The Trainer Ld is responsible for providing day to day leadership to a team and ensures consistency and quality of work outputs. Primary duties may include, but are not limited......
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......
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: This is a fully remote position and you must be within 50 miles/1-hour commute of an eligible PulsePoint location.HOURS: Day-shift hours to include weekends. You have the option to......
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Medicaid RFP Development Director – Clinical StrategyLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance......
Medicaid RFP Development DirectorLocation: 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......
Stop Loss Local Bundled Sales ManagerLocation: Open to any locations indicated. Position has both office/remote expectations.The Stop Loss Local Bundled Sales Manager is responsible for developing and maintaining relation...
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The Patient Enrollment Specialist I is responsible for new and existing patients. This role involves outreach to patients, explaining the benefits of our programs, and guiding them through the enrollment process.How......
The Learning Experience Dsgnr Ld is responsible for analyzing, designing, building, and implementing business-aligned, integrated learning solutions using a variety of techniques and tools. Primary duties may include, but...
Pharmacist Consultant Sr.Location: This position is primarily a Virtual/Remote role.Work Shift: Monday – Friday, 8 hrs. work shift starting at either 7 am, 8 am or 9 am (Central Standard......
Internal Auditor, SeniorLocation: 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 d...
Director Network Contract Coord 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 one......
Cost of Care Analyst IILocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live within 50 miles of......
LTSS Service Coordinator - RN ClinicianLocation: Dickson/Houston/Benton CountySign-on Bonus:$2500This is a field position 4-5 days per weekThe LTSS Service Coordinator - RN Clinician is responsible for overall management ...
The Network Support Manager coordinates work flow and tactical implementation of various activities related to maintaining facility, provider network and contracting initiatives. Participates in projects designed to impro...
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Carelon Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spe...
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 IIILocation: 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...
CareBridge 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 settings to maximize......
Proposal Develop ConsultantLocation: 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 locationsThe Proposal......
Audit & Reimbursement IIILocation: This is a virtual position; must be US based.The Audit & Reimbursement III is responsible for completing limited and full desk reviews on teaching, organ acquisition......
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......
JR143125 Financial Analysis ManagerProvides financial analysis and prepares analysis of results for lines of business.Location: This position is fully remote, allowing work from anywhere in the U.S. while supporting all....
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...
DRG Coding Auditor (DIAGNOSTIC RELATED GROUP)This position will work virtually. Alternate locations may be considered. The Ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint......
Provider Collaboration Director-TennesseeLocation: This position will work a hybrid model (remote and office). Ideal candidate will reside within 50 miles/1 hour commute of the posted Elevance Health location.The Provider...
The Provider Network Manager Sr develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically wor...
CareBridge 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 settings to maximize......
JR139582 Provider Network Manager SrThe Provider Network Manager Sr. develops the provider network through contract negotiations, relationship development, and servicing. Typically works with the most complex providers. C...
Audit & Reimbursement IIILocation: 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...
Associate Relations Process Improvement Director (Process Improvement Dir)Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within 5...
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......
Director Pharmacy Account ManagementLocation: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of......
Acute Care Advance Practice Provider - BilingualLocation: This position is primarily a Virtual/Remote role.*Seeking Bilingual candidates that have active, unrestricted Multi-state Family or Adult Nurse Practitioner licens...
LTSS Service Coordinator - RN ClinicianLocation: Dickson/Houston/Benton CountySign-on Bonus:$2500This is a field position 4-5 days per weekThe LTSS Service Coordinator - RN Clinician is responsible for overall management ...
Audit & Reimbursement III - Medicare Cost Report AuditLocations: This is a virtual United States based position.National Government Services is a proud member of Elevance Health’s family of brands. We administer......
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: Sit anywhere within the state of Tennessee. This position is 100% work from home.Hours of position: Mon – Friday 8am – 5pm. With rotating on call, about every 4......
Medicaid Product Management Director for VisionLocation: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of......
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