Role Description The Utilization Management Manager plays a vital role in ensuring patients have timely access to care by managing both front-end prior authorizations and in-house concurrent review authorizations. This position blends strong relationship-building skills with clinical knowledge to navigate complex payer requirements, streamline the authorization process, and support seamless patient transitions. - Drives the authorization process—reviewing prospective, retrospective, and concurrent medical records. - Coordinates with referring hospitals to secure prior authorizations. - Partners with case management teams at ScionHealth facilities to complete concurrent review authorizations. - Acts as a navigator and liaison between Business Development, facility administration, managed care organizations, and payors. - Safeguards revenue integrity, reduces delays, and supports the organization’s mission of delivering exceptional patient care. - Contributes to quality improvement, problem-solving, and productivity initiatives within an interdisciplinary model. Qualifications - Strong relationship building skills and a spirit to serve to ensure effective communication and service excellence. - Knowledge of regulatory standards and compliance guidelines. - Working knowledge of medical necessity justification through non-physician review guidelines (InterQual and Milliman), Medicare and Medicaid rules, regulations, coverage guidelines, NCDs and LCDs. - Working knowledge of Medicare, Medicaid and Managed Care payment and methodology. - Extensive knowledge of clinical symptomology, related treatments and hospital utilization management. - Excellent interpersonal, verbal and written skills to communicate effectively. - Critical thinking, problem solving, and decision-making capabilities. - Technical writing skills for appeal letters and reports. - Effective time management and prioritization skills. - Computer skills with working knowledge of Microsoft Office (Word, Excel, PowerPoint, and Outlook). - Demonstrates good interpersonal skills when working or interacting with patients, their families and other staff members. - Must read, write, and speak fluent English. - Must have good and regular attendance. Requirements - Postsecondary non-Degree (Cert/Diploma/Program Grad) of an Accredited School of Nursing required. - Associate’s Degree in healthcare or related field required. - Bachelor’s Degree in healthcare or related field preferred. - Equivalent combination of Education and/or Experience in lieu of education (3+ years in a related field) may be considered. - Healthcare professional licensure preferred. - In lieu of licensure, 3+ years of experience in relevant field required. - Some states may require licensure or certification. - 3+ years of experience in a healthcare strongly preferred. - Experience in managed care, case management, utilization review, or discharge planning a plus. Benefits - Comprehensive benefits package for benefit-eligible employees. - Includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness. Pay Range $66,700-$100,500/yr.

Anticipated End Date: 2026-03-23 Position Title: Medical Management Nurse Lead Job Description: Medical Management Nurse Lead 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. 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. Hours: Monday - Friday 8:00am to 5:00pm depending on your time zone and occasional weekends. AmeriBen is a proud member of the Elevance Health family of companies. We are a third-party administrator (TPA) of medical benefits, including medical management. The Medical Management Nurse Lead in addition to the responsibilities of the Medical Management Nurse role, is responsible for serving as the team lead, coach, and technical resource for a team of either Medical Management Nurses or Medical Management Clinicians. Contributes on hiring, promotion, and other job-progression decisions for the nurses on their team. Works on special projects and helps to craft, implement, and improve organizational policies. Serves as the subject matter expert and department liaison to other areas of the business unit or as the representative on enterprise initiatives. How you will make an impact: - Identifies the need for, and driving the execution of, process or policy improvements. - Coordinates team members to ensure appropriate coverage. - Provides valuable recommendations in hiring decisions, as well as promotions. - Serves as a resource to lower-level nurses and clinicians. - Provides training for staff. - Improves materials used in orientation and training efforts. - Completes quality audits and helps to develop and implement associated corrective action plans. - Leads or participates on cross-functional teams, special projects, initiatives, and process improvement activities. - Assists team members, as appropriate, with review of the most challenging and complex cases, as well as overflow cases. - Works with healthcare providers to promote quality member outcomes, to optimize member benefits and promote effective use of resources. - Consults with team members and Medical Directors to ensure medically appropriate, high-quality, cost-effective services. Minimum Requirements: - Requires a minimum of associate’s degree in nursing. - Requires a minimum of 6 years care management or case management experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination of education and experience, which would provide an equivalent background. - Current active, valid and unrestricted RN license and/or certification to practice as a health professional within the scope of licensure in applicable state(s) or territory of the United States required. - Multi-state licensure is required if this individual is providing services in multiple states. Preferred Capabilities, Skills and Experiences: - Prior healthcare third party vendor (TPA) experience. - Leadership experience. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $85,956 to $128,934. Locations: Illinois In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed Nurse 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.

Anticipated End Date: 2026-03-20 Position Title: Nurse Disease Management I Job Description: Telephonic Nurse Disease Management I 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. 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: Monday - Friday 8 to 5:30 pm with 1-2 late evenings 11:30am to 8:00pm depending on your time zone. AmeriBen is a proud member of the Elevance Health family of companies. We are a third-party administrator (TPA) of medical benefits, also providing medical management, human resource consulting and retirement benefits administration services. The Telephonic Nurse Disease Management I is Responsible for participating in delivery of patient education and disease management interventions and for performing health coaching for members, across multiple lines, for health improvement/management programs for chronic diseases. How you will make an Impact: - Conducts behavioral or clinical assessments to identify individual member knowledge, skills and behavioral needs. - Identifies and/or coordinates specific health coaching plan needs to address objectives and goals identified during assessments. - Interfaces with provider and other health professionals to coordinate health coaching plan for the member. - Implements and/or coordinates coaching and/or care plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs. - Uses motivational interviewing to facilitate health behavior change. - Monitors and evaluates effectiveness of interventions and/or health coaching plans and modifies as needed. - Refers member to other departments as appropriate. Minimum Requirements: - Requires AS in nursing and minimum of 2 years of condition specific clinical or home health/discharge planning experience; or any combination of education and experience, which would provide an equivalent background. - Current unrestricted RN license in applicable state(s) required. Preferred Skills, Capabilities, and Experiences: - BS in nursing preferred. - Prior case management experience is a plus. - OB experience is strongly preferred. - Maternity or NICU experience is a plus. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $70,560 to $115,920. Locations: Nevada; Colorado; Washington State. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse 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.

