Project DirectorLocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of the following PulsePoint location. 705 5th Avenue South, Seattle, WA......
Marketplace Facilitated Enroller (Bilingual Chinese/Korean)Location: This is a field-based position including outdoor and indoor marketing. Candidates will work in provider offices, clinics, community-based organizations,...
Location: Primarily work from home , Must be located in Kansas.Shift: Monday-Friday,8:00am-5:00pm CSTFunctions with the expertise in managing negotiated pricing loads. Responsible for coordinating the process for the most...
Location: 12729 Pioneer BLVD, Norwalk CAShift: : Monday- Friday, 8am-5pmResponsible for assisting clinicians in the examination and treatment of patients under the direction of the physician. Primary duties may include,.....
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LTSS Service Coordinator - RN ClinicianLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova,......
Advanced Analytics Analyst SeniorLocation: 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.Preferred......
Location: Field associates spend 4-5 days per week in-person with patients, members or providers in the following counties: Grant, Blackford, Jay, Madison, Delaware, Randolph, and Henry countiesThe Case Manager- LCSW/LSW/...
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PBM Formulary Analyst II (Business Analyst II)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......
LTSS Service Coordinator - ClinicianLocation: Gibson, Carrol, Henry, and Weakley CountiesThis is a field position 4-5 days per week$2500 Sign On BonusLTSS Service Coordinator - Clinician this role will be......
LTSS Service CoordinatorLocation: 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......
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......
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....
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......
Location: Onsite at CA-NORWALK, 12729 PIONEER BLVDShift: Monday-Friday, 8:00am-5:00pm PSTResponsible for assisting clinicians in the examination and treatment of patients under the direction of the physician. Primary duti...
Woodbridge Township, New Jersey
1 month
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....
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....
LTSS Service CoordinatorLocation: 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......
LTSS Service Coordinator - RN Telehealth Location: While this position is fully remote, candidate must reside in the tri-state area (NY, NJ, or CT) and within 50 miles of a PulsePoint.The......
LTSS Service CoordinatorLocation: 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......
Location: Field associates spend 4-5 days per week in-person with patients, members or providers.Sign-On Bonus: A sign-on bonus of up to $2,000 is available for qualified candidates, effective 10/31/2024!The LTSS......
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......
Colonial Heights, Virginia
25 days
Location: This is a field position and the candidate should reside in Dinwiddie, Chesterfield, or Colonial Heights.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case......
Location: This is a field position and the candidate should reside in Dinwiddie, Chesterfield, or Colonial Heights.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case......
Location: Primarily work from home and must be located in Kansas.Shift: Monday-Friday, 8:00am-5:00pm CSTFunctions with the expertise in managing negotiated pricing loads. Responsible for coordinating the process for the m...
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 ...
Location: This is a field position and the candidate should reside in Dinwiddie, Chesterfield, or Colonial Heights.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case......
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......
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......
Charleston, West Virginia
25 days
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......
Manchester, New Hampshire
25 days
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......
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: Primarily work from home , Must be located in Kansas.Shift: Monday-Friday,8:00am-5:00pm CSTFunctions with the expertise in managing negotiated pricing loads. Responsible for coordinating the process for the most...
Community Health Care Case Worker Location: Field Base PositionThe Community Health Care Case Worker is responsible for serving as the initial and main point of Field contact between the Company......
Location: This position will serve the Dallas/Ft. Worth, TX area.The LTSS Service Coordinator is responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs.In c...
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......
Job Title: Pharmacy Technician IIHours: 12pm – 830pm eastern time zoneLocation: Remote/virtual opportunity.Must reside within 50 miles / 1 hour commute of one of the following Pulse Point locations:Atlanta, GA......
LTSS Service Coordinator - RN Telehealth Location: While this position is fully remote, candidate must reside in the tri-state area (NY, NJ, or CT) and within 50 miles of a PulsePoint.The......
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....
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....
Title: Staff VP, Accreditation & Quality Programs Location: Within 50 miles of a PulsePoint office with strong preference given to Washington DC, Virginia Beach VA, Maryland, New York, Chicago IL, or......
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......
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....
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......
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......
LTSS Service CoordinatorLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova, Sacramento, Walnut Creek,......
Marketplace Facilitated Enroller (Bilingual Chinese/Korean)Location: This is a field-based position including outdoor and indoor marketing. Candidates will work in provider offices, clinics, community-based organizations,...
Senior Credit and Collections SpecialistA 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.....
Network Adequacy Business Information 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......
Job Title: Pharmacy Technician IIHours: 12pm – 830pm eastern time zoneLocation: Remote/virtual opportunity.Must reside within 50 miles / 1 hour commute of one of the following Pulse Point locations:Atlanta, GA......
Location: This is a Virtual role , Must be located within 50 miles of a Pulse Point Schedule: 9:30am-6:00pm PST, ability to work weekends if necessary.New Grads are encouraged to......
Business Information ConsultantLocation: This position will work a hybrid model (remote and office). This position is for candidates based from one of our Pulse Points in: Indianapolis, Chicago, Atlanta, Miami......
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......
