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......
Business Information DeveloperLocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live within 50 miles of one of......
Location: 12729 Pioneer BLVD, Norwalk CAShift: : Monday- Friday, 8am-5pmResponsible for assisting clinicians in the examination and treatment of patients under the direction of the physician. Primary duties may include,.....
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......
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Referral Specialist I Location: California (Downey, Fullerton, Lawndale, Long Beach, or Whittier)Hours: Monday - Friday, from 8 am - 5 pm PSTThe Referral Specialist I is responsible for providing support......
Referral Specialist I Location: California (Downey, Fullerton, Lawndale, Long Beach, or Whittier)Hours: Monday - Friday, from 8 am - 5 pm PSTThe Referral Specialist I is responsible for providing support......
Staff VP Claims Operations (Original Claims)Location: Successful candidate must reside within 50 miles of an Elevance office, and able to work a hybrid work schedule (3 days in office)SummaryResponsible for......
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Be Part of an Extraordinary Team Title: Carelon Health Care ManagerLocation: Fully virtual. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location in......
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,......
Provider Payment Appeal Analyst I Must be located within 50 miles of Norfolk, VA, Tampa, FL, Houston, TX, Mason, OH, Costa Mesa, CA, Palo Alto, CA, Rancho Cordova, CA, Walnut......
Referral Specialist ISign-On Bonus: $1000.00Build the Possibilities. Make an extraordinary impact.A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, is a benefit-management lea...
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...
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,......
Referral Specialist I Location: California (Downey, Fullerton, Lawndale, Long Beach, or Whittier)Hours: Monday - Friday, from 8 am - 5 pm PSTThe Referral Specialist I is responsible for providing support......
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......
Provider Payment Appeal Analyst I Must be located within 50 miles of Norfolk, VA, Tampa, FL, Houston, TX, Mason, OH, Costa Mesa, CA, Palo Alto, CA, Rancho Cordova, CA, Walnut......
Director of Medicare Risk Adjustment Analytics and Reporting Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Elevance......
Referral Specialist I Location: California (Downey, Fullerton, Lawndale, Long Beach, or Whittier)Hours: Monday - Friday, from 8 am - 5 pm PSTThe Referral Specialist I is responsible for providing support......
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 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: Onsite at CA-NORWALK, 12729 PIONEER BLVDShift: Monday-Friday, 8:00am-5:00pm PSTResponsible for assisting clinicians in the examination and treatment of patients under the direction of the physician. Primary duti...
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 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......
Location: On site in Fullerton, CA; may float to Santa Ana, CA location at timesShift: Monday – Friday; 8:00am – 5:00pm PTThe Medical Assistant II is responsible for assisting clinicians......
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-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......
Proposal Director Sr. Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our PulsePoints locations.At Federal Government......
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......
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......
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......
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...
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...
Manager II Grievance/Appeals (RN)-CaliforniaLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our California Elevance Health PulsePoint......
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......
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 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......
Staff VP Claims Operations (Original Claims)Location: Successful candidate must reside within 50 miles of an Elevance office, and able to work a hybrid work schedule (3 days in office)SummaryResponsible for......
Provider Payment Appeal Analyst I Must be located within 50 miles of Norfolk, VA, Tampa, FL, Houston, TX, Mason, OH, Costa Mesa, CA, Palo Alto, CA, Rancho Cordova, CA, Walnut......
Rancho Cordova, California
3 days
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,......
Provider Payment Appeal Analyst I Must be located within 50 miles of Norfolk, VA, Tampa, FL, Houston, TX, Mason, OH, Costa Mesa, CA, Palo Alto, CA, Rancho Cordova, CA, Walnut......
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 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,......
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......
Primary Care Physician- Downey, California Location: 10000 Lakewood Blvd. Downey, California clinic location. ***$15,000 Sign-on Bonus*** Responsible for providing Internal Medicine/Family Practice Services to patients....
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......
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 Point Schedule: 9:30am-6:00pm PST, ability to work weekends if necessary.New Grads are encouraged to......
