Location: Alternate locations may be considered. This position will work in a virtual environment. Candidate must reside within 50 miles of an Elevance PulsePoint. The Sr Oversight Compliance Consultant is......
Title: Grievance/Appeals Analyst ILocation: This position will work a remote model. Ideal candidates will live within 50 miles of our California PulsePoint locations.The Grievance/Appeals Analyst I is an entry level......
Title: Grievance/Appeals Analyst ILocation: This position will work a remote model. Ideal candidates will live within 50 miles of our California PulsePoint locations.The Grievance/Appeals Analyst I is an entry level......
Location: This is a virtual role. The preferred candidate will live within 50 miles of one of our listed California Elevance Health PulsePoint locations.The Behavioral Health Case Manager 1 is......
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Location: This is a virtual role. The preferred candidate will live within 50 miles of one of our listed California Elevance Health PulsePoint locations.The Behavioral Health Case Manager 1 is......
JR140167 Provider Relationship Account Manager (TPA)Carelon Behavioral Health, Inc. is enthusiastically supporting the launch of the Statewide School-Based Fee Schedule project by the Department of Health Care Services (D...
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......
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Carelon Medical Benefits Management is currently seeking a Board-Certified Surgeon (or other surgical subspecialties beyond general surgery) to participate in pre-authorization and quality improvement solutions for a wide...
The Med Mgmt Nurse CA is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member’s clinical presentation to......
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......
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...
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 , 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......
Staff VP & CIO, Carelon Advanced Primary & Palliative Care Location: Within 50 miles of a PulsePoint office preferably Costa Mesa, CA, Altanta, GA, Indianapolis, IN, or Grand Prairie, TX Summary The Staff......
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......
Medical Director- West Region Medicaid Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles......
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......
Outreach Care Specialist IILocation : This is a remote role. Ideal candidates will live within 50 miles of an Elevance Health PulsePoint location in California.A proud member of the Elevance......
Outreach Care Specialist IILocation : This is a remote role. Ideal candidates will live within 50 miles of an Elevance Health PulsePoint location in California.A proud member of the Elevance......
Telephonic Nurse Case Manager ILocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 9:00am - 5:30pm......
Compassionate ConnectorLocation: IN PERSON at one of the following 3-store location clusters in the following zip codes : Philadelphia, PA 19134; 19124; 19148Atlanta, GA 30308; 30331; 30035California - El Cerrito......
Title: Grievance/Appeals Analyst ILocation: This position will work a remote model. Ideal candidates will live within 50 miles of one of our PulsePoint locations.The Grievance/Appeals Analyst I is an entry......
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,......
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 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,......
Telephonic Nurse Case Manager ILocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 9:00am - 5:30pm......
Salesforce Architect (Lead Engineer Senior)Location: This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50 miles of one of......
Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and......
Group Underwriting ConsultantLocation: 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 i...
Investigator SeniorSupports 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......
Investigator SeniorSupports 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......
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......
Investigator ILocation: This position will work a hybrid model (1-2 days/week). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The Investigator I......
Investigator ILocation: This position will work a hybrid model (1-2 days/week). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The Investigator I......
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......
Location: Must reside within 50 miles or a 1-hour commute to a CA Pulse Points/Office.Hours: Monday - Friday 8am - 5pm PSTThe Med Mgmt Clinician Sr is responsible for ensuring......
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: Concierge Service AssociateLocation: This position will work a onsite model. Ideal candidates will live within 50 miles of one of our PulsePoint locations.The Concierge Service Associate will be responsible......
The Med Mgmt Nurse CA is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member’s clinical presentation to......
Insurance Customer Care Representative- Bilingual (Korean)Location: On-site 2789 W OLYMPIC BLVDThe Insurance Customer Care Representative - Bilingual (Korean) is responsible for handling all walk-in customers by respondin...
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......
Medical Director- West Region Medicaid Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles......
