Winston Salem, North Carolina
2 days
Director of Behavioral Health Services- North Carolina Location: This position will work a hybrid model (remote and office). The ideal candidate must live within 50 miles of a North Carolina......
LOCATION: This is a remote/field position for Central or NoVA regions. You must reside within 50 miles of Richmond, Arlington, or Ashburn, and Virginia residency is required.HOURS: General business hours,......
Process Improvement Manager SeniorLocation: Hybrid with the ideal candidate will live within 50 miles an Elevance Health PulsePoint location.The Process Improvement Manager Senior is responsible for identifying opportunit...
Location: This position will be remote. The ideal candidate will live within 50 miles of the Miami, FL or Tampa, FL PulsePoint locations.The Utilization Management Representative I is responsible for......
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Process Improvement Manager SeniorLocation: Hybrid with the ideal candidate will live within 50 miles an Elevance Health PulsePoint location.The Process Improvement Manager Senior is responsible for identifying opportunit...
Care Coordinator Family Support***$1,500 Sign-On Bonus******Seeking a Care Coordinator in Connecticut with expertise in case management, human services, family and/or community resources.***Location : This is a field-base...
Process Improvement Manager SeniorLocation: Hybrid with the ideal candidate will live within 50 miles an Elevance Health PulsePoint location.The Process Improvement Manager Senior is responsible for identifying opportunit...
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Med Management NurseLocation: Hanover, MDAlternate locations may be considered. This position will be primarily virtual, however will be based within 50 miles of the PulsePoint site listed above. The Med......
The Trainer Ld is responsible for providing day to day leadership to a team and ensures consistency and quality of work outputs. Primary duties may include, but are not limited......
Location: Successful candidate must reside within 50 miles of an Elevance Health office location, and able to commute on-site at least 3 days per week.SummaryPlan, design, develop and lead programming......
Process Improvement Manager SeniorLocation: Hybrid with the ideal candidate will live within 50 miles an Elevance Health PulsePoint location.The Process Improvement Manager Senior is responsible for identifying opportunit...
Actuarial Analyst II Location: Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a......
Woodbridge Township, New Jersey
2 days
Job Title: Program ConsultantLocation: Must reside within 50 miles / 1 hour commute of one of the following Pulse Point locations:Mason, OH - 4361 Irwin Simpson Rd. Iselin, NJ -......
Clinical Review Nurse IINational Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and......
Nurse Appeals – Licensed RN Nurse Location: This position will work in a hybrid model (remote and office). Ideal candidates will live in the state of California within 50 miles of......
Audit & Reimbursement IILocation: This is a United States based, virtual position.National Government Services is a proud member of Elevance Health’s family of brands. We administer government contracts for Medicare.....
Location: This is a Virtual role , Must be located within 50 miles of a Pulse PointSchedule: 9:30am-6:00pm , Rotating weekend shifts.Responsible for conducting preauthorization, out of network and appropriateness......
This position is hybrid and will require the associate to report to the office at least 1-2 times per week. The ideal candidate will live within 50 miles of one......
Process Improvement Manager SeniorLocation: Hybrid with the ideal candidate will live within 50 miles an Elevance Health PulsePoint location.The Process Improvement Manager Senior is responsible for identifying opportunit...
Care Coordinator Family Support***$1,500 Sign-On Bonus******Seeking a Care Coordinator in Connecticut with expertise in case management, human services, family and/or community resources.***Location : This is a field-base...
This position is hybrid and will require the associate to report to the office at least 1-2 times per week. The ideal candidate will live within 50 miles of one......
Audit & Reimbursement IILocation: This is a United States based, virtual position.National Government Services is a proud member of Elevance Health’s family of brands. We administer government contracts for Medicare.....
Location: This is a Virtual role , Must be located within 50 miles of a Pulse PointSchedule: 9:30am-6:00pm , Rotating weekend shifts.Responsible for conducting preauthorization, out of network and appropriateness......
Woodbridge Township, New Jersey
2 days
This position is hybrid and will require the associate to report to the office at least 1-2 times per week. The ideal candidate will live within 50 miles of one......
Buyer IIAt Federal Government Solutions - FGS, a proud member of the Elevance Health, Inc. family of companies, we’re creating greater access to care for our members, greater value for......
Audit & Reimbursement IILocation: This is a United States based, virtual position.National Government Services is a proud member of Elevance Health’s family of brands. We administer government contracts for Medicare.....
Provider Comm WriterLocation: Norfolk, VA & Woodland Hills, CA.This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of the Elevance Health......
