Location: This is a Virtual role , Must be located within 50 miles of a Pulse PointSchedule: Monday- Friday 9:30am-6:00pm , Rotating weekend shifts.Responsible for conducting preauthorization, out of network......
Location: This is a field position and the candidate should reside in SoutheastHouston, TX.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope......
Location: This is a field position and the candidate should reside in Houston, TX.The LTSS Service Coordinator - Clinician working under the direction/supervision of an RN, with overall responsibility for......
Consumer Experience Analytics & Insights Analyst SeniorLocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live within 50......
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HEDIS Compliance Audit Specialist / Manager (JR140903)Location: Alternate locations in addition to the posted locations may be considered. This position will work in a hybrid model (remote and office). The......
Provider Reimburse Admin Sr.Location: This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of one of our PulsePoint locations.Schedule: This is a......
Be Part of an Extraordinary Team A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information....
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Compliance ManagerLocation: Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote work and 1-2 days in offi...
Audit & Reimbursement LeadLocation: This is United States, virtual based position. National Government Services is a proud member of Elevance Health’s family of brands. We administer government contracts for Medicare...
Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance......
Title: Outreach SpecialistLocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.The Outreach Specialist will be......
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......
Dir Financial Ops Dept - Payment Integrity Operations Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within......
Audit & Reimbursement III - Medicare Cost Report AuditLocations: This is a virtual United States based position.National Government Services is a proud member of Elevance Health’s family of brands. We administer......
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).......
Audit & Reimbursement SeniorLocation: This is a virtual position; US based.National Government Services is a proud member of Elevance Health's family of brands. We administer government contracts for Medicare and......
A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care.Carelo...
Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance......
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......
SIGN-ON BONUS: Up to $1,000Location: This position will work a hybrid model (remote and office) which requires working in the nearest Elevance Health office 1-2 times per week. The rest of......
Associate Listening & Experience DirectorLocation: Alternate locations may be considered. This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live within 50 miles of......
Title: Health Program Representative ILocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.*Shift hours: 2:30pm......
Clinical Provider Auditor IISupports the Payment Integrity line of businessLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will......
Be Part of an Extraordinary Team Medical Management Specialist ILocation: Remote, but candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-Time Days,......
Clinical Operations Associate Medical DirectorInterventional PainCarelon Medical Benefits ManagementLocation: Alternate locations may be considered. The ideal candidate will live within 50 miles of one of our Elevance Hea...
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......
Clinical Provider Auditor IISupports the Payment Integrity line of businessLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will......
Be Part of an Extraordinary Team Medical Management Specialist ILocation: Remote, but candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-Time Days,......
Location: This is a field based position. Candidate would need to meet face to face with patients in and around the following counties. Candidate will be assigned a territory based on......
Telephonic Nurse Disease Management ISign-on Bonus: $2000Federal Employee Program - FEP, a proud member of the Elevance Health, Inc. family of companies, it is a powerful combination, and the foundation......
Location: Virtual; within 50 miles of any Elevance Health PulsePoint locationShift: See example schedules below; Training will be up to 3 weeks on day shift, hours, 8:30am - 5:00pm schedule......
Insurance Customer Care Representative- Bilingual (Vietnamese)Location: On-site 10800 Bellaire BLVD STE C Houston, TX, 77072The Insurance Customer Care Representative - Bilingual (Vietnamese) is responsible for handling a...
Location: This is a field position and the candidate should reside in SoutheastHouston, TX.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope......
Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance......
Internal Auditor, SeniorLocation: 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 d...
Location: The Desired candidate will reside in either Chambers, Hardin, Liberty, Orange, Jasper, Newton, Polk, San Jacinto, Tyler, or Walker Counties.The LTSS Service Coordinator - RN Clinician is responsible for......
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......
Telephonic Nurse Case Manager IILocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Hours: Monday - Friday 9:00am to 5:30pm EST and......
Senior Human Resources Business Partner (HR Business Partner Sr)Location: Alternate locations may be considered. This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live......
Location: Virtual; within 50 miles of any Elevance Health PulsePoint locationShift: Monday – Friday; 11:30am – 8:00pm ETThe Behavioral Health EAP Consultant II is responsible for providing 24/7 Behavioral Health......
Internal Audit ManagerElevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This position will take part in the hybrid workforce...
Business Information Analyst Sr.Location: This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within 50 miles of one of......
Business Consultant 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 desig...
Compliance DirectorLocations: Indianapolis, In., Dallas, Tx., Houston, Tx., Miami, FL., or Tampa, FL. Alternate locations may be considered. This position will work in a hybrid model (remote and office). The......
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......
Location: This is a field based position. Candidate would need to meet face to face with patients in and around the following counties. Candidate will be assigned a territory based on......
Clinical Ops Associate Medical Director Orthopedic SurgeryLocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:00am......
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