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: 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...
***$5,000 Sign On Bonus***LTSS Service CoordinatorLocation: This is primarily a field based position. Candidate would need to reside in one of the following counties: Escambia, Broward, Volusia, Marion, Pinellas, Hillsbor...
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Group Underwriter Consultant, Sr.Location: Open to anywhere in the contiguous USThis position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office......
Woodbridge Township, New Jersey
5 days
Solutions Management Mgr-Product IntakeLocation: This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of one of our PulsePoint locations.The Solutions Management Mgr-Produ...
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,...
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Solutions Management Mgr-Product IntakeLocation: This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of one of our PulsePoint locations.The Solutions Management Mgr-Produ...
Group Underwriter Consultant, Sr.Location: Open to anywhere in the contiguous USThis position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office......
Charleston, West Virginia
5 days
Pharmacist Consultant - CarelonRxLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member of this team, you......
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 ...
Pharmacist Consultant - CarelonRxLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member of this team, you......
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...
Pharmacist Clinical- Prior Authorization (Pharmacist Clinical)Location: Virtual with the ideal candidate living within 50 miles of one of our Elevance Health PulsePoint locations.The Pharmacist Clinical is responsible for...
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.....
Group Underwriter Consultant, Sr.Location: Open to anywhere in the contiguous USThis position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office......
Provider Contract/Cost of Care 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......
Manchester, New Hampshire
5 days
Communications Manager - FGSLocation: 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......
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 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...
Pharmacist Consultant - CarelonRxLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member of this team, you......
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......
Account ExecutiveA 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......
Winston Salem, North Carolina
5 days
Group Underwriter Consultant, Sr.Location: Open to anywhere in the contiguous USThis position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office......
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......
Pharmacist Consultant - CarelonRxLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member of this team, you......
Provider Contract/Cost of Care 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......
Claims Representative I (Health & Dental) Location: Must live within 50 miles of the Mason, OH, Norfolk, VA, Richmond, VA, Grand Prairie, TX, Houston, TX, Indianapolis, IN, Atlanta, GA, Miami, FL,......
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 Coordinator - RNLocation: This is a field based position. Based on candidate's location, will require travel to Passaic, Bergen, Essex, Hudson, Monmouth, Middlesex, or Mercer counties to meet face......
Group Underwriter Consultant, Sr.Location: Open to anywhere in the contiguous USThis position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office......
Solutions Management Mgr-Product IntakeLocation: This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of one of our PulsePoint locations.The Solutions Management Mgr-Produ...
Provider Contract/Cost of Care 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......
Solutions Management Mgr-Product IntakeLocation: This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of one of our PulsePoint locations.The Solutions Management Mgr-Produ...
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,...
Pharmacist Clinical- Prior Authorization (Pharmacist Clinical)Location: Virtual with the ideal candidate living within 50 miles of one of our Elevance Health PulsePoint locations.The Pharmacist Clinical is responsible for...
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......
Group Underwriter Consultant, Sr.Location: Open to anywhere in the contiguous USThis position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office......
Title: Clinical Pharmacist Location: Remote position Candidates must reside within 50 miles or 1-hour commute each way of a relevant pulse point location. Schedule: Monday-Friday, 8:30am - 5:00pm (rotating weekends)......
Pharmacist Consultant - CarelonRxLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member of this team, you......
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...
Manchester, New Hampshire
5 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......
Provider Contract/Cost of Care 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......
Provider Contract/Cost of Care 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......
***$5,000 Sign On Bonus***LTSS Service CoordinatorLocation: This is primarily a field based position. Candidate would need to reside in one of the following counties: Escambia, Broward, Volusia, Marion, Pinellas, Hillsbor...
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...
Claims Representative I (Health & Dental) Location: Must live within 50 miles of the Mason, OH, Norfolk, VA, Richmond, VA, Grand Prairie, TX, Houston, TX, Indianapolis, IN, Atlanta, GA, Miami, FL,......
Location: This position will take part in Elevance Health's remote eligibility status. Going into the office 1-2 times a week is an option if you are within 50 miles to......
Solutions Management Mgr-Product IntakeLocation: This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of one of our PulsePoint locations.The Solutions Management Mgr-Produ...
Provider Contract/Cost of Care 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......
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...
Group Underwriter Consultant, Sr.Location: Open to anywhere in the contiguous USThis position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office......
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...
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...
Pharmacist Consultant - CarelonRxLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member of this team, you......
Location: This is a field position and the candidate should reside in Dallas, TX.The LTSS Service Coordinator - Clinician working under the direction/supervision of an RN, with overall responsibility for......
Pharmacist Consultant - CarelonRxLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member of this team, you......
***$5,000 Sign On Bonus***LTSS Service CoordinatorLocation: This is primarily a field based position. Candidate would need to reside in one of the following counties: Escambia, Broward, Volusia, Marion, Pinellas, Hillsbor...
Charleston, West Virginia
5 days
Group Underwriter Consultant, Sr.Location: Open to anywhere in the contiguous USThis position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office......
Charleston, West Virginia
5 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......
Blue Ridge Manor, Kentucky
5 days
Group Underwriter Consultant, Sr.Location: Open to anywhere in the contiguous USThis position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office......
Pharmacist Consultant - CarelonRxLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member of this team, you......
Provider Contract/Cost of Care 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......
Communications Manager - FGSLocation: 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......
Provider Contract/Cost of Care 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......
Provider Contract/Cost of Care 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......
Provider Contract/Cost of Care 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......
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......
Senior Investigator (Investigator Sr)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 locations.......
Manchester, New Hampshire
5 days
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 ...
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 2 days per week). Ideal candidates will live within 50 miles of one of our......
Blue Ridge Manor, Kentucky
5 days
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......
Winston Salem, North Carolina
5 days
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...
Carelon's Contact Center Strategy Organization is seeking a Project Manager Sr. Reporting directly to the VP of Strategic Initiatives, this role will manage multiple projects of varying sizes and duration,......
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 Consultant Sr. (Provider Success) – JR135703Location: Must reside within 50 miles (1 hour commute) of one of the following offices AND be willing to visit (in person or virtually)......
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......
Colorado Springs, Colorado
5 days
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...
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......
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 ...
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......
PBM Clinical/Benefit Testing Analyst III (Business Analyst III)Location: This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live within 50 miles from one of......
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......
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......
Altamonte Springs, Florida
5 days
Be Part of an Extraordinary TeamBioPlus 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: 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......
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......
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 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......
North New Hyde Park, New York
5 days
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 ...
Health EducatorLocation: 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 in Georgia, Connecticut,......
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......
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...
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...
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......
Location: This is a field position and the candidate should reside in Southeast/Central Dallas.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope......
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