Washington, District of Columbia
2 days
Government Relations Director Sr. Location: The selected candidate will report to the Elevance Health Washington, DC office and will be required to be in the office at a minimum four......
JR140205 Medical Review Analyst ILocation: This position will work a hybrid model (remote and office). Ideal candidates will live in Norfolk, Virginia.The Medical Review Analyst I will be responsible for......
Carelon's Contact Center Strategy Organization is seeking a Project Manager Sr. Reporting to the Staff VP of Strategic Initiatives, this role will manage multiple technology projects of varying sizes and......
Group Underwriting Consultant, SeniorLocation: This position is available to qualified candidates within the contiguous US. Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility ...
Director, Program Management – Strategic Initiatives Execution Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The Ideal candidate will live within 50......
Hours: 10am-630pm ESTLocation: The successful hire will be required to be within 50 miles of one of our company locations (Pulse Point).Please note: The Peer Specialist Certification is required for......
Nurse/CPC - Clinical Fraud Investigator II - SIU Fraud & AbuseLocation: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will......
The Manager Behavioral Health Services is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management (BH CM) or a combination of both functions (integrated model). May......
Washington, District of Columbia
1 day
Medicaid Product Management Director for VisionLocation: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of......
Health Benefits Financial ConsultantLocation: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.The......
Provider Contract/Cost of Care ConsultantWe are offering a $5,000 sign-on bonus for this position.Location: This position will work a hybrid I model (remote and in office 1-2 days per week).......
Engineer SeniorLocation: Ideal candidates will live or be willing to relocate to within 50 miles of our Pulse Point location at 2505 N. Highway 360, Suite 300, Grand Prairie, TX......
Nurse/CPC - Clinical Fraud Investigator II - SIU Fraud & AbuseLocation: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will......
Director, Program Management – Strategic Initiatives Execution Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The Ideal candidate will live within 50......
Nurse/CPC - Clinical Fraud Investigator II - SIU Fraud & AbuseLocation: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will......
Pharmacy Benefit Auditor - CarelonRx (Business Analyst II)Location: The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a hybrid work model......
Altamonte Springs, Florida
1 day
Be Part of an Extraordinary Team BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus......
Please note: This role has a field component where the successful hire would be meeting with members in-person either in homes and/or in facilities. The hire would need to be......
Provider Contract/Cost of Care ConsultantWe are offering a $5,000 sign-on bonus for this position.Location: This position will work a hybrid I model (remote and in office 1-2 days per week).......
Director, Program Management – Strategic Initiatives Execution Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The Ideal candidate will live within 50......
Provider Contract/Cost of Care ConsultantWe are offering a $5,000 sign-on bonus for this position.Location: This position will work a hybrid I model (remote and in office 1-2 days per week).......
Health Benefits Financial ConsultantLocation: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.The......
Business Information ManagerLocation: This position will work on hybrid model (remote and office). Candidates must live within 50 miles of one of our Elevance Health PulsePoint locations. Ideal locations include;......
Health Benefits Financial ConsultantLocation: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.The......
Business Information Consultant – Healthcare DataLocation: Richmond, VA; Atlanta, GA; Tampa, FL; Indianapolis, IN; Mason, OH (preferred). Alternate locations may be considered. This position will work in a hybrid model....
Medicaid Product Management Director for VisionLocation: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of......
Nurse/CPC - Clinical Fraud Investigator II - SIU Fraud & AbuseLocation: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will......
Business Information ManagerLocation: This position will work on hybrid model (remote and office). Candidates must live within 50 miles of one of our Elevance Health PulsePoint locations. Ideal locations include;......
Director, Program Management – Strategic Initiatives Execution Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The Ideal candidate will live within 50......
Health Benefits Financial ConsultantLocation: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.The......
Engineer SeniorLocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of the following Pulsepoint location. 12900 Park Plaza Drive, Cerritos, California......
Location: This is a hybrid role that requires you to work from the Las Vegas office 1 - 2 times each week or minimum 1 day/week. One must reside within......
Pharmacy Benefit Auditor - CarelonRx (Business Analyst II)Location: The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a hybrid work model......
Director, Program Management – Strategic Initiatives Execution Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The Ideal candidate will live within 50......
Nurse/CPC - Clinical Fraud Investigator II - SIU Fraud & AbuseLocation: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will......
Manager Clinical Quality – HEDIS (JR142001)Location: This position is part of our Hybrid 1 workplace strategy and requires work in the local office at least 1 day each week. Will......
Pharmacy Benefit Auditor - CarelonRx (Business Analyst II)Location: The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a hybrid work model......
