Experience supporting leaders and/or teams in Venture Capital, Consulting, high-growth start-up environments or corporate strategy environments is strongly preferred - Exceptional written and verbal communication skills with the ability to craft clear, executive-level materials - Advanced proficiency with Microsoft suite, collaboration tools, meeting platforms, and CRM systems - Experience with SAP Concur and Workday preferred - Demonstrated capacity to operate independently, apply sound judgment, and uphold the highest standards of confidentiality - Impeccable organization, strong follow-through, and a bias for action in a fast-paced environment If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 64,900 - 108,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.