Wellness Nurse ConsultantSign Bonus: $5000At Federal Health Products and Services - FHPS, a proud member of the Elevance Health, Inc. family of companies, it’s a powerful combination, and the foundation......
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......
Business Information DeveloperLocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live within 50 miles of one of......
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 team of committed clinicians and......
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Government Business Quality Management Health Plan Director-California Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of the Woodland Hills,......
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......
Position specific details: Work schedule is 10:30am-7pm CST with flexibility for weekend coverage in the future. Voluntary overtime is periodically available based on business needs. Orthopedic Spine Surgeons are encourag...
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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: Onsite at CA-NORWALK, 12729 PIONEER BLVDShift: Monday-Friday, 8:00am-5:00pm PSTResponsible for assisting clinicians in the examination and treatment of patients under the direction of the physician. Primary duti...
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 position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office per week.**The ideal candidate will live within 50 miles......
Location: On site in Fullerton, CA; may float to Santa Ana, CA location at timesShift: Monday – Friday; 8:00am – 5:00pm PTThe Medical Assistant II is responsible for assisting clinicians......
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 ...
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: 12729 Pioneer BLVD, Norwalk CAShift: : Monday- Friday, 8am-5pmResponsible for assisting clinicians in the examination and treatment of patients under the direction of the physician. Primary duties may include,.....
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 team of committed clinicians and......
Referral Specialist I Location: California (Downey, Fullerton, Lawndale, Long Beach, or Whittier)Hours: Monday - Friday, from 8 am - 5 pm PSTThe Referral Specialist I is responsible for providing support......
Referral Specialist I Location: California (Downey, Fullerton, Lawndale, Long Beach, or Whittier)Hours: Monday - Friday, from 8 am - 5 pm PSTThe Referral Specialist I is responsible for providing support......
Staff VP Claims Operations (Original Claims)Location: Successful candidate must reside within 50 miles of an Elevance office, and able to work a hybrid work schedule (3 days in office)SummaryResponsible for......
Carelon Sales ExecutiveLocation: Virtual with 50% travel and the ideal candidate living within 50 miles of our posted California, Nevada, or Washington state PulsePoint locations. A proud member of the......
Be Part of an Extraordinary Team Title: Carelon Health Care ManagerLocation: Fully virtual. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location in......
LTSS Service Coordinator - RN ClinicianLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova,......
LTSS Service CoordinatorLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova, Sacramento, Walnut Creek,......
Provider Payment Appeal Analyst I Must be located within 50 miles of Norfolk, VA, Tampa, FL, Houston, TX, Mason, OH, Costa Mesa, CA, Palo Alto, CA, Rancho Cordova, CA, Walnut......
LOCATION: California. You MUST be within 50 miles of one of the offices listed below.HOURS: The hours for this position are 8:30 am - 5:00 pm, PSTEligible offices: Cerritos, Costa......
Referral Specialist ISign-On Bonus: $1000.00Build the Possibilities. Make an extraordinary impact.A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, is a benefit-management lea...
Carelon Medical Benefits Management is currently seeking a Board-Certified Surgeon (or other surgical subspecialties beyond general surgery) to participate in pre-authorization and quality improvement solutions for a wide...
LTSS Service Coordinator - RN ClinicianLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova,......
Referral Specialist I Location: California (Downey, Fullerton, Lawndale, Long Beach, or Whittier)Hours: Monday - Friday, from 8 am - 5 pm PSTThe Referral Specialist I is responsible for providing support......
Title: Membership Representative 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 Membership Representative I......
Provider Payment Appeal Analyst I Must be located within 50 miles of Norfolk, VA, Tampa, FL, Houston, TX, Mason, OH, Costa Mesa, CA, Palo Alto, CA, Rancho Cordova, CA, Walnut......
Director of Medicare Risk Adjustment Analytics and Reporting Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Elevance......
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 team of committed clinicians and......
Referral Specialist I Location: California (Downey, Fullerton, Lawndale, Long Beach, or Whittier)Hours: Monday - Friday, from 8 am - 5 pm PSTThe Referral Specialist I is responsible for providing support......
LTSS Service CoordinatorLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova, Sacramento, Walnut Creek,......
LTSS Service Coordinator - RN ClinicianLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova,......
