LTSS Service CoordinatorLocation: This is a field based position. Candidate would need to meet face to face with patients in and around the following counties. Candidate will be assigned a territory......
Provider Contract Cost of Care Consultant SeniorLocation: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance......
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....
Community Health Coordinator ***$1,500 Sign On Bonus*** Location: This is a field-based position (50% - 75% of the time). Work Schedule : Monday - Friday, Flexibility to work between 8am -......
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Location: Field associates spend 4-5 days per week in-person with patients, members or providers in the following counties: Scott, Clark, Floyd, and Harrison counties.The LTSS SERVICE COORDINATOR is responsible for......
Be Part of an Extraordinary Team Nurse Medical Management ILocation: Remote- Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-time Days. Saturday-Sunda...
Washington, District of Columbia
6 days
Clinical Ops Associate Medical Director Orthopedic SurgeryLocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:00am......
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North New Hyde Park, New York
6 days
Analyst Consultant (US) - APIs Location: This position will work a hybrid model (in office 1-2 days per week). The ideal candidate will live within 50 miles of one of our......
Provider Contract/Cost of Care ConsultantLocation: Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-pers...
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......
Clinical Ops Associate Medical Director Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:30am to......
Director I Care ConsultantLocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of our Atlanta or Columbus, GA, Elevance Health locations.......
Location: This is a virtual position , must be located within 50 miles of the nearest pulse point.Schedule : Monday-Friday 9:30am-6:00pm PSTResponsible for the review of medical records to determine......
Be Part of an Extraordinary Team Nurse Medical Management ILocation: Remote- Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-time Days. Saturday-Sunda...
Clinical Ops Associate Medical Director Orthopedic SurgeryLocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:00am......
Clinical Ops Associate Medical Director Orthopedic SurgeryLocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:00am......
Operations Expert Must be located within 50 miles of Columbus, GA, Atlanta, GA, Norfolk, VA, Roanoke, VA, Richmond, VA, Miami, FL, Tampa, FL, Des Moines, IA or Mason, OH.The Operations Expert is......
Location: This is a field position and the candidate should reside in Houston, TX.The LTSS Service Coordinator - Clinician working under the direction/supervision of an RN, with overall responsibility for......
Community Health Coordinator ***$1,500 Sign On Bonus*** Location: This is a field-based position (50% - 75% of the time). Work Schedule : Monday - Friday, Flexibility to work between 8am -......
Analyst Consultant (US) - APIs Location: This position will work a hybrid model (in office 1-2 days per week). The ideal candidate will live within 50 miles of one of our......
Location: Virtual; The ideal candidate will live within one of the following states: WA, NY, IA, TX, WV, NJ, WI, MO Shift: Monday – Friday; 8:00am – 5:00pmThe Behavioral Health Case......
North New Hyde Park, New York
6 days
Analyst Consultant (US) - Salesforce Product Consultant Location: This position will work a hybrid model (in office 1-2 days per week). The ideal candidate will live within 50 miles of one......
Woodbridge Township, New Jersey
6 days
Clinical Ops Associate Medical Director Orthopedic SurgeryLocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:00am......
Clinical Ops Associate Medical Director Orthopedic SurgeryLocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:00am......
Clinical Ops Associate Medical Director Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:30am to......
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...
Blue Ridge Manor, Kentucky
6 days
Carelon's portfolio of businesses has collectively delivered high-impact results for over 150 years. With capabilities spanning pharmacy, behavioral health, complex care delivery, medical benefits management, payment int...
Training Specialist - LTSS Service CoordinationLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health......
Community Health Coordinator ***$1,500 Sign On Bonus*** Location: This is a field-based position (50% - 75% of the time). Work Schedule : Monday - Friday, Flexibility to work between 8am -......
Location: This is a virtual position , must be located within 50 miles of the nearest pulse point.Schedule : Monday-Friday 9:30am-6:00pm PSTResponsible for the review of medical records to determine......
Clinical Operations Associate Medical DirectorInterventional PainCarelon Medical Benefits ManagementLocation: Alternate locations may be considered. The ideal candidate will live within 50 miles of one of our Elevance Hea...
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....
Financial Analyst, SeniorCarelon 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......
Clinical Ops Associate Medical Director Orthopedic SurgeryLocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:00am......
Community Health Coordinator ***$1,500 Sign On Bonus*** Location: This is a field-based position (50% - 75% of the time). Work Schedule : Monday - Friday, Flexibility to work between 8am -......
Location: This is a virtual position , must be located within 50 miles of the nearest pulse point.Schedule : Monday-Friday 9:30am-6:00pm PSTResponsible for the review of medical records to determine......
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......
Clinical Operations Associate Medical DirectorInterventional PainCarelon Medical Benefits ManagementLocation: Alternate locations may be considered. The ideal candidate will live within 50 miles of one of our Elevance Hea...
Analyst Consultant (US) - APIs Location: This position will work a hybrid model (in office 1-2 days per week). The ideal candidate will live within 50 miles of one of our......
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...
Blue Ridge Manor, Kentucky
6 days
Clinical Ops Associate Medical Director Orthopedic SurgeryLocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:00am......
Community Outreach Care SpecialistLocation : This position requires 100% field work. Must reside in the state of Massachusetts. Ideal candidate will reside in the Worcester, MA area.Work Schedule : Monday......
Provider Contract/Cost of Care ConsultantLocation: Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-pers...
Clinical Ops Associate Medical Director Orthopedic SurgeryLocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:00am......