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......
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: Within 50 miles of any Elevance Health Pulse Point officeShift: Monday – Friday; 8.5-hour shifts between 7am – 7pm CT (later shift hours preferred)The Clinical Ops Medical Director opportunity......
Referral Specialist I Location: California (Downey, Fullerton, Lawndale, Long Beach, or Whittier)Hours: Monday - Friday, from 8 am - 5 pm PSTThe Referral Specialist I is responsible for providing support......
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......
Location: Onsite at CA-MONTEBELLO, 2444 W BEVERLY BLVDShift: Monday-Friday,8:00am-5:00pm PSTResponsible for assisting clinicians in the examination and treatment of patients under the direction of the physician. Primary d...
Director of Medicare Risk Adjustment Analytics and Reporting Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Elevance......
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......
Medical Director- Carelon Product Location: This position will work a hybrid model (remote and office). The Ideal candidate will must live within 50 miles of one of our Elevance Health......
Location: Within 50 miles of any Elevance Health Pulse Point officeShift: Monday – Friday; 8.5-hour shifts between 7am – 7pm CT (later shift hours preferred)The Clinical Ops Medical Director opportunity......
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,......
Primary Care PhysicianLocation: Physician will rotate between 303 S Union Ave., Los Angeles, California clinic location and 2444 W Beverly Rd. Montebello, California clinic location with the goal to transition......
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,......
Referral Specialist I Location: California (Downey, Fullerton, Lawndale, Long Beach, or Whittier)Hours: Monday - Friday, from 8 am - 5 pm PSTThe Referral Specialist I is responsible for providing 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,......
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....
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...
Manager II Grievance/Appeals (RN)-CaliforniaLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our California Elevance Health PulsePoint......
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......
Business Information ConsultantLocation: 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 of......
Manager I GBD Special ProgramsOffice Location: 21215 Burbank Blvd, Woodland Hills, CA 91367.Office Requirement: This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and.....
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......
Director I Medical Management Location: This position will work a hybrid model (remote and office). The ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint......
Manager II Grievance/Appeals (RN)-CaliforniaLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our California Elevance Health PulsePoint......
JR127301 Business Consultant Sr (Operational)The Sr. Business Consultant will support the Advanced Primary Care risk adjustment team through vendor engagement, reporting and identifying areas for process improvement. The...
Director I Medical Management Location: This position will work a hybrid model (remote and office). The ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint......
JR134950 Provider Network ManagerDevelops the provider network through contract negotiations (language and rates), relationship development, and servicing.Location: This position will work a hybrid model (remote and offic...
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...
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 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......
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...
The Med Mgmt Clinician Sr is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or medical poli...
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......
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......
Staff Vice President (VP) Product ManagementLocationCandidates must reside within 50 miles of an Elevance Health office, and able to work a hybrid schedule (3 days per week in office).Preferred locations:......
JR133673 Manager Behavioral Health ServicesManager Behavioral Health Services —Onsite EAP: Responsible for the Employee Assistance Program (EAP) and its Onsite Counselors fully dedicated to a particular California client ...
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...
Staff VP Claims Operations (Original Claims)Location: Successful candidate must reside within 50 miles of an Elevance office, and able to work a hybrid work schedule (3 days in office)SummaryResponsible for......
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......
Rancho Cordova, California
3 days
Provider Payment Appeal Analyst I Must be located within 50 miles of Norfolk, VA, Tampa, FL, Houston, TX, Mason, OH, Costa Mesa, CA, Palo Alto, CA, Rancho Cordova, CA, Walnut......
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......
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......
Be Part of an Extraordinary Team Title: Carelon Health Care ManagerLocation: Fully virtual. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location in......
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......
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......
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,......
Rancho Cordova, California
3 days
Staff VP Claims Operations (Original Claims)Location: Successful candidate must reside within 50 miles of an Elevance office, and able to work a hybrid work schedule (3 days in office)SummaryResponsible for......
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