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Added just now
People Operations Manager
Brasstech, Inc.
CA
…Delta Faucet Company, we’re looking for a People Operations Manager to lead HR efforts at our Santa Ana, CA manufacturing and distribution site. With a workforce of 350+ team members, this…
Added just now
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For direct contact with the hiring manager TEXT your NAME and the word CAMPBELL to 510 209 2515
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Added 3 mins ago
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Stockroom Clerk
Aerotek
Campbell, CA
- $23 to $24 USD / hour
For direct contact with the hiring manager TEXT your NAME and the word STOCKROOM to 510 209 2515
Added 5 mins ago
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NY · Purchase, NY · Harrison, NY · New York · Harrison
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Assistant Central Utility Plant Manager
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NextGen Change- Change Management- Manager
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What You Must Have
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Change Manager/Project Manager
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People & Engagement Generalist
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Manager HR Solutions Center
University of Maryland Medical System
Linthicum Heights, MD
…accountability for service level performance, case management, workforce planning, quality, and escalations. Uses data insights to drive operational improvements and enhance the employee…
Added 9 mins ago
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People Generalist (Foster City)
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Program Coordinator II
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…coordination. This position works closely with the RAV3N Program Manager to support administrative activities, meetings and trainings, maintain communications platforms, and expand…
Added 10 mins ago
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Store Manager - Bench
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- $90,000 to $135,600 USD / year
The Store Manager manages the overall store operations (i.e., expenses, merchandising standards, compliance, safety, security, and workforce) and those directly helping customers to drive…
Added 11 mins ago
On-Site Manager (Conv)
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The OnSite Manager drives operational success and client satisfaction by leading in four key areas: Site Operations & Talent Management, Service Delivery Excellence, Client Relationship…
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Cyber Security Engineer
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…Management Framework, NIST SP 800-53 Rev. 5, and DoD Cyber Workforce Framework/DoD 8140 qualification…
Added 12 mins ago
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Case Manager, Rehabilitation (CM)
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Added 13 mins ago
Assistant Store Manager
Goodwill of the San Francisco Bay
United States
Acts as a key holder for the store, closing shift manager, and backup to the Store Manager.
Added 13 mins ago
Assistant Store Manager
Goodwill of the San Francisco Bay
United States
Acts as a key holder for the store, closing shift manager, and backup to the Store Manager.

Elevance Health

Performance Auditor Specialist

Nashville, TN, United States

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Job details

Posting language: English
Posted: Sep 14, 2026

Original job description

Performance Auditor Specialist - LTSS Service Coordination & Operations

The role serves as a liaison among members, providers, care coordination teams, and internal stakeholders to ensure the timely initiation, coordination, and monitoring of services while supporting operational excellence through reporting, quality assurance, data analysis, and process improvement.

This position combines service coordination expertise with operational support responsibilities by facilitating person-centered care planning, monitoring service initiation activities, maintaining operational reporting, performing quality reviews, and supporting regulatory and contractual compliance. The specialist also serves as a resource to internal teams by identifying operational barriers, analyzing trends, and recommending solutions that improve service delivery and member outcomes.

Location: Nashville, Tennessee. Tennessee residency required.

Travel may be required to support provider engagement or operational needs.

Hybrid 1 : 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.

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 accommodation is granted as required by law.

The Performance Auditor Specialist is responsible for providing technical and administrative support to Long-Term Services and Supports (LTSS) programs.

How you will make an impact:

Retrieves and verifies receipt of system generated reports, following up when reports are not received.
Enters claims timeliness statistics for each line of business processed on Amisys.
Creates, updates and prepares workpapers for each sample.
Prepares all claims sample listings.
Creates, updates, and maintains spreadsheets documenting weekly inquiry population and sample size data.
Compiles the call detail from individual workpapers for telephone tape samples.
Performs basic audits and assists with audits as a backup.

Minimum Qualifications:

Requires H.S diploma or GED; 5+ years related experience; basic understanding of MTM processes and practices; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences :

Experience supporting LTSS, CHOICES, ECF CHOICES, IDD, Medicaid waiver programs, or other long-term services and supports preferred.
Knowledge of Person-Centered Planning and interdisciplinary care coordination preferred.
Experience with provider collaboration, referral coordination, and service initiation processes preferred.
Experience performing operational audits, quality reviews, or claims-related reporting preferred.
Experience developing operational dashboards, data analytics, and performance reporting preferred.
Experience leading projects, mentoring staff, or facilitating cross-functional initiatives preferred.
Bachelor's degree in Healthcare Administration, Social Work, Human Services, Public Health, Business Administration, or a related field preferred.
Strong analytical, problem-solving, and organizational skills with the ability to interpret operational data, identify process improvement opportunities, manage multiple priorities, and meet deadlines preferred.
Excellent verbal, written, and interpersonal communication skills, with the ability to build collaborative relationships across members, providers, multidisciplinary teams, and internal stakeholders preferred.
Proficiency with Microsoft Office applications, including Excel and Word, as well as healthcare information systems and reporting tools preferred.

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 should submit the Accessibility Accommodation Request Form (https://forms.cloud.microsoft/pages/responsepage.aspx?id=8giMvgesLESaRuvu61vU17EJaA0EP3FIissI8zmZ_NpUNUgyTFRUMkY5NE5JNDFWMkhaUzQxMkJLWS4u&route=shorturl) and a member of the team will be in contact.

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 (https://info.flclearinghouse.com/) .

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More about this job

Skills

Administrative support
Statistics
Collaboration
Reporting
Data analysis
Coaching
Problem solving
Organizational skills
Process improvement
Meet deadlines
Communication skills
Microsoft Office
Microsoft Excel
Microsoft Word

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Work requirements

Jobs in the United States