Business Information Consultant – Healthcare DataLocation: Richmond, VA; Atlanta, GA; Tampa, FL; Indianapolis, IN; Mason, OH (preferred). Alternate locations may be considered. This position will work in a hybrid model....
Provider Contract/Cost of Care ConsultantWe are offering a $5,000 sign-on bonus for this position.Location: This position will work a hybrid I model (remote and in office 1-2 days per week).......
Woodbridge Township, New Jersey
1 day
Provider Contract/Cost of Care ConsultantWe are offering a $5,000 sign-on bonus for this position.Location: This position will work a hybrid I model (remote and in office 1-2 days per week).......
Manchester, New Hampshire
1 day
Nurse/CPC - Clinical Fraud Investigator II - SIU Fraud & AbuseLocation: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will......
VoC Analysis & Insights ManagerLocation: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint......
VoC Analysis & Insights ManagerLocation: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint......
VoC Analysis & Insights ManagerLocation: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint......
Hours: 10am-630pm ESTLocation: The successful hire will be required to be within 50 miles of one of our company locations (Pulse Point).Please note: The Peer Specialist Certification is required for......
Medicaid Product Management Director for VisionLocation: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of......
Business Information Consultant – Healthcare DataLocation: Richmond, VA; Atlanta, GA; Tampa, FL; Indianapolis, IN; Mason, OH (preferred). Alternate locations may be considered. This position will work in a hybrid model....
Please note: This role has a field component where the successful hire would be meeting with members in-person either in homes and/or in facilities. The hire would need to be......
Audit & Reimbursement IIILocation: This is a virtual position; must be US based.The Audit & Reimbursement III is responsible for completing limited and full desk reviews on teaching, organ acquisition......
Director II, Reporting & Data AnalyticsLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles......
Manager - Supplemental Data Provider Engagement Location: This position will work a hybrid model (remote and in office 1-2 days per week). Candidates will live within 50 miles of our Norfolk,......
Carelon's Contact Center Strategy Organization is seeking a Project Manager Sr. Reporting to the Staff VP of Strategic Initiatives, this role will manage multiple technology projects of varying sizes and......
Plan Performance Medical Director- Kansas Health Plan Location: This position will work a hybrid model (remote and office). The ideal candidate must live within 50 miles of a Kansas Elevance......
Title: Sales Support Coordinator ILocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.The Sales Support......
Audit & Reimbursement III- Medicare Cost Report Audit This is a United States based, virtual position.National Government Services is a proud member of Elevance Health’s family of brands. We administer......
Enterprise Architect Principal – Identity and Access Management (IAM)Location: This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50......
Woodbridge Township, New Jersey
1 day
Location: This is a Virtual role , Must be located within 50 miles of a Pulse PointSchedule: 9:30am-6:00pm , Rotating weekend shifts.Responsible for conducting preauthorization, out of network and appropriateness......
A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies,......
JR141977 Executive AssistantPerforms a variety of support functions to a vice president and his/her leadership team. The primary VP supported must report directly to a member of the strategic leadership......
Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and......
Nurse/CPC - Clinical Fraud Investigator Senior - SIU Fraud & AbuseLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate......
Behavioral Health Care Manager ILocation: Georgia. This is a virtual position with occasional travel in the field. The ideal candidate will live within 50 miles of one of our Open......
Financial Accountant Sr - FHPS AccountingLocations: The ideal candidate should live within 50 miles of our FHPS Elevance Health Pulse Point locations. This position will work in a hybrid model......
Director, Program Management – Strategic Initiatives Execution Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The Ideal candidate will live within 50......
Clinical Review Nurse IINational Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and......
Manager Clinical Quality – HEDIS (JR142001)Location: This position is part of our Hybrid 1 workplace strategy and requires work in the local office at least 1 day each week. Will......
Clinical Quality Program Administrator-Risk ManagementLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint......
DRG Coding Auditor (DIAGNOSTIC RELATED GROUP)This position will work virtually. Alternate locations may be considered. The Ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint......
Audit & Reimbursement IILocation: This is a United States based, virtual position.National Government Services is a proud member of Elevance Health’s family of brands. We administer government contracts for Medicare.....
Actuarial Analyst II Location: Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a......
Telephonic Nurse Case Manager IIFederal Employee Program - FEP, a proud member of the Elevance Health, Inc. family of companies, it is a powerful combination, and the foundation upon which......
Audit & Reimbursement IILocation: This is a United States based, virtual position.National Government Services is a proud member of Elevance Health’s family of brands. We administer government contracts for Medicare.....
Be Part of an Extraordinary Team A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug......
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