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......
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......
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......
Pharmacy Benefit Auditor - CarelonRx (Business Analyst II)Location: The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a hybrid work model......
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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 ...
Associate General Counsel Location: St. Louis, MO, Mason, OH, Indianapolis, IN, Mendota Heights, MN, or Louisville, KY. Alternate locations may be considered. This position will work in a hybrid model (remote......
Provider Network Manager Sr – Contracting (JR141375)Location: St. Louis or Chicago preferred. Qualified candidates must reside within 50 miles and 1-hour commute each way of an open Elevance Health PulsePoint......
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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 , Rotating weekend shifts.Responsible for conducting preauthorization, out of network......
This is a field-based role where the successful clinician will be responsible for meeting with our members in facilities and/or homes. Kansas licensed master's level clinicians living in Scott City,......
Utilization Management Representative IILocation: This is a remote position but candidates should live within 50 miles of one of our PulsePoint locations.The Utilizations Management Representative II is responsible for ma...
Location: Virtual; within 50 miles of any Elevance Health PulsePoint locationShift: See example schedules below; Training will be up to 3 weeks on day shift, hours, 8:30am - 5:00pm schedule......
Audit & Reimbursement III - Medicare Cost Report AuditLocations: This is a virtual United States based position.National Government Services is a proud member of Elevance Health’s family of brands. We administer......
BillerLocation: This position will work onsite. The Ideal candidate will live within 50 miles of our Elevance Health PulsePoint location, in St. Louis, MO.The Biller is responsible for reviewing account files......
Transplant Benefit Specialist Location: This is a remote position. Ideal candidates will live within 50 miles of one of our PulsePoint office locations in Georgia, Virginia, Indiana, Ohio, Missouri, or Colorado. Available...
Manager Clinical Quality – HEDIS (JR142001)Location: This position is part of our Hybrid 1 workplace strategy and requires work in the local office at least 1 day each week. Will......
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......
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......
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......
Telephonic Nurse Disease Management ISign-on Bonus: $2000Federal Employee Program - FEP, a proud member of the Elevance Health, Inc. family of companies, it is a powerful combination, and the foundation......
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....
The Wellness & Recovery Specialist is responsible for care coordination activities focused on the Wellness and Recovery of members.Location: Remote. The ideal candidates will reside in the following states: Washington...
Location: Virtual; within 50 miles of any Elevance Health PulsePoint locationShift: Monday – Friday; 11:30am – 8:00pm ETThe Behavioral Health EAP Consultant II is responsible for providing 24/7 Behavioral Health......
Compliance DirectorLocation: 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 of our Elevance......
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.......
Manager I - Learning and DevelopmentLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of an Elevance Health PulsePoint location.......
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).......
Title: Authorization Representative I 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 offer consume...
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......
Associate ActuaryLocation: 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 designat...
Senior Researcher 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 our Pulse......
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......
Manager - Supplemental Data Provider Engagement Location: This position will work a hybrid model (remote and in office 1-2 days per week). Candidates will live within 50 miles of our Norfolk,......
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......
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......
Actuarial Analyst II 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......
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.....
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...
Advanced Analytics ConsultantLocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live or be willing to relocate to......
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......
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......
Customer Care Representative I Location: This is a hybrid position and onsite training will be required for the first 10 weeks. We are hiring for specific office locations: Norfolk VA,......
A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. Carel...
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......
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......
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......
Title: Authorization Representative IIBioPlus 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 consumer...
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......
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......
Nutritional Consultant Sr Location: Open to any Elevance Health office location (Pulse Point).Hours: This position will work Monday Thru Friday on 9:00am-5:30 pm, ET. Although this position is virtual, Our Ideal......
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