Nurse Care Manager Senior - LGBTIA+/ Transgender CommunityLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member......
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......
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).......
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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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......
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......
Woodbridge Township, New Jersey
3 days
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).......
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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......
Manchester, New Hampshire
3 days
Nurse Care Manager Senior - LGBTIA+/ Transgender CommunityLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member......
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......
Payment Innovation DirectorLocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of an Elevance Health location.Are you ready to drive healthcare......
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......
Dir Financial Ops Dept - Payment Integrity Operations Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within......
Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance......
Dir Financial Ops Dept - Payment Integrity Operations Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within......
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......
***$5,000 Sign On Bonus***LTSS Service CoordinatorLocation: This is primarily a field based position. Candidate would need to reside in one of the following counties: Escambia, Broward, Volusia, Marion, Pinellas, Hillsbor...
Manager II GBD Special Programs (LTSS)Location: The territory for this position is the entire State of Tennessee. Therefore, the selected candidate must reside within 50 miles of Nashville, Knoxville, or......
Provider Contract Cost of Care Analyst 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......
Manager II GBD Special Programs (LTSS)Location: The territory for this position is the entire State of Tennessee. Therefore, the selected candidate must reside within 50 miles of Nashville, Knoxville, or......
Marketplace Facilitated Enroller (Bilingual Chinese/Korean)Location: This is a field-based position including outdoor and indoor marketing. Candidates will work in provider offices, clinics, community-based organizations,...
Nurse Care Manager Senior - LGBTIA+/ Transgender CommunityLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member......
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......
Woodbridge Township, New Jersey
3 days
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...
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...
JR139503 Genetic Counselor ReviewerThe genetic counselor reviewer (GCR) is responsible for authorization requests and determining their appropriateness per designated clinical guidelines, clinical policies, and client rul...
Software Engineering ManagerLocation: This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint office locations.National......
Location: This is a field position and the candidate should reside in SoutheastHouston, TX.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope......
Location: Candidate must live within 50 miles of an Elevance Health PulsePoint office.Responsible for ensuring Carelon Health associates are fully and frequently engaged by our educational components, thereby fostering a....
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 Actuary Location: The ideal candidate should live within 50 miles of our Elevance Health Pulse Point locations listed on this requisition.This position will work a hybrid model (remote and office)......
Pharmacist ClinicalLocation: Virtual with 1-3 days/week in the field meeting with providers around Northern Florida. The ideal candidate will live within 50 miles of the Tampa, Florida PulsePoint location.A proud......
West Chester Township, Ohio
3 days
Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance......
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......
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......
Winston Salem, North Carolina
3 days
The Children and Families Specialty Plan is looking to hire a Director of Care Management to lead the care management team in Medicaid Regions 1 and 2 in the state of North......
Provider Collaboration Manager Sr (Value-Based Contracting) JR138366Location: Candidates must reside within 50 miles and 1-hour commute each way of our Manchester, NH Elevance Health location. Candidates in nearby states ...
Provider Economics DirectorLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of......
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......
Manchester, New Hampshire
3 days
Provider Contract/CofC Analyst Sr.Location: This position will work a hybrid model (remote and in-office, 1 - 2 days per week). Candidates must live within 50 miles of one of Elevance’s......
Associate Actuary Location: The ideal candidate should live within 50 miles of our Elevance Health Pulse Point locations listed on this requisition.This position will work a hybrid model (remote and office)......
North New Hyde Park, New York
3 days
Dir Financial Ops Dept - Payment Integrity Operations Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within......
Winston Salem, North Carolina
3 days
Be Part of an Extraordinary Team Medical Management Specialist ILocation: Remote, but candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-Time Days,......
Associate Actuary Location: The ideal candidate should live within 50 miles of our Elevance Health Pulse Point locations listed on this requisition.This position will work a hybrid model (remote and office)......
$10,000 sign on bonus!Position specific details: The successful hire will be a Michigan licensed NP and will provide in-home and virtual remote palliative care in the Grand Rapids, MI, area. ......
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......
Clinical Provider Auditor IISupports the Payment Integrity line of businessLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will......
