Diagnosis Related Group Clinical Validation Auditor-RN Location: 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......
Organizational Design and Effectiveness DirectorLocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of the posted Elevance Health locations.The Organizational D...
Manager Pharmacy Clinical OpsLocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.A proud member of......
Investigator IISupporting the Payment Integrity line of business Location: Location: This position will work a hybrid model (remote and office). Alternate locations may be considered. The Ideal candidate must live......
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Director of Medicare Risk Adjustment Analytics and Reporting Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Elevance......
Medical Policy ConsultantNational Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare......
Marketing Project 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 ...
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Product Management Senior Director serves a critical role on the Carelon Behavioral Health (BH) Product and Strategy team. Working with our BH business, this Director will be responsible for overall......
Planning & Performance DirectorLocation: 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.AmeriBen......
LTSS Service Coordinator - RN ClinicianLocation: Nashville-Davidson CountySIgn-on Bonus:$2500This is a field position 4-5 days per weekThe LTSS Service Coordinator - RN Clinician is responsible for overall management of ...
Business Information Developer ConsultantLocation: 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......
Account ExecutiveA 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......
Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud & AbuseLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50......
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......
Formulary Pharmacist - CarelonRxLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a hybrid work model (1-2 days per......
Provider Contract/Cost of Care 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......
LTSS Service Coordinator - Clinician
Location: Nashville-Davidson County
This is a field position 4-5 days per week
$2500 Sign On Bonus
LTSS Service Coordinator - Clinician this role will be......
Reimbursement Manager
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......
Process Expert II
Location: This position will work a hybrid model (1-2 days/week). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
The......
Telephonic Nurse Case Manager I
Sign-on Bonus: $3000
Elevance Health supports a hybrid workplace model with pulse point sites (major offices) used for collaboration, community, and connection. This is a......
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.......
Investigator Senior
Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.
The Investigator Senior is......
Group Underwriting 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. Unles...
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......
RN Hospital Bill Audit/Appeal Lead
Supports the Carelon Payment Integrity line of business
Location: This position will work a hybrid model (remote and office). The ideal candidate will live within......
JR127299 Business Consultant Sr (Analytical)
The Sr. Business Consultant will support the Advanced Primary Care risk adjustment team through vendor engagement, reporting and identifying areas for process improvement. ...
Implementation Coordinator Lead
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......
Compliance Manager
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 desi...
CarelonRx Sales Strategy Director
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......
Our Medicaid Health Plan is looking to hire an Executive Admin Assistant. Reporting to the Health Plan President, this critical team member performs various support functions for our Health Plan......
Group Underwriter Consultant, Sr.Location: Open to anywhere in the contiguous USThis position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office......
Cost of Care Analyst IILocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live within 50 miles of......
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 ...
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......
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......
Carelon's Contact Center Strategy Organization is seeking a Project Manager Sr. Reporting directly to the VP of Strategic Initiatives, this role will manage multiple projects of varying sizes and duration,......
Manager II GBD Special Programs (LTSS)Location: The territory for this position is the entire State of Tennessee. Therefore, the selected candidate must reside within 50 miles of Nashville, Knoxville, or......
Location: This is a Virtual PositionShift: 7am-6pm PST , four 10 hour rotating ShiftsResponsible for serving as a Registered Nurse in the Remote Patient Monitoring program (RPM) call center. Monitors......
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.......
Pharmacy Tech IILocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.Work Hours: Mon-Fri12-8:30pm EST.A proud......
Data ScientistLocation: This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50 miles of one of our Pulse Point......
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......
JR130337 Vendor Operations Management Coordinator
This role is responsible for managing relationships with multiple vendors that support our clinics. It reports to the national director of clinical standardization wi...
Pharmacy Quality Assurance Manager
Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.
A proud......
Title: Health Program Representative I
Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.
The......
Pharmacy Internal Auditor
Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.
A proud member......
Compliance Manager
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 desi...
Execution Director
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.
At Federal Government......
Marketing Program Manager
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 d...
This position will serve the Davidson/Rutherford Counties, working from your home-based office with field visits to member homes and/or nursing facilities.
SIgn-on Bonus:$2500
LTSS Service Coordinator - Clinician Th...
Location: This position will serve the TN areas of Davidson and Surrounding Counties, working from your home-based office with field visits to member homes and/or nursing facilities.
The LTSS Service Coordinator is......
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......