Location: Virtual; The ideal candidate will live within one of the following states: WA, NY, IA, TX, WV, NJ, WI, MO Shift: Monday – Friday; 8:00am – 5:00pmThe Behavioral Health Case......
Be Part of an Extraordinary Team Nurse Medical Management ILocation: Remote- Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-time Days. Saturday-Sunda...
Location: This is a field position and the candidate should reside in Dinwiddie, Chesterfield, or Colonial Heights.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case......
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 position , must be located within 50 miles of the nearest pulse point.Schedule : Monday-Friday 9:30am-6:00pm PSTResponsible for the review of medical records to determine......
Title: Utilization Management Representative I 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 Utilization Management...
Customer Care Representative I (Weekend Shift) $500 Sign On Bonus! Location: The ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point.The Customer Care......
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......
Be Part of an Extraordinary Team Nurse Medical Management ILocation: Remote- Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-time Days. Saturday-Sunda...
Winston Salem, North Carolina
6 days
Investigator IISupporting the Payment Integrity line of business Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live......
Colonial Heights, Virginia
6 days
Location: This is a field position and the candidate should reside in Dinwiddie, Chesterfield, or Colonial Heights.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case......
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......
Location: This is a field position and the candidate should reside in Dinwiddie, Chesterfield, or Colonial Heights.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case......
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......
Care Consultant Sr. (Provider Success)Location: Must reside within 50 miles (1 hour commute) of one of the following offices AND be willing to visit (in person) providers throughout the state......
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......
Rancho Cordova, California
6 days
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...
Woodbridge Township, New Jersey
6 days
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....
North Miami Beach, Florida
6 days
Customer Care Representative I - BilingualLocation: This is a virtual position with virtual training required for the first 10 weeks. We are hiring for our office location in Miami, Florida.Work......
Analyst Consultant (US) - Salesforce Product Consultant Location: This position will work a hybrid model (in office 1-2 days per week). The ideal candidate will live within 50 miles of one......
This position will be remote. Must be located within 50 miles of an Elevance Health PulsePoint.The Provider Payment Appeal Analyst I is responsible for supporting the Payment Dispute process across all......
Clinical Ops Associate Medical Director Orthopedic SurgeryLocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:00am......
Location: This is a virtual position , must be located within 50 miles of the nearest pulse point.Schedule : Monday-Friday 9:30am-6:00pm PSTResponsible for the review of medical records to determine......
Provider Contract Cost of Care Consultant SeniorLocation: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance......
Be Part of an Extraordinary Team Nurse Medical Management ILocation: Remote- Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-time Days. Saturday-Sunda...
Recovery Specialist Associate (Recovery Specialist Assoc)Location: Virtual with the ideal candidate living within 50 miles of our Indianapolis, IN, Waukesha, WI, Atlanda, GA or Louisville, KY Elevance Health PulsePoint lo...
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....
Clinical Ops Associate Medical Director Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:30am to......
Clinical Ops Associate Medical Director Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:30am to......
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......
Clinical Ops Associate Medical Director Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:30am to......
Clinical Ops Associate Medical Director Orthopedic SurgeryLocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:00am......
Clinical Ops Associate Medical Director Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:30am to......
Care Consultant Sr.Location: Must reside in the state of Maine or New Hampshire, and be within 50 miles (1 hour commute) of our South Portland, ME office located at 2......
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....
Provider Network Manager Sr. – Contract Negotiator (JR136497)Location: This position is part of our Hybrid 1 workplace strategy and requires the associate to work from the office a minimum of......
Title: Plan to Plan Service Specialist 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......
Location: This is a hybrid role that requires you to work from the Las Vegas office 1 - 2 times each week or minimum 1 day/week. One must reside within......
Clinical Ops Associate Medical Director Orthopedic SurgeryLocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:00am......
Location: Field associates spend 4-5 days per week in-person with patients, members or providers in the following counties: Scott, Clark, Floyd, and Harrison counties.The LTSS SERVICE COORDINATOR is responsible for......
Clinical Ops Associate Medical Director Orthopedic SurgeryLocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:00am......
Location: 220 VIRGINIA AVE Indianapolis, INThe ideal candidate will live within 50 miles of the above Elevance Health PulsePoint locations.Elevance Health supports a hybrid workplace model (virtual and office) with......
Business Information ConsultantLocation: 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 Business......
Clinical Ops Associate Medical Director Orthopedic SurgeryLocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Work schedule: Monday – Friday 8:00am......
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......
Altamonte Springs, Florida
6 days
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......
Investigator II - PharmacyLocation: 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......
Community Health Coordinator ***$1,500 Sign On Bonus*** Location: This is a field-based position (50% - 75% of the time). Work Schedule : Monday - Friday, Flexibility to work between 8am -......
LTSS Service Coordinator - RN ClinicianLocation: Hamilton CountySign-on Bonus:$2500This is a field position 4-5 days per weekThe LTSS Service Coordinator - RN Clinician is responsible for overall management of member's......
Care Consultant Sr. (Provider Success)Location: Must reside within 50 miles (1 hour commute) of one of the following offices AND be willing to visit (in person) providers throughout the state......
Title: Utilization Management Representative I 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 Utilization Management...
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......
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....
Account Service ManagerLocation: This position will work a hybrid model (1-2 days/week). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The Account......
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......
LTSS Service CoordinatorLocation: This is a field based position. Candidate would need to meet face to face with patients in and around the following counties. Candidate will be assigned a territory......
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