Drawzilla,
Thanks for the suggestion!
It seems that as I drag handles to control the elevation region it only serves to move the wonkiness about.
I was able to delete the elevation breaks, and that has helped fix the prior troubled area, but now the other side has it's own wonky edge. I've tried a few things but can't seem to get it any better.
Here are some screenshots - in the first, I deleted the break lines and reshaped the elevation boundary to fit under the slab.
In the second, I deleted the existing boundary, copied the slab, pasted in place, converted to polyline, and then converted to elevation contour. That gave the best results yet, but still has that wonky edge. I tried putting break lines in gain, which helped to eliminate some of the divots along the house wall, but I still can't seem to eliminate the weird spikes.