Senior Marketing Communications CoordinatorLocation: Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote ...
Location: 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 the time would be......
Strategy Director-Consumer ExperienceLocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of the posted Elevance Health locations.The Strategy Director-Consumer ...
Medical Director- Carelon Product Location: This position will work a hybrid model (remote and office). The Ideal candidate will must live within 50 miles of one of our Elevance Health......
Pharmacist Consultant - CarelonRxLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member of this team, you......
Pharmacist Consultant - CarelonRxLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member of this team, you......
Director I Medical Management Location: 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......
Value Based Contract / Cost of Care Consultant
The Value Based Contract / Cost of Care Consultant will focus on Elevance Health's Value Base Contracts and will be responsible for......
Global Business Continuity Executive Advisor
Location: This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles of one of our Elevance Health......
Reporting and Analytics Director - CAHPS/STARS
Location: This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50 miles of......
Stop Loss Underwriter Director
Location: Open to anywhere within the continental US.
Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates....
Provider Network Management Director
Location: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of our Nashville, TN office.
The Provider Network......
Audit & Reimbursement Senior
Location: 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......
Audit & Reimbursement III - Medicare Cost Report Audit
Locations: This is a virtual United States based position.
National Government Services is a proud member of Elevance Health’s family of......
HEDIS Business Information Consultant
Location: This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days physically in office per week.
Associates......
Proposal Develop Analyst Sr - Commercial Proposals Team
Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of......
Advanced Analyst Predictive Modeling
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......
Business Information Consultant (Encounters Market Lead)
Location: This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will live within 50......
Business Change Manager, Sr.
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...
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 de...
Managing Associate General Counsel, Sr (Deputy General Counsel) - Data Governance, Information Security and Privacy
Location
Successful candidate must reside within 50 miles of an Elevance Health office location, and....
Compliance Director
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 des...
Provider Relationship Account Manager
Location: Nashville, TN
This position will work a hybrid model (remote and 1-2 days in office). The Ideal candidate will live within 50 miles of 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).......
Staff VP Claims Operations (Original Claims)Location: Successful candidate must reside within 50 miles of an Elevance office, and able to work a hybrid work schedule (3 days in office)SummaryResponsible for......
Provider Contract Cost of Care Analyst Senior Location: This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50 miles of......
Location: Candidate must live within 50 miles of an Elevance Health PulsePoint office.Responsible for ensuring Carelon Health associates are fully and frequently engaged by our educational components, thereby fostering a....
IBM BPM/BAW DeveloperLocation: This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint office locations.Preferred......
Information Security AdvisorLocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live within 50 miles of one of......
Location: Candidate should reside within 50 Miles of the Nashville office.The Outreach Care Specialist II is responsible for ensuring that appropriate member treatment plans are followed on moderately complex cases......
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......
Diagnosis Related Group Clinical Validation Auditor-Registered Nurse Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.The....
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......
Workforce Management AnalystLocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live within 50 miles of one of......
Health Program Representative ILocation : This is a remote position. Candidates must live within 50 miles of one of our PulsePoint office locations and must come into the office for......
JR127301 Business Consultant Sr (Operational)The Sr. Business Consultant will support the Advanced Primary Care risk adjustment team through vendor engagement, reporting and identifying areas for process improvement. The...
AmeriBen is a proud member of the Elevance Health family of companies. We are a third-party administrator (TPA) of medical benefits, also providing medical management, human resource consulting and......
Actuarial Analyst III
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 I
Elevance Health supports a hybrid workplace model with pulse point sites (major offices) used for collaboration, community, and connection. This is a virtual position, but......
Manager II Grievance/Appeals – Claims Support
This position will work in a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.
The......
IBM BPM/BAW Developer
Location: This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint office......
Pharmacist Program Manager
Location: This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live within 50 miles of an Elevance Health PulsePoint location in......
Account Service Manager Sr - Pharmacy Account Management
Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of......
Utilization Management Representative I
Location : This is a remote position. Ideal candidates will live within 50 miles of an Elevance Health PulsePoint office location.
Work Schedule : Monday -......
JR130960 Business Change Director (Quality Control Test Architect, PBM systems)
CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager / Quality Control Test Architect. This......
Health Program Representative I
Location: This is a remote position. Ideal candidates will live within 50 miles of one of our PulsePoint office locations and will be required to come......
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......
Business Information Analyst IILocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live within 50 miles of one......
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