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: 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......
Centers Health Care is a member of the Elevance Health family of companies, serving as a premier network of skilled nursing, rehabilitation, and senior care services. Our goal is to......
Referral & Resource SpecialistLocation: This is a remote position. Candidates must reside in one of the following states : MASSACHUSETTS, NEW HAMPSHIRE, CONNECTICUT, RHODE ISLAND OR NEW YORK. Build the......
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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......
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......
JR139707 Behavioral Health/EAP Consultant II The Behavioral Health EAP Consultant II (Wellbeing Support Consultant—WSC) has the primary responsibility of providing a range of EAP and wellbeing services. These services may...
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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......
Be Part of an Extraordinary TeamCarelonRx Pharmacy is now part of CarelonRx (formerly IngenioRx), a proud member of the Elevance Health family of companies. The CarelonRx Home Delivery Pharmacy will......
Director of Medicare Risk Adjustment Analytics and Reporting Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within......
LTSS Network Relations ConsultantTravel - this position will require you to travel 3 - 4 days per week in the following territories: Broward and South Palm Beach.How you will make......
Bilingual Outreach SpecialistLocation: This role will be field-based in the state of Florida. The ideal candidate will live in Pensacola, Seminole, Orange and Brevard FL.$1500 Sign-On Bonus! The Bilingual Outreach Specia...
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: Field associates spend 4-5 days per week in-person with patients, members or providers.The LTSS SERVICE COORDINATOR is responsible for conducting service coordination functions for a defined caseload of individu...
Be Part of an Extraordinary Team Centers Health Care is a member of the Elevance Health family of companies, serving as a premier network of skilled nursing, rehabilitation, and senior care......
Provider Contract/CofC 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 Elevance’s......
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......
Be Part of an Extraordinary Team BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus......
LTSS Network Relations ConsultantTravel - this position will require you to travel 3 - 4 days per week in the following territories: Naples, Fort Myers, Port Charlotte, Sarasota in Region......
Project Director - Product Execution 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......
Be Part of an Extraordinary Team BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus......
Location: Field associates spend 4-5 days per week in-person with patients, members or providers The RN Case Manager (LTSS Service Coordinator- RN) is responsible for overall management of member's case within......
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......
Location: Field associates spend 4-5 days per week in-person with patients, members or providers.The LTSS SERVICE COORDINATOR is responsible for conducting service coordination functions for a defined caseload of individu...
Location: Must live within 50 miles of our New York, NY PulsePoint office.Responsible for care coordination and/or care management activities focused on the Wellness and Recovery of members.How you will......
Title: Client Services Associate I Location: This position will work a remote model. Ideal candidates will live within 50 miles of one of our PulsePoint locations.The Client Services Associate I is responsible......
The Children and Families Specialty Health Plan is looking to hire a Director of Care Management to lead the care management team in Medicaid Regions 3 and 5 in the state......
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......
Program 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 an Elevance Health......
Investigator SeniorSupports the Payment Integrity line of business Location: This position will work a hybrid model (remote and office). Alternate locations may be considered. The Ideal candidate must live within......
Software Engineering ManagerLocation: 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.National......
Clinical Quality Program AdministratorLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our New York Elevance Health......
Location: Must live within 50 miles of our New York, NY PulsePoint office.Responsible for care coordination and/or care management activities focused on the Wellness and Recovery of members.How you will......
Wellness and Recovery SpecialistWork Location: 100% onsite at an inpatient facility in New York cityWork schedule: Monday – Friday 8:30am to 5:00pm ESTA proud member of the Elevance Health family......
Actuarial Director - Wellpoint GICPreferred Location: Woburn, MA. This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our......
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....
Centers Health Care is a member of the Elevance Health family of companies, serving as a premier network of skilled nursing, rehabilitation, and senior care services. Our goal is to......
Location: This is a Virtual role , Must be located within 50 miles of a Pulse PointSchedule: Monday-Friday 9:30am-6:00pm CST , Rotating weekend shifts.Responsible for conducting preauthorization, out of network......
Centers Health Care is a member of the Elevance Health family of companies, serving as a premier network of skilled nursing, rehabilitation, and senior care services. Our goal is to......
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...
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 ...
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