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......
Stop Loss Local Bundled Sales ManagerLocation: Open to any locations indicated. Position has both office/remote expectations.The Stop Loss Local Bundled Sales Manager is responsible for developing and maintaining relation...
The Patient Enrollment Specialist I is responsible for new and existing patients. This role involves outreach to patients, explaining the benefits of our programs, and guiding them through the enrollment process.How......
Telephonic Nurse Disease Management II$2000 Sign on BonusFederal Employee Program - FEP, a proud member of the Elevance Health, Inc. family of companies, it is a powerful combination, and the......
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Medicaid RFP Development Director – Clinical StrategyLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance......
LOCATION: This is a fully remote position and you must be within 50 miles/1-hour commute of an eligible PulsePoint location.HOURS: Day-shift hours to include weekends. You have the option to......
Medicaid RFP Development DirectorLocation: 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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Telephonic Nurse Case Manager I (8:30 – 5pm Central Time)Location: This is a virtual position. Candidates must reside within 50 miles of an open, Elevance Health Pulse Point location.Hours: Must be......
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......
Internal Auditor, SeniorLocation: 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 d...
Director Network Contract Coord Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one......
Patient Enrollment Specialist ILocation: Nashville, TNThis position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of the location listed above.The Patient......
Provider Collaboration ManagerOffice Location: Knoxville, TN**The position requires to be in the field visiting providers 80% of the time**The Provider Collaboration Manager receives a moderate level of guidance and direc...
The Network Support Manager coordinates work flow and tactical implementation of various activities related to maintaining facility, provider network and contracting initiatives. Participates in projects designed to impro...
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 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......
Provider Collaboration Director-TennesseeLocation: This position will work a hybrid model (remote and office). Ideal candidate will reside within 50 miles/1 hour commute of the posted Elevance Health location.The Provider...
Pharmacy Internal AuditorLocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.A proud member of the......
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Carelon Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spe...
LOCATION: This is a remote position and you must be within 50 miles/1-hour commute of an eligible PulsePoint location.HOURS: Monday through Friday, 12:00 - 8:30 pm, EDT. Occasional holiday coverage......
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......
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......
The Provider Network Manager Sr develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically wor...
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......
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......
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......
Be Part of an Extraordinary Team 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......
LOCATION: This is a remote eligible role, but you must be within 50 miles of our Nashville office.HOURS: General business hours, Monday through Friday.TRAVEL: This is primarily a telephonic role,......
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 ...
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......
JR139582 Provider Network Manager SrThe Provider Network Manager Sr. develops the provider network through contract negotiations, relationship development, and servicing. Typically works with the most complex providers. C...
The Program Coordinator is responsible for assisting with the planning and implementation of external client facing programs that best meet the business needs. Primary duties may include, but are not......
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: Sit anywhere within the state of Tennessee. This position is 100% work from home.Hours of position: Mon – Friday 8am – 5pm. With rotating on call, about every 4......
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