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 role , Must be located within 50 miles of a Pulse PointSchedule: Monday-Friday 9:30am-6:00pm CST , Rotating weekend shifts.Responsible for conducting preauthorization, out of network......
JR140167 Provider Relationship Account Manager (TPA)Carelon Behavioral Health, Inc. is enthusiastically supporting the launch of the Statewide School-Based Fee Schedule project by the Department of Health Care Services (D...
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......
Location: Alternate locations may be considered. Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote work...
Compassionate ConnectorLocation: IN PERSON at one of the following 3-store location clusters in the following zip codes : Philadelphia, PA 19134; 19124; 19148Atlanta, GA 30308; 30331; 30035California - El Cerrito......
Telephonic Nurse Case Manager ILocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 9:00am - 5:30pm......
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......
INTERNAL JOB POSTING ONLY. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those......
Business Consultant 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 desig...
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......
Rancho Cordova, California
today
Wellness Nurse ConsultantSign Bonus: $5000Federal Employee Program - FEP, a proud member of the Elevance Health, Inc. family of companies, it is a powerful combination, and the foundation upon which......
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,......
Location: This is a virtual position, Must be within 50 miles or an hour of an Elevance Health Pulse PointShift: Monday-Friday, 8am-5pm PST or CSTResponsible for conducting preauthorization, out of......
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,......
Location: This position will work virtually. Alternate locations may be considered. The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The Behavioral Health Case......
Rancho Cordova, California
1 day
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 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 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 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,......
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......
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......
Location: This is a virtual role. The preferred candidate will live within 50 miles of one of our listed California Elevance Health PulsePoint locations.The Behavioral Health Case Manager 1 is......
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-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....
Medical Director- West Region Medicaid Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles......
We are currently seeking a versatile Board Certified Physician to participate in pre-authorization reviews of high-tech diagnostic imaging, cardiac testing and sleep management services. Medical Directors in Clinical Oper...
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......
Actuarial Director - Wellpoint GICPreferred Location: Woburn, MA. This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our......
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 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......
JR140339 Carelon Account Executive IIIResponsible for account management retention activities within an assigned book of business. This position will be dedicated to the Carelon Behavioral Health of California account. In...
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......
Compassionate ConnectorLocation: IN PERSON at one of the following 3-store location clusters in the following zip codes : Philadelphia, PA 19134; 19124; 19148Atlanta, GA 30308; 30331; 30035California - El Cerrito......
Title: Client Services Associate I Location: This position will work a remote model. Ideal candidates will live within 50 miles of one of our PulsePoint locations.The Client Services Associate I is responsible......
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 ...
Provider Comm WriterLocation: Norfolk, VA & Woodland Hills, CA.This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of the Elevance Health......
Outreach Care Specialist IILocation : This is a remote role. Ideal candidates will live within 50 miles of an Elevance Health PulsePoint location in California.A proud member of the Elevance......
SIGN-ON BONUS: $2,500.00Be Part of an Extraordinary Team A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and......
San Francisco, California
9 days
SIGN-ON BONUS: $2,500.00Be Part of an Extraordinary Team A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and......
Location: Virtual; Within 50 miles of any Elevance Health Pulse Point; PST time zone preferredShift: Monday – Friday; 8.5-hour shifts between 7am – 7pm CT (later shift hours preferred)The Clinical......
Business Consultant 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 desig...
Business Consultant 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 desig...
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 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 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,......
Title: Sales Support Coordinator 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 Sales Support......
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,......
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,......
Carelon Health is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and......
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......
JR140223 Provider Quality ManagerResponsible for leading Behavioral Health (BH) provider engagement, with a focus on leveraging the data available to providers and helping to improve the value delivered to Carelon......
Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health PulsePoint location.Schedule: First shift PST daytime hoursThe Behavioral Health Care Manager I is responsible for perfor...
Contract Administrator Lead – Contract ComplianceLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health......
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......
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......
Location: This is a virtual positionShift: Monday-Friday, 8am-5pm PST or CSTResponsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizi...
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