***$6,000 Sign On Bonus***LTSS Service Coordinator - ClinicianLocation: This is a field based position. Candidate would need to reside in one of the following counties: Lee, Sarasota, Hillsborough, Pinellas, Escambia, Duv...
Location: This position is located in the state of Kansas and must reside within 50 miles of our Topeka or Olathe PulsePoint.The Clinical Quality Program Specialist is responsible for supporting......
Provider Network Manager Sr. – Contract Negotiator (JR136497)Location: This position is part of our Hybrid 1 workplace strategy and requires the associate to work from the office a minimum of......
Financial ConsultantLocation: 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...
East Hartford, Connecticut
19 days
Behavioral Health Care Coordinator***Seeking a BH Care Coordinator in Connecticut with expertise in case management, human services, family and/or community resources.***Location : This is a field-based role where the maj...
Location: Field associates spend 4-5 days per week in-person with patients, members or providers in the following counties: Grant, Blackford, Jay, Madison, Delaware, Randolph, and Henry countiesThe RN Case Manager......
Financial ConsultantLocation: 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...
Behavioral Health Care Coordinator***Seeking a BH Care Coordinator in Connecticut with expertise in case management, human services, family and/or community resources.***Location : This is a field-based role where the maj...
Location: Field associates spend 4-5 days per week in-person with patients, members or providers in the following counties: Grant, Blackford, Jay, Madison, Delaware, Randolph, and Henry countiesThe RN Case Manager......
Financial ConsultantLocation: 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...
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......
Be Part of an Extraordinary Team Title: Pharmacy Technician I Location: Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location: OH-MASON, 4241 IRWIN SIMPSON......
Provider Data Relationship LeadLocation: This position will work a hybrid model (remote and office). We are looking for individuals that can work in a hybrid model from one of the......
Washington, District of Columbia
16 days
Title: Staff VP, Accreditation & Quality Programs Location: Within 50 miles of a PulsePoint office with strong preference given to Washington DC, Virginia Beach VA, Maryland, New York, Chicago IL, or......
Location: Field associates spend 4-5 days per week in-person with patients, members or providers in the Hays, Colby, Emporia and Hiawatha areas.Sign-On Bonus: A sign-on bonus of up to $5,000......
Washington, District of Columbia
16 days
Behavioral Health Case Manager ll – Clinical License (JR132209)Location: This position requires work in our Washington, D.C., 609 H Street NE office up to 4 days each week.NOTE: MUST reside......
Business Information Consultant SeniorLocation: 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......
Pharmacy Customer Associate II Location: This is a remote position and virtual training will be required for the first 2 weeks. You must live within 50 miles of any Elevance......
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......
Outreach Care SpecialistLocation : This is a field-based role where the majority of time is working out in the field/community. Candidates must live in Kansas to be considered. We are......
Investigator AssistantSupports 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 live within......
Blue Ridge Manor, Kentucky
6 days
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. Carel...
A proud member of the Elevance Health family of companies, Carelon Behavioral Health, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life su...
Business Change AdvisorLocation: Must be within 50 miles of the Wallingford, CT office. Position has both office/remote expectations.The Business Change Advisor is responsible for assisting the management within the busin...
Manager I - Customer Care - FHPSLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Atlanta, GA or......
Winston Salem, North Carolina
6 days
Investigator IISupporting the Payment Integrity line of business Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live......
Senior Implementation Specialist Location: 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......
Execution 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 Execution Director is responsible for......
Execution 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 Execution Director is responsible for......
Rancho Cordova, California
6 days
The Med Mgmt Clinician Sr is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or medical poli...
A proud member of the Elevance Health family of companies, Carelon Behavioral Health, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life su...
LOCATION: This is a remote eligible role, but you must be within 50 miles of our Nashville office.HOURS: General business hours, Monday through Friday.TRAVEL: This is primarily a telephonic role,......
Nurse Auditor Senior - Carelon Payment IntegrityLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50......
Subrogation AnalystLocation: Virtual with the ideal candidate will live within 50 miles of our Indianapolis, IN, Waukesha, WI, or Louisville, KY Elevance Health PulsePoint locations.A proud member of the Elevance......
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 retirement......
Senior Implementation Specialist Location: 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......
Clinical Provider Auditor SeniorSupports Payment Integrity line of businessLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Hanover,......
Customer Care Representative I $500 Sign On Bonus! Location: The ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point. The Customer Care Representative......
Nurse Auditor Senior - Carelon Payment IntegrityLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50......
A proud member of the Elevance Health family of companies, Carelon Behavioral Health, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life su...
Be Part of an Extraordinary TeamA 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......
A proud member of the Elevance Health family of companies, Carelon Behavioral Health, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life su...
Referral Specialist ISign-On Bonus: $1000.00Build the Possibilities. Make an extraordinary impact.A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, is a benefit-management lea...
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 retirement......
Clinical Content Analyst Location: 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......
Blue Ridge Manor, Kentucky
6 days
Nurse Auditor Senior - Carelon Payment IntegrityLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50......
Business Information Consultant SeniorLocation: This position will work a hybrid model (remote and office). We are looking for individuals that can work in a hybrid model from one of the......
Customer Care Representative I $500 Sign On Bonus! Location: The ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point. The Customer Care Representative......
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