Location: 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 PulsePoint locations.The Strategic Sourcing......
Location: This is a field based position. Candidate would need to meet face to face with patients in and around Pottawattamie (and surrounding) Counties, IA. The LTSS Service Coordinator is responsible for conducting......
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......
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....
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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 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......
Location: This is a virtual position , must be located within 50 miles of the nearest pulse point.Schedule : Monday-Friday 9:30am-6:00pm PSTResponsible for the review of medical records to determine......
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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......
Location: This is a virtual position , must be located within 50 miles of the nearest pulse point.Schedule : Monday-Friday 9:30am-6:00pm PSTResponsible for the review of medical records to determine......
Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health PulsePoint location.Schedule: First shift PST daytime hoursBehavioral Health Case Manager II The Behavioral Health Case M...
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 virtual position , must be located within 50 miles of the nearest pulse point.Schedule : Monday-Friday 9:30am-6:00pm PSTResponsible for the review of medical records to determine......
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 virtual position , must be located within 50 miles of the nearest pulse point.Schedule : Monday-Friday 9:30am-6:00pm PSTResponsible for the review of medical records to determine......
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......
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......
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......
Woodbridge Township, New Jersey
1 month
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....
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......
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....
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......
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....
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......
Location: Virtual; within 50 miles of any Elevance Health PulsePoint locationShift: See example schedules below; Training will be up to 3 weeks on day shift, hours, 8:30am - 5:00pm schedule......
Location: Virtual; within 50 miles of any Elevance Health PulsePoint locationShift: See example schedules below; Training will be up to 3 weeks on day shift, hours, 8:30am - 5:00pm schedule......
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 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 A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information....
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......
Lauderdale Lakes, Florida
1 month
LTSS Service Coordinator - ClinicianLocation: This is a field based position, candidate would need travel in and around the following counties based on their current location, Lee, Sarasota, Palm Beach, St.......
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 ...
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......
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......
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....
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...
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
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,......
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,......
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......
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...
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......
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......
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......
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...
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...
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......
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......
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......
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......
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......
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,......
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......
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......
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......
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......
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......
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