Location: Virtual; Within 50 miles of any Elevance Health PulsePoint officeShift: Monday – Friday; 8:00am – 5:00pmThe Claims Coding Analyst is responsible for the audit and review of medical record......
Program AdministratorOffice Location: 22 Century Blvd., Suite 310, Nashville, TN 37214. This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days physically......
Care Support CoordinatorLocation: Must live within 50 miles of a Pulse Point.The Care Support Coordinator is responsible for proactive and/or retroactive patient scheduling. Sign-on Bonus: $500.00How you will make an impa...
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......
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Business 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 Consultant......
The Patient Enrollment Specialist I is responsible for new and existing patients. This role involves outreach to patients, explaining the benefits of our programs, and guiding them through the enrollment process.How......
Patient Enrollment Specialist Location: Must live within 50 miles Pulse Point.Sign-on Bonus: $500.00The Patient Enrollment Specialist is responsible for new and existing patients. How you will make an impact:Reviewing an...
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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......
The Learning Experience Dsgnr Ld is responsible for analyzing, designing, building, and implementing business-aligned, integrated learning solutions using a variety of techniques and tools. Primary duties may include, but...
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......
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...
Clinical Provider Auditor ILocation: 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.Carelon......
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...
Director Network Contract Coord Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one......
The Network Support Manager coordinates work flow and tactical implementation of various activities related to maintaining facility, provider network and contracting initiatives. Participates in projects designed to impro...
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......
Clinical Operations Associate Medical DirectorCarelon Medical Benefits ManagementLocation: Alternate locations may be considered. The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint loca...
Salesforce Marketing Cloud 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......
Clinical Operations Associate Medical DirectorCarelon Medical Benefits ManagementRadiology Benefit Management/Utilization ReviewSchedule: Monday-Friday 9AM-5PM Central TimeLocation: Alternate locations may be considered. ...
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Carelon Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spe...
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......
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...
CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize......
Support Engineer IILocation: 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.CareBridge is a......
Business Change Manager, Senior – Special Investigation Unit - Fraud and AbuseLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles......
Audit & Reimbursement IILocation: This is a virtual United States based positionNational Government Services is a proud member of Elevance Health’s family of brands. We administer government contracts for Medicare and...
JR143125 Financial Analysis ManagerProvides financial analysis and prepares analysis of results for lines of business.Location: This position is fully remote, allowing work from anywhere in the U.S. while supporting all....
Proposal Develop 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 locationsThe Proposal......
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......
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......
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......
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).......
The Provider Network Manager Sr develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically wor...
Information Security Sr Advisor (Email Security)Location: This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles of one of our Elevance Health......
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...
Dir Clinical Ops Therapy Prog Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of......
Director Pharmacy Account ManagementLocation: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of......
Program DirectorLocations: 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......
CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize......
Associate Relations Process Improvement Director (Process Improvement Dir)Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within 5...
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 ...
Clinical Provider Auditor ISupports Payment Integrity & Behavioral HealthLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live......
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......
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......
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......
RN Triage NurseLocation: This position is primarily a Virtual/Remote role.Work Shift: 4/10 works shifts, 11 am to 9 pm (Central Standard Time) and every two weeks, full weekend shift.The RN......
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