Teams at Elevance Health

Manages provider participation changes, network adequacy, regulatory submissions, audits, and compliance initiatives for healthcare provider networks. Coordinates with providers, regulators, delegated entities, and internal teams to resolve complex issues, support continuity of care, maintain network compliance, and improve provider satisfaction and retention. Develops project plans, policies, reports, training materials, and remediation strategies while serving as a liaison for provider relationships and regulatory requirements.

Performs operational financial and policy activities, including interpreting procedures, entering and validating information in finance systems, maintaining internal controls, tracking reconciliations, updating compliance controls, and independently resolving complex workflow issues. The role may also handle inbound payment-related queues, group reinstatements, final balance collection, and customer service communications.

Provides enterprise-wide legal counsel on technology matters, including AI, SaaS, software as a medical device, data use, and digital health product development. Negotiates technology agreements, advises sales teams on RFPs, assesses regulatory risks, develops contract templates and negotiation playbooks, and supports risk mitigation, strategic legal analysis, and internal education.