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......
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...
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....
Digital Product Manager SeniorLocation: 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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CarelonRx Sales Strategy Specialist 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......
Title: Grievance/Appeals Analyst ILocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.The Grievance/Appeals Analyst I......
Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and......
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Audit & Reimbursement II- Medicare Cost Report Audit Locations: This is a United States based, virtual position. National Government Services is a proud member of Elevance Health’s family of brands.......
Be Part of an Extraordinary Team Nurse Medical Management ILocation: Remote- Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-time Days. Saturday-Sunda...
Winston Salem, North Carolina
today
Health Information Consultant Senior Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of the following PulsePoint location. 5650 University Parkway, Winston-...
Position specific details: Work schedule is 10:30am-7pm CST with flexibility for weekend coverage in the future. Voluntary overtime is periodically available based on business needs. Orthopedic Spine Surgeons are encourag...
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......
Community Health Coordinator - Florida***$1,500 Sign On Bonus*** Location: This is a field-based position (50% - 75% of the time). Seeking candidates that reside in the state of Florida. You will......
Blue Ridge Manor, Kentucky
today
National Account Strategic Manager - National Central Acct Management Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one......
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......
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......
Title: Licensed Utilization Review IILocation: Candidates must reside within 50 miles or 1-hour commute each way of an Elevance Health location.Build the Possibilities. Make an Extraordinary Impact. The Licensed Utilizati...
Charleston, West Virginia
today
Clinical Provider Auditor IISupports the 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......
Be Part of an Extraordinary Team Nurse Medical Management ILocation: Remote- Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-time Days. Saturday-Sunda...
Colorado Springs, Colorado
today
Locations: Las Vegas NV, Denver CO, Colorado Springs COHours: Monday - FridayTravel: Hybrid (1-2 days per week per manager discretion)Position Overview: Develops the provider network through contract negotiations, relati...
Strategic Sales ConsultantLocation: Must be within 50 miles of Walnut Creek, CA. Position has both office/remote expectations.Compensation: Base Salary + Sales Incentive PlanThe Strategic Sales Consultant is responsible f...
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......
Title: Licensed Utilization Review IILocation: Candidates must reside within 50 miles or 1-hour commute each way of an Elevance Health location.Build the Possibilities. Make an Extraordinary Impact. The Licensed Utilizati...
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......
Title HR Consultant - Bilingual - We are seeking a dynamic, bilingual (English/Spanish) HR Consultant to join our team and play a critical role in solving organizational challenges through people-related......
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...
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......
Washington Court House, Ohio
today
Position specific details: Work schedule is 10:30am-7pm CST with flexibility for weekend coverage in the future. Voluntary overtime is periodically available based on business needs. Orthopedic Spine Surgeons are encourag...
Manchester, New Hampshire
today
CarelonRx Sales Strategy Specialist 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......
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......
Clinical Provider Auditor IISupports the 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......
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......
Business Information Consultant-ETL DeveloperLocation: This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will live within 50 miles of one......
Clinical Provider Auditor IISupports the 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......
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...
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......
LTSS Service Coordinator - RNLocation: This is a field based position. Candidate would work remotely and travel 2 - 3 times a week to visit members in Passaic/ Bergen counties.The LTSS Service......
JR131500 Clinical Quality Program Manager Responsible for serving as a liaison with and overseeing the quality improvement activities/projects/programs for one or more states within a major line of business.Location: This...
CarelonRx Sales Strategy Specialist 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......
HR Strategy & Transformation Program LeaderLocation: 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 HR......
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...
National Account Strategic Manager - National Central Acct Management Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one......
Community Health Coordinator - Florida***$1,500 Sign On Bonus*** Location: This is a field-based position (50% - 75% of the time). Seeking candidates that reside in the state of Florida. You will......
Government Business Quality Management Health Plan Director-California Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of the Woodland Hills,......
Audit & Reimbursement IILocation: 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....
Audit & Reimbursement IILocation: 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....
Audit & Reimbursement II- Medicare Cost Report Audit Locations: This is a United States based, virtual position. National Government Services is a proud member of Elevance Health’s family of brands.......
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......
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......
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......
National Account Strategic Manager - National Central Acct Management Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one......
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....
Location : Primarily work from home, Must report to the Grand Prairie or Houston TX Pulse Point 1 time per week.Schedule: Monday- Friday 8am-5pm CST. Candidate must report to the office......
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...
Location: This is a field position and the candidate should reside in Lubbock, or WRSA service delivery area.The LTSS Service Coordinator - RN Lead Clinician (US) is responsible for leading a......
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......
North New Hyde Park, New York
today
National Acct Strategic ManagerLocation: 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.Responsible......
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......
Telephonic Nurse Case Manager IILocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Hours: Monday - Friday 9:00am to 5:30pm EST and......
Location: 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 Elevance Health......
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......
Community Health Coordinator - Florida***$1,500 Sign On Bonus*** Location: This is a field-based position (50% - 75% of the time). Seeking candidates that reside in the state of Florida. You will......
Washington, District of Columbia
today
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......
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......
National Account Strategic Manager - National Central Acct Management Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one......
We are currently seeking a versatile Board Certified Physician to participate in pre-authorization reviews of high-tech diagnostic imaging, cardiac testing and sleep management services. Medical Directors in Clinical Oper...
Position specific details: Work schedule is 10:30am-7pm CST with flexibility for weekend coverage in the future. Voluntary overtime is periodically available based on business needs. Orthopedic Spine Surgeons are encourag...
Be Part of an Extraordinary Team Nurse Medical Management ILocation: Remote- Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-time Days. Saturday-Sunda...
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......
CarelonRx Sales Strategy Specialist 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......
Nurse Appeals – Licensed RN Nurse Location: This position will work in a hybrid model (remote and office). Ideal candidates will live in the state of California within 50 miles of......
Winston Salem, North Carolina
today
HR Strategy & Transformation Program LeaderLocation: 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 HR......
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 Team Nurse Medical Management ILocation: Remote- Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-time Days. Saturday-Sunda...
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......
Colonial Heights, Virginia
today
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......
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......
CarelonRx Sales Strategy Specialist 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......
Location: 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 Elevance......
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......
Audit & Reimbursement IILocation: 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....
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......
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......
Behavioral Health 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 Connecticut to be considered.......
Washington, District of Columbia
today
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......
Woodbridge Township, New Jersey
today
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....
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......
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......
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...
Title: Excess Loss SpecialistLocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of 6087 Technology Pkwy Columbus, GA 31820 PulsePoint location.The......
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......
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......
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...
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 therapies through our specialty pharmacies,......
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......
Consumer Experience Analytics & Insights Analyst SeniorLocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live within 50......
Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and......
Telephonic Nurse Case Manager IILocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Hours: Monday - Friday 9:00am to 5:30pm EST and......
Nurse Case Manager ILOCATION: Virginia. This is a remote position working from home, however, the ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations......
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