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......
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-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......
Lauderdale Lakes, Florida
28 days
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.......
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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...
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......
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VoC Analysis & Insights ManagerLocation: 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......
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......
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.....
Human Resources Business Partner (HR Business Partner)Location: This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live within 50 miles of the New York,......
Business Information Developer ConsultantLocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within 50 miles of one of......
Associate Relations Consultant 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.The......
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......
Audit & Reimbursement IILocation: This is a virtual United States based positionNational Government Services is a proud member of Elevance Health’s family of brands. We administer government contracts for Medicare and...
Provider Contract/CofC 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 one of Elevance’s......
Altamonte Springs, Florida
1 day
Be Part of an Extraordinary Team BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus......
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......
Altamonte Springs, Florida
today
Location: Candidates must reside within a 50-mile or 1-hour commute each way of a relevant Elevance Health location. The first 90 days will be 5 days in the office, with......
HEDIS Compliance Audit Specialist / Manager (JR140903)Location: Alternate locations in addition to the posted locations may be considered. This position will work in a hybrid model (remote and office). The......
JR139707 Behavioral Health/EAP Consultant II The Behavioral Health EAP Consultant II (Wellbeing Support Consultant—WSC) has the primary responsibility of providing a range of EAP and wellbeing services. These services may...
Altamonte Springs, Florida
1 day
Job DescriptionBioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers......
Location: This is a virtual role. The candidate will live within 50 miles of one of our Florida Elevance Health PulsePoint locations in Miami or Tampa Florida. Schedule: 12 noon- 8:30 pm......
RN Triage NurseLocation: This position is primarily a Virtual/Remote role.Work Shift: 4/10 works shifts, 11 am to 9 pm (Central Standard Time) and every two weeks, full weekend shift.The RN......
Location: This position will be remote. The ideal candidate will live within 50 miles of the Miami, FL or Tampa, FL PulsePoint locations.The Utilization Management Representative I is responsible for......
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......
Altamonte Springs, Florida
today
Title: Patient Financial CoordinatorLocation: 370-774 Northlake Blvd, Altamonte Springs, FloridaCandidates must live within 50 miles of location.Shift: Monday through Friday, 8 hour shift between the hours of 8:00am to 8:...
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......
LTSS Service CoordinatorLocation: This is primarily a field based position. Candidate would need to reside in one of the following counties: Miami-Dade, Broward, Hillsborough, Orange, or Polk.The LTSS Service Coordinator ...
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......
LTSS Service CoordinatorLocation: This is primarily a field based position. Candidate would need to reside in one of the following counties: Miami-Dade, Broward, Hillsborough, Orange, or Polk.The LTSS Service Coordinator ...
LTSS Service CoordinatorLocation: This is primarily a field based position. Candidate would need to reside in one of the following counties: Miami-Dade, Broward, Hillsborough, Orange, or Polk.The LTSS Service Coordinator ...
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......
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......
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......
Outreach Care SpecialistCareBridge 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......
Altamonte Springs, Florida
5 days
Be Part of an Extraordinary Team BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus......
Advance Practice ProviderCareBridge 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......
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...
Investigator ISupports the Payment Integrity line of business Location: This position will work a hybrid model (remote and office). Alternate locations may be considered. The Ideal candidate must live within......
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...
Be Part of an Extraordinary Team BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus......
LTSS Service CoordinatorLocation: This is primarily a field based position. Candidate would need to reside in one of the following counties: Miami-Dade, Broward, Hillsborough, Orange, or Polk.The LTSS Service Coordinator ...
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......
Job Title: Pharmacy Technician IIHours: 12pm – 830pm eastern time zoneLocation: Remote/virtual opportunity.Must reside within 50 miles / 1 hour commute of one of the following Pulse Point locations:Atlanta, GA......
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......
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......
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......
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......
Clinical Quality Program Administrator-Risk ManagementLocation: 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......
Investigator ISupports the Payment Integrity line of business Location: This position will work a hybrid model (remote and office). Alternate locations may be considered. The Ideal candidate must live within......