Provider Network Management Director (JR136035)Location: Must reside in New Hampshire or outlying state and requires residence within 50 miles and 1 hour commute of our Manchester, NH office.Hybrid Work Strategy:......
***$6,000 Sign On Bonus***LTSS Service Coordinator - ClinicianLocation: This is a field based position. Candidate would need to reside in one of the following counties: Lee, Sarasota, Hillsborough, Pinellas, Escambia, Duv...
Dir Financial Ops Dept - Payment Integrity Operations Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within......
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......
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......
Internal Audit ManagerElevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This position will take part in the hybrid workforce...
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......
Be Part of an Extraordinary Team Medical Management Specialist ILocation: Remote, but candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-Time Days,......
Location: This is a virtual role. The candidate will live within 50 miles of one of our Florida Elevance Health PulsePoint locations in Miami or Tampa Florida. Schedule: 12 noon- 8:30 pm......
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......
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......
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).......
Process Expert Senior – Concept Growth & Discovery - Coordination of Benefits Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50......
Business Information Developer 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......
Provider Contract/CofC Analyst Sr.Location: This position will work a hybrid model (remote and in-office, 1 - 2 days per week). Candidates must live within 50 miles of one of Elevance’s......
Dir Financial Ops Dept - Payment Integrity Operations Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within......
Location: Field associates spend 4-5 days per week in-person with patients, members or providers in the following counties: Wayne, Fayette, Rush, Union, and Franklin counties.The Case Manager- LCSW/LSW/LMSW/LMHC/LMFT (als...
Dir Financial Ops Dept - Payment Integrity Operations Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within......
Associate Actuary Location: The ideal candidate should live within 50 miles of our Elevance Health Pulse Point locations listed on this requisition.This position will work a hybrid model (remote and office)......
Centers Health Care is a member of the Elevance Health family of companies, serving as a premier network of skilled nursing, rehabilitation, and senior care services. Our goal is to......
Blue Ridge Manor, Kentucky
3 days
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......
Internal Audit ManagerElevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This position will take part in the hybrid workforce...
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......
East Hartford, Connecticut
3 days
Bilingual Behavioral Health Care Coordinator***$1,500 Sign-On Bonus******Seeking a BH Care Coordinator in Connecticut with expertise in case management, human services, family and/or community resources.***Location : This...
Location: This position is located in the state of Kansas and must reside within 50 miles of our Topeka or Olathe PulsePoint.The Clinical Quality Program Specialist is responsible for supporting......
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......
Be Part of an Extraordinary Team Medical Management Specialist ILocation: Remote, but candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-Time Days,......
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: Utilization Management Representative IILocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.The Utilization Management...
Provider Economics DirectorLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of......
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...
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......
Dir Financial Ops Dept - Payment Integrity Operations Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within......
Process Expert Senior – Concept Growth & Discovery - Coordination of Benefits Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50......
Dir Financial Ops Dept - Payment Integrity Operations Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within......
Marketplace Facilitated Enroller (Bilingual Chinese/Korean)Location: This is a field-based position including outdoor and indoor marketing. Candidates will work in provider offices, clinics, community-based organizations,...
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......
Job Title: Customer Care Representative I - FEPLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Elevance Health PulsePoint......
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......
Dir Financial Ops Dept - Payment Integrity Operations Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within......
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......
Payment Innovation DirectorLocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of an Elevance Health location.Are you ready to drive healthcare......
Senior Outreach Care SpecialistLocation : This is a community, field based position (3-5 days per week). We are seeking candidates that reside in the following counties in Indiana : Clark,......
Process Expert Senior – Concept Growth & Discovery - Coordination of Benefits Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50......
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......
Internal Audit ManagerElevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This position will take part in the hybrid workforce...
Clinical Provider Auditor IISupports the Payment Integrity line of businessLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate 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......
Manchester, New Hampshire
3 days
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......
Bilingual Behavioral Health Care Coordinator***$1,500 Sign-On Bonus******Seeking a BH Care Coordinator in Connecticut with expertise in case management, human services, family and/or community resources.***Location : This...
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......
Managing Associate General Counsel SeniorLocation: This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of a PulsePoint location. The Managing Associate General Counsel......
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