Administer and enhance PowerClerk platforms by configuring user access, workflows, and forms. Support system upgrades, troubleshoot issues, and develop new modules to meet evolving business needs while maintaining thorough documentation.

Locations: CA-WOODLAND HILLS, 21215 BURBANK BLVD NV-LAS VEGAS, 3634 S MARYLAND PKWY CO-DENVER, 700 BROADWAY WA-SEATTLE, 705 5TH AVE S, STE 300 time type Full time posted on Hybruid job requisition id JR182206 Job Description: Anticipated End Date: 2026-04-30 Position Title: Provider Reimburse Admin Sr Job Description: Provider Reimburse Admin Sr 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 Reimburse Admin Sr will be responsible for ensuring accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. Serves as subject matter expert regarding reimbursement policies, edits, and coding convention. How you will make an impact: - 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. - Works with other departments on claims adjudication workflow development and business process improvements. - May lead the full range of provider reimbursement activities for a state(s). - Leads projects related to provider reimbursement initiatives. - Serves as a mentor to less experienced administrators. 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: - WGS experience preferred. - Claims processing experience preferred. - Pricing Configuration experience preferred. - Experience writing Business/Technical Requirements preferred. - Strong research, oral and written communication skills preferred. For candidates working in person or virtual in the below location(s), the salary* range for this specific position is $74,340- $122,130 Locations: California, Colorado, Nevada & 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: Job Family: PND > Pricing Configuration 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.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. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.

Title: Casework Supervisor Location: Wilkes Barre United States Job Description: Do you want to help make a difference to children and families in day-to-day life events? Luzerne County Children and Youth Services is looking for people like you! Luzerne County has an immediate need for an Intake County Casework Supervisor in its Children, Youth, and Families agency. Located in Northeastern Pennsylvania, Luzerne County Government offers many exciting and challenging opportunities to learn and grow in a career while making a difference in the lives of Luzerne County families.This supervisor position is the front line of our agency, responsible for the overall operational planning, direction, supervision and coordination of intake services. Our team will rely on you to oversee the team responsible for processing all referrals through our Screening Unit and ensure that each is served in compliance with timeliness and regulatory requirements. You will be expected to develop and maintain a working knowledge of all regulatory, policy, and procedure mandates; maintain statistics as outlined in our policies; and monitor the effectiveness of services provided through statistics and log keeping. Teamwork and collaboration are essential as you will also inform the Social Service Coordinator of service delivery issues or needs. You will also complete frequent and regular review and analysis of case records, evaluate staff performance, and participate in planning and providing in-service training activities to meet the training needs of the workers to disseminate new or updated regulations and policies. Apply today and share your knowledge and training with our mission to promote the safety, well-being, and permanency of all children in Luzerne County through collaboration with families and the community. Make a difference with us! Other duties as assigned. - Knowledge of the basic principles of supervision. - Knowledge of current case management and social work principles, practices, and methodology. - Knowledge of individual and group behavior and methods used in working effectively with children, youth and families, people who are mentally disabled, people who are physically challenged, and others. - Knowledge of the basic principles and methods of program interpretation and community organization. - Knowledge of the rules, regulations, policies, and procedures which relate to the provision of social services. - Knowledge of current social, economic, and health problems and available resources. - Ability to plan, organize, and supervise the work of a professional and non-professional social service staff. - Ability to analyze, interpret, and evaluate case records and recommend sound courses of action. - Ability to orient and train subordinates on rules, regulations, policies and procedures and provide technical assistance. - Ability to establish and maintain effective working relationships with clients, families, agency staff, community service agencies and facilities, and the general public. - Ability to make clear and pertinent statements orally and in writing. RECRUITMENT METHODS: Applicants must meet one (or more) of the following method(s) to be considered for this vacancy: Seniority Promotion: Bidding employees within the designated seniority unit, when collective bargaining unit obligation(s) have been met then the following recruitment methods may be used: Promotion Without Examination Transfer Reassignment Voluntary Demotion Reinstatement Civil Service Lists ELIGIBILITY: ALL CANDIDATE(S): 1.) Must meet the minimum experience and training (METS) required for the job. The METs for this position are: - Two years of professional experience in public or private social work and a bachelor's degree with major course work in sociology, social welfare, psychology, gerontology, criminal justice, or other related social sciences; OR - Any equivalent combination of experience and education which includes 12 college credits in sociology, social welfare, psychology, gerontology, criminal justice, or other related social sciences. 2.) Be a resident of Pennsylvania. 3.) State Civil Service Commission Approved Additional Special Requirements: None 4.) Be eligible for selection in accordance with merit system employment regulations. ELIGIBILITY - COMPETITIVE PROMOTION WITHOUT EXAMINATION ONLY: CLASS RESTRICTIONS: 1.) Have held regular civil service status in the following classification: - County Caseworker 2 SELECTION CRITERIA: 1.) Meet the minimum experience and training required for the job. 2.) Meritorious Service - defined as: - The absence of any discipline above the level of written reprimand during the 12 months preceding the closing date on the posting, - The last due overall regular or probationary performance evaluation was higher than unsatisfactory. 3.) Seniority - a minimum of one year in the next lower class(es) by the closing date of this posting 04/28/26 APPLICATION INSTRUCTIONS: 1.) Interested qualified applicants must submit all the requested materials as specified in the "How to Apply." Failure to comply with the above application requirements will eliminate you from consideration for this position. POSITION DETAILS: Full-time - Work from home Civil Service Permanent Union Class Code: L0626 Hours: 4:00 PM to 12:00 AM (75 hours bi-weekly) Location: Telework HOW TO APPLY: YOU MUST HOLD CIVIL SERVICE STATUS IN ORDER TO APPLY FOR THIS POSTING If you are contacted for an interview and need accommodations for the interview due to a disability, please advise the interviewer of the accommodations you require well in advance of the scheduled date. LUZERNE COUNTY IS AN EQUAL OPPORTUNITY & AFFIRMATIVE ACTION EMPLOYER.

We are hiring a HubSpot Consultant to help improve and scale the way leads are managed across admissions and clinic operations for a U.S.-based university. This is a hands-on, systems-focused role for someone who is strong in the technical and operational side of HubSpot. The main priority is to make HubSpot run smoothly as a reliable lead management engine, with clean data, effective workflows, and strong integration processes. Responsibilities - Manage and optimize HubSpot workflows, automation, and day-to-day system functionality - Own data hygiene and help ensure lead data remains accurate, organized, and actionable - Support the setup, improvement, and ongoing management of a two-way API connection between HubSpot and Campus Cafe - Help build and improve HubSpot processes for both admissions and clinic lead management - Support the implementation of HIPAA-compliant lead handling processes within HubSpot for clinic-related use cases - Collaborate with internal stakeholders to improve lead flow, follow-up, and operational efficiency - Help implement additional HubSpot capabilities over time, such as chat, texting campaigns, and other workflow improvements