Audit & Reimbursement IILocation: This is a virtual United States based positionNational Government Services is a proud member of Elevance Health’s family of brands. We administer government contracts for Medicare and...
Business Information Consultant – Healthcare DataLocation: Richmond, VA; Atlanta, GA; Tampa, FL; Indianapolis, IN; Mason, OH (preferred). Alternate locations may be considered. This position will work in a hybrid model....
Altamonte Springs, Florida
3 days
Be Part of an Extraordinary Team BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus......
Specialty Pharmacy Tech 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......
Provider Contract/CofC 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 one of Elevance’s......
Therapy Services SpecialistLocation: 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 Therapy......
Schedule: This position will take part in Elevance Health's hybrid workforce model which includes virtual work and 1-2 days in office per week.*The ideal candidate will live within 50 miles......
Altamonte Springs, Florida
today
Be Part of an Extraordinary Team BioPlus 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 is a virtual role. The candidate will live within 50 miles of one of our Florida Elevance Health PulsePoint locations in Miami or Tampa Florida. Schedule: 12 noon- 8:30 pm......
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......
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......
Job Title: Pharmacy Technician IIHours: 12pm – 830pm eastern time zoneLocation: Remote/virtual opportunity.Must reside within 50 miles / 1 hour commute of one of the following Pulse Point locations:Atlanta, GA......
Be Part of an Extraordinary TeamCarelon is a proud member of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits. By leveraging the power of......
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......
LTSS Service CoordinatorLocation: This is primarily a field based position. Candidate would need to reside in one of the following counties: Miami-Dade, Broward, Hillsborough, Orange, or Polk.The LTSS Service Coordinator ...
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......
LTSS Service CoordinatorLocation: This is primarily a field based position. Candidate would need to reside in one of the following counties: Miami-Dade, Broward, Hillsborough, Orange, or Polk.The LTSS Service Coordinator ...
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......
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: Must live within 50 miles of our New York, NY PulsePoint office.Responsible for care coordination and/or care management activities focused on the Wellness and Recovery of members.How you will......
Location: This is a Virtual role , Must be located within 50 miles of a Pulse PointSchedule: Monday- Friday 9:30am-6:00pm , Rotating weekend shifts.Responsible for conducting preauthorization, out of network......
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.......
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...
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......
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......
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).......
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......
VoC Analysis & Insights ManagerLocation: 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......
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...
Associate Manager Clinical SupportCareBridge 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......
Be Part of an Extraordinary Team BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus......
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......
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......
Program DirectorLocation: Alternate locations may be considered. This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live within 50 miles of an Elevance Health......
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.....
Altamonte Springs, Florida
3 days
Title: Intake SpecialistLocation: Hybrid position located at 370-774 Northlake Boulevard, Altamonte Springs, FL 32701Candidates must live within 50 miles of location.Shift: Monday through Friday, 12:00pm to 9:00pm EST.The...
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......
Be Part of an Extraordinary TeamCarelon is a proud member of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits. By leveraging the power of......
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....
North Miami Beach, Florida
29 days
LTSS Service CoordinatorLocation: This is primarily a field based position. Candidate would need to reside in one of the following counties: Miami-Dade, Broward, Hillsborough, Orange, or Polk.The LTSS Service Coordinator ...
LTSS Service CoordinatorLocation: This is primarily a field based position. Candidate would need to reside in one of the following counties: Miami-Dade, Broward, Hillsborough, Orange, or Polk.The LTSS Service Coordinator ...
LTSS Service CoordinatorLocation: This is primarily a field based position. Candidate would need to reside in one of the following counties: Miami-Dade, Broward, Hillsborough, Orange, or Polk.The LTSS Service Coordinator ...
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.......
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.......
Location: Must live within 50 miles of our New York, NY PulsePoint office.Responsible for care coordination and/or care management activities focused on the Wellness and Recovery of members.How you will......
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......
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......
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......
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