Senior Shareholders Services & Corporate Governance SpecialistLocation: Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection...
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......
LTSS Service Coordinator - ClinicianLocation: 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 Coordinator-Clinician ...
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......
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Location: Must reside within 50 miles / 1 hour commute of an Elevance Health Pulse Point.Shift: Monday - Friday 10am - 7pm CSTResponsible for performing pre-certification certification and/or authorization......
Location: Must reside within 50 miles / 1 hour commute of an Elevance Health Pulse Point.Shift: Monday - Friday 10am - 7pm CSTResponsible for performing pre-certification certification and/or authorization......
Crisis & Referral Specialist Location : This is a fully remote role. Candidates must reside in the state of LOUISIANA to be considered.Work Schedule : We operate 24 hours a......
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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...
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...
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,......
Blue Ridge Manor, Kentucky
18 days
IBM Case Manager 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......
Enterprise Architect Principal – Identity and Access Management (IAM)Location: This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50......
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,......
Community Outreach Care SpecialistLocation : This position requires 100% field work. Must reside in the state of Massachusetts. Ideal candidate will reside in the Worcester, MA area.Work Schedule : Monday......
IBM Case Manager 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......
Enterprise Architect Principal – Identity and Access Management (IAM)Location: This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50......
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,......
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 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 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 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......
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 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......
Managed Care Coordinator, RN Clinician - WashingtonLocation: This position is primarily a Virtual/Remote role. One day a week this position will be required to visit members in person in care......
Manchester, New Hampshire
21 days
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......
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......
A proud member of the Elevance Health family of companies, Carelon Research, formerly HealthCore, Inc., works with life sciences companies, payers and providers, and government and academic organizations to provide......
Manager - Supplemental Data Provider Engagement Location: This position will work a hybrid model (remote and in office 1-2 days per week). Candidates will live within 50 miles of our Norfolk,......
A proud member of the Elevance Health family of companies, Carelon Research, formerly HealthCore, Inc., works with life sciences companies, payers and providers, and government and academic organizations to provide......
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....
Blue Ridge Manor, Kentucky
18 days
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: This is a field based position. Candidate would need to meet face to face with patients in and around O'Brien, Plymouth, Clay County, IA The LTSS Service Coordinator is responsible for conducting......
Actuarial Analyst II 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......
Woodbridge Township, New Jersey
16 days
Job Title: Program ConsultantLocation: Must reside within 50 miles / 1 hour commute of one of the following Pulse Point locations:Mason, OH - 4361 Irwin Simpson Rd. Iselin, NJ -......
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......
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......
Care Coordinator Family Support***$1,500 Sign-On Bonus******Seeking a Care Coordinator in Connecticut with expertise in case management, human services, family and/or community resources.***Location : This is a field-base...
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).......
Woodbridge Township, New Jersey
15 days
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).......
Manchester, New Hampshire
15 days
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......
Hours: 10am-630pm ESTLocation: The successful hire will be required to be within 50 miles of one of our company locations (Pulse Point).Please note: The Peer Specialist Certification is required for......
Hours: 10am-630pm ESTLocation: The successful hire will be required to be within 50 miles of one of our company locations (Pulse Point).Please note: The Peer Specialist Certification is required for......
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......
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).......
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......
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).......
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).......
Engineer SeniorLocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of the following Pulsepoint location. 12900 Park Plaza Drive, Cerritos, California......
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......
Manager - Supplemental Data Provider Engagement Location: This position will work a hybrid model (remote and in office 1-2 days per week). Candidates will live within 50 miles of our Norfolk,......
JR142090 BH Clinical Quality Audit Analyst Sr Responsible for participating in on-site quality external audits such as NCQA, AAHC and EQRO, and prepares audits of required documents. Location: This position will work......
Enterprise Architect Principal – Identity and Access Management (IAM)Location: This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50......
Title: Membership Representative 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 Membership Representative I......
Location: Field associates spend 4-5 days per week in-person with patients, members or providers.The Case Manager- LCSW/LSW/LMSW/LMHC/LMFT (also called the LTSS Service Coordinator - Clinician) has overall responsibility ...
Process Improvement DirectorLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). Candidates must reside within 50 miles or 1-hour commute each way......
Woodbridge Township, New Jersey
12 days
Technology Compliance Auditor AdvisorLocation: 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......
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......
Technology Compliance Auditor AdvisorLocation: 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......
Technology Compliance Auditor AdvisorLocation: 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......
Blue Ridge Manor, Kentucky
12 days
Title: Membership Representative 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 Membership Representative I......
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...
Business Information Analyst 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.The......
Technology Compliance Auditor AdvisorLocation: 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......
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......
Woodbridge Township, New Jersey
12 days
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......
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......
Care Coordinator Family Support***$1,500 Sign-On Bonus******Seeking a Care Coordinator in Connecticut with expertise in case management, human services, family and/or community resources.***Location : This is a field-base...
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 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......
Senior Research Programmer/Analyst (Business Information Developer Consultant Senior)Location: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live or......
Compassionate ConnectorLocation: IN PERSON at one of the following 3-store location clusters in the following zip codes : California - El Cerrito 94530; Oakland 94601; Vallejo 94591; San Rafael 94901;......
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 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......
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......
Woodbridge Township, New Jersey
11 days
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......
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......
Blue Ridge Manor, Kentucky
11 days
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......
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......
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......
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......
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......
Healthcare Economics Consultant/Cost of Care SeniorLocations: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health......
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......
Winston Salem, North Carolina
12 days
The Children and Families Specialty Plan is looking to hire a Director of Care Management to lead the care management team in Medicaid Regions 1 and 2 in the state of North......
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......
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......
Blue Ridge Manor, Kentucky
11 days
Enterprise Architect Principal – Identity and Access Management (IAM)Location: This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50......
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......
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: Norfolk VA, Roanoke VA, District of Columbia (D.C), Richmond VAHours: Monday - FridayTravel: Field BasedPosition Overview: Responsible for performing case management telephonically and/or by home visits within ...
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...
North New Hyde Park, New York
8 days
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...
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......
RN Triage NurseLocation: This position is primarily a Virtual/Remote role.Work Shift: 4/10 works shifts, 1:00 pm to 11:00 pm (Central Standard Time) and every two weeks, full weekend shift.The RN......
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...
Transitions of Care-Nurse RegisteredCareBridge 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.....
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...
Wellness & Recovery SpecialistLocation: The ideal candidate must reside in the Beckley and Princeton area or within a commutable distance.This position is a remote position. Will interface with members and providers.....
Solution Medical Director for Post Acute Services Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate must live within 50......
Rating/Claims System AnalystLocations: 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 listed......
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