JR122543 Mental Health Operations Manager (Evergreen) Assists with the design, implementation and running of the day-to-day clinical operations.Location: This position will work a hybrid model (remote and office) and must...
The Social Work Case Manager is responsible for ensuring effective psychosocial intervention, positively impacting a patient's ability to manage his/her chronic illness. Primary duties may include, but are not limited......
Home Visit Behavioral Health Specialist - Florida ***Seeking a Behavioral Health Specialist in Florida with expertise in at least one of the following areas: behavioral/mental health, experience with SMI population, healt...
Account Service Manager - Pharmacy Account Management Location: This position will work a hybrid model (remote and office). The ideal candidate must live within 50 miles of one of our......
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Location: This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office per week.**The ideal candidate will live within 50 miles......
Senior RN Utilization Review/Management (Acute InPatient) JR116937Location: Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This is primarily a remote position but may......
This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of one of our Elevance Health locations.The Medical Director is responsible for the......
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Audit & Reimbursement Senior - Medicare Cost Report Audit Locations: This is a virtual position, the ideal candidate will live within 50 miles of an Elevance Health PulsePoint location.National Government......
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 ...
The Nurse Care Mgr I responsible for collaborating with healthcare providers and/or consumer to drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities w...
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......
Wellpoint, formerly Amerigroup, is a proud member of Elevance Health’s family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid plans in......
Audit & Reimbursement II-S10Location: 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......
Location: 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 3-4 days in office per......
LTSS Service CoordinatorLocation: This is primarily a field based position. Candidate would work from home and meet face to face with patients and providers. This position requires travel to worksite and......
Systems Engineer Location: The ideal candidate will live within 50 miles of our Miami, FL PulsePoint office Location.The Systems Engineer performs analysis and research of systems and networks. Reviews detailed business....
Crisis & Referral Specialist SeniorLocation: This is a fully remote position. Ideal candidates will reside within 50 miles of an Elevance Health PulsePoint office location. A proud member of the......
Location: 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 office per......
Engineer Senior Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of the following PulsePoint location. 9250 W Flagler Street, Suite 600,......
Audit & Reimbursement IIILocation: 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...
Customer Care Representative I - Bilingual (English/Spanish)*** Spanish/English Bilingual Speakers needed *** Location: Must live within 50 miles from the Miami or Tampa Pulsepoint Elevance Health is a health company dedi...
Customer Care Representative I - Bilingual (English/Spanish)*** Spanish/English Bilingual Speakers needed *** Location: Must live within 50 miles from the Miami or Tampa Pulsepoint Elevance Health is a health company dedi...
Process Improvement Director-Enterprise HEDISLocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1hour commute from an Elevance Health location.The Process Improvement Directo...
The Actuarial Analyst ll completes projects and performs complex actuarial studies.How You Will Make an Impact Primary duties may include, but are not limited to: Obtains, verifies, analyzes and models data including......
Director Business ImprovementLocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of an Elevance Health location. The Director Business Improvement is responsibl...
Location: open to any Elevance Health office location**this position will work a hybrid model (remote and office) which requires working in the nearest Elevance Health office 1-2 days per week. The......
CarelonRx Account Manager IILocation: This position will work a hybrid model (remote and office). The ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations......
Director Portfolio Execution Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our PulsePoint locations. The Director......
Audit & Reimbursement II-AppealsLocation: 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....
Field Behavioral Health Case Manager II - FloridaLocation: Seeking candidates that reside in the state of Florida AND are licensed in the state of Florida.Work Shift: Monday through Friday, 8......
Value Based Contract / Cost of Care ConsultantThe Value Based Contract / Cost of Care Consultant will focus on Elevance Health's Value Base Contracts and will be responsible for providing......
RN Hospital Bill Audit/Appeal LeadSupports the Carelon Payment Integrity line of businessLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles......
Medical Management Specialist ILocation: Miami or Tampa Florida. This position is Remote. The selected candidate must reside within 50 miles or one hour commute from our Miami and Tampa pulse......
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......
Outreach Care Specialist - Florida Location: This is a field-based position (50% - 75% of the time). Seeking candidates that reside in the state of Florida and in the following counties:......
Audit & Reimbursement II Medicare Cost Report Appeals Location: This is a virtual position; US basedNational Government Services is a proud member of Elevance Health’s family of brands. We administer......
Group Underwriting Consultant, Senior 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....
Location: The ideal candidate will live within 50 miles of an Elevance Health Pulse Point office within the state of FloridaShift: Monday – Friday; 8:00am – 7:00pm; some weekends; Schedule......
Nurse Medical Management IILocation: multiple states: Texas, Florida, or Maryland. The ideal candidate will live within 50 miles of one of our designated states listed at Elevance Health PulsePoint locations.Hours:......
Associate General Counsel Sr. - Pharmacy Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our our......
Location: open to any Elevance Health office location**this position will work a hybrid model (remote and office) which requires working in the nearest Elevance Health office 1-2 days per week. The......
Location: 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.Hybrid Workplace Strategy: 1-2......
Account Service ManagerLocation: Must be within 50 miles of any location listed; position has both office/remote expectations.AmeriBen is a proud member of the Elevance Health family of companies. We are......
Group Underwriter, SrLocation: 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 desi...
Associate Relations Consultant Sr.Location: 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......
Strategic Pharmacy Account Executive - CarelonRx Location: This position will work a hybrid model (remote and office). The ideal candidate must live within 50 miles of one of our Elevance......
Office LeadLocation: This is an onsite position, candidate would need to work from our Pasteur clinic location of 1600 NE Miami Gardens Dr, Miami.The Office Lead is responsible for overseeing patient......
Audit & Reimbursement III- Medicare Cost Report Appeals Location: This is a virtual position; US basedNational Government Services is a proud member of Elevance Health’s family of brands. We administer......
Pharmacy Quality Assurance SpecialistLocation: The employee must live within 50 miles of an open access Elevance Health PulsePoint (within 50 miles of the posted location).Schedule: This is a Hybrid 1......
Location: open to any Elevance Health office location**this position will work a hybrid model (remote and office) which requires working in the nearest Elevance Health office 1-2 days per week. The......
Business Information Consultant – Value-Based CareLocation: This position will work in a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of the Elevance......
Broker Relations Mgr IILocation: This position will work a hybrid model (remote and office). The ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations.......
Diagnosis Related Group Clinical Validation AuditorLocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.The Diagnosis......
Stop Loss Actuarial Analyst IIILocation: 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...
Internal Auditor, Senior Location: Elevance Health supports a hybrid workplace model with pulse point sites used for collaboration, community, and connection. Proximity/ within 50 miles to an Elevance Health major office....
JR122541 Behavioral Health Clinical Development Specialist (Evergreen) Responsible for clinical, technical and operations training, quality compliance, implementations and initiatives for the Behavioral Health Clinical Op...
Licensed Utilization Review SeniorLocation: While remote, candidate should reside within 50 miles of either Tampa or Miami, FL.The Licensed Utilization Review Senior is responsible for working with healthcare providers to...
Audit & Reimbursement Senior- AppealsThis 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......
Investigator IISupporting the Payment Integrity line of business Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one the......
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.In......
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