Clinical Provider Auditor SeniorSupports Payment Integrity line of businessLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Hanover,......
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 PointSchedule: 9:30am-6:00pm , Rotating weekend shifts.Responsible for conducting preauthorization, out of network and appropriateness......
Med Management NurseLocation: Hanover, MDAlternate locations may be considered. This position will be primarily virtual, however will be based within 50 miles of the PulsePoint site listed above. The Med......
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Director, Program Management – Strategic Initiatives Execution Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The Ideal candidate will live within 50......
Security Analyst IIILocation: Ideal candidates will live or be willing to relocate to within 50 miles of one of our Pulse Point locations.Work Hours: Monday to Friday, 8:00 am 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......
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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......
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......
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......
Clinical Provider Auditor IISupports the Payment Integrity line of businessLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our......
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: 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 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......
Audit & Reimbursement II- Medicare Cost Report Audit Locations: This is a United States based, virtual position. National Government Services is a proud member of Elevance Health’s family of brands.......
Audit & Reimbursement III- Medicare Cost Report Audit This is a United States based, virtual position.National Government Services is a proud member of Elevance Health’s family of brands. We administer......
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......
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......
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......
Clinical Provider Auditor SeniorSupports Payment Integrity line of businessLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Hanover,......
Clinical Provider Auditor ISupports Payment Integrity & Behavioral HealthLocation: This is a field position expected to be in clinic 60% of the time (2-3 days/week) with the other 40% (1-2......
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......
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......
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......
Clinical Provider Auditor ISupports Payment Integrity & Behavioral HealthLocation: This is a field position expected to be in clinic 60% of the time (2-3 days/week) with the other 40% (1-2......
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......
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......
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......
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).......
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 and......
Clinical Provider Auditor ISupports Payment Integrity & Behavioral HealthLocation: This is a field position expected to be in clinic 60% of the time (2-3 days/week) with the other 40% (1-2......
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: 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......
JR138472 Account Service Manager SrAs the Administrative Services Organization (ASO) for Maryland Medicaid, Carelon strives to enhance participant outcomes and efficiently manage behavioral health services throughout the ...
Audit & Reimbursement IILocation: 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.....
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