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at jnj.com. As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit. Job Function: R&D Operations Job Sub Function: Clinical Trial Project Management Job Category: Professional All Job Posting Locations: Danvers, Massachusetts, United States of America Job Description: We are searching for the best talent for Clinical Trial Coordinator II Fueled by innovation at the intersection of biology and technology, we’re developing the next generation of smarter, less invasive, more personalized treatments. Are you passionate about improving and expanding the possibilities of Cardiovascular? Ready to join a team that’s reimagining how we heal? Our Cardiovascular team develops leading solutions for heart recovery, electrophysiology, and stroke. You will join a proud heritage of continually elevating standards of care for stroke, heart failure and atrial fibrillation (AFib) patients. Your unique talents will help patients on their journey to wellness. Learn more at https://www.jnj.com/medtech #LI-Remote Responsibilities: - Support the management of trial-related systems such as the electronic Trial Master File (eTMF), including set up, maintenance and study close out. - Assures collection of essential clinical trial documents (i.e., CVs, Medical Licenses, Laboratory documentation, Financial Disclosures, Investigator Agreements) from investigational sites for efficient study start-up/site activation. - Support site start-up activities including reviewing study specific ICF templates, managing and communicating the status of sites and study’s start-up progress. - Plan, coordinate, and arrange study communications on and off-site with both internal and external partners. - Responsible for supporting the drafting of meeting agendas and detailed meeting minutes. - Maintain quality of collected regulatory documents, which include a precise QC process and proper review in accordance with Good Documentation Practices (GDP) when documents are received. - Communicate with investigator sites on collection of regulatory documents, Institutional Review Board submissions and other trial-related information. - Collaborate with multifunctional teams to resolve issues on collected essential documents as required per assigned studies. - Maintain accuracy of clinical trial registration information. - Provide assistance with communication and coordination for trial committee interactions, as needed. - Provide support during audits and inspections, as applicable. - Create, populate, review, approve, distribute, and track study materials as assigned by the Clinical Project Manager and Clinical Program Manager. - Accountable for accurate organization and maintenance of filing systems and tracking departmental documentation. - Regularly interact with high-level internal and external clients to coordinate the accomplishment of business needs. - Support efforts for and/or prepare a variety of correspondence and complex PowerPoint presentations. - Ability to perform additional responsibilities as requested. Qualifications: - Bachelor’s degree preferably in Life Sciences, Nursing, Business Administration or related medical/scientific field, or minimum 1-3 years relevant clinical research experience working at an Investigator Site, Sponsor or CRO. - Knowledge of clinical trial operations, ICH-GCP Guidelines and other applicable regulatory requirements. - Experience working with eTMFs and CTMS preferred. - Must be computer savvy and highly proficient in Microsoft Office: Word, PowerPoint, and Excel (i.e., format documents, presentations, spreadsheet formulas). - Able to work and thrive in a fast-paced team environment across cross-functional teams. - Highly organized, excellent prioritization, self-motivated, and detail oriented. - Demonstrate excellent communication, verbal and written, and interpersonal skills. - Ability to travel ~5%. Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants’ needs. If you are an individual with a disability and would like to request an accommodation, please contact us via https://www.jnj.com/contact-us/careers or contact AskGS to be directed to your accommodation resource. The anticipated base pay range for this position is: $92,000-$148,350 The Company maintains highly competitive, performance-based compensation programs. Under current guidelines, this position is eligible for an annual performance bonus in accordance with the terms of the applicable plan. The annual performance bonus is a cash bonus intended to provide an incentive to achieve annual targeted results by rewarding for individual and the corporation’s performance over a calendar/performance year. Bonuses are awarded at the Company’s discretion on an individual basis. Employees and/or eligible dependents may be eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance. Employees may be eligible to participate in the Company’s consolidated retirement plan (pension) and savings plan (401k).This position is eligible to participate in the Company’s long-term incentive program. Employees are eligible for the following time off benefits: Vacation – up to 120 hours per calendar year. Sick time - up to 40 hours per calendar year; for employees who reside in the State of Washington – up to 56 hours per calendar year. Holiday pay, including Floating Holidays – up to 13 days per calendar year. Work, Personal and Family Time - up to 40 hours per calendar year. For additional general information on Company benefits, please go to: -  https://www.careers.jnj.com/employee-benefits This job posting is anticipated to close on April, 16, 2026 The Company may however extend this time-period, in which case the posting will remain available on https://www.careers.jnj.com to accept additional applications. Required Skills: Preferred Skills: Business Behavior, Clinical Research and Regulations, Clinical Trial Designs, Clinical Trial Management Systems (CTMS), Clinical Trials, Communication, Give Feedback, Laboratory Operations, Medical Knowledge, Mentorship, Problem Solving, Process Oriented, Professional Ethics, Project Integration Management, Project Management, Research and Development, Research Ethics