Provider Payment Appeal Analyst I Must be located within 50 miles of Norfolk, VA, Tampa, FL, Houston, TX, Mason, OH, Costa Mesa, CA, Palo Alto, CA, Rancho Cordova, CA, Walnut......
Provider Contract Director-CALocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of the posted Elevance Health locations.The Provider Contract Director-CA leads...
Rancho Cordova, California
today
LTSS Service Coordinator - RN ClinicianLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova,......
LTSS Service Coordinator - RN ClinicianLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova,......
Carelon Sales ExecutiveLocation: Virtual with 50% travel and the ideal candidate living within 50 miles of our posted California, Nevada, or Washington state PulsePoint locations. A proud member of the......
Title Staff VP AI TechnologyLocation: Indianapolis, Atlanta, Mason, Virginia Beach, New York and other locations located near an Elevance open access office.Team Scope: Will lead and develop a teamThe Digital......
LOCATION: California. You MUST be within 50 miles of one of the offices listed below.HOURS: The hours for this position are 8:30 am - 5:00 pm, PSTEligible offices: Cerritos, Costa......
LOCATION: California. You MUST be within 50 miles of one of the offices listed below.HOURS: The hours for this position are 8:30 am - 5:00 pm, PSTEligible offices: Cerritos, Costa......
Provider Payment Appeal Analyst I Must be located within 50 miles of Norfolk, VA, Tampa, FL, Houston, TX, Mason, OH, Costa Mesa, CA, Palo Alto, CA, Rancho Cordova, CA, Walnut......
LOCATION: California. You MUST be within 50 miles of one of the offices listed below.HOURS: The hours for this position are 8:30 am - 5:00 pm, PSTEligible offices: Cerritos, Costa......
LTSS Service Coordinator - RN ClinicianLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova,......
LTSS Service Coordinator - RN ClinicianLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova,......
LTSS Service CoordinatorLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova, Sacramento, Walnut Creek,......
Provider Contract Director-CALocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of the posted Elevance Health locations.The Provider Contract Director-CA leads...
Investigator IISupporting the Payment Integrity line of business Location: Location: This position will work a hybrid model (remote and office). Alternate locations may be considered. The Ideal candidate must live......
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......
Investigator IISupporting the Payment Integrity line of business Location: Location: This position will work a hybrid model (remote and office). Alternate locations may be considered. The Ideal candidate must live......
Group Underwriter Consultant, Sr.Location: Open to anywhere in the contiguous USThis position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office......
Formulary Pharmacist - CarelonRxLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a hybrid work model (1-2 days per......
Location: CA-LA HABRA, 361 E WHITTIER BLVDShift: Monday- Friday , 5:00 pm - 8:00 pm PSTResponsible for assisting clinicians in the examination and treatment of patients under the direction of the......
JR129635 Medical DirectorResponsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received.Location: This position will wo...
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......
Primary Care Physician- Downey, California Location: 10000 Lakewood Blvd. Downey, California clinic location. ***$15,000 Sign-on Bonus*** Responsible for providing Internal Medicine/Family Practice Services to patients....
Title: Concierge Service AssociateLocation: This position will work a onsite model. Ideal candidates will live within 50 miles of one of our PulsePoint locations.The Concierge Service Associate will be responsible......
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......
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......
Staff VP Claims Operations (Original Claims)Location: Successful candidate must reside within 50 miles of an Elevance office, and able to work a hybrid work schedule (3 days in office)SummaryResponsible for......
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....
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...
Business Information ConsultantLocation: This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will live within 50 miles of one of......
Provider Contract Director-CALocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of the posted Elevance Health locations.The Provider Contract Director-CA leads...
Referral Specialist I Location: California (Downey, Fullerton, Lawndale, Long Beach, or Whittier)Hours: Monday - Friday, from 8 am - 5 pm PSTThe Referral Specialist I is responsible for providing support......
Location: Onsite at CA-MONTEBELLO, 2444 W BEVERLY BLVDShift: Monday-Friday,8:00am-5:00pm PSTResponsible for assisting clinicians in the examination and treatment of patients under the direction of the physician. Primary d...
The Manager II Behavioral Health Services is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management (BH CM) or a combination of both functions (integrated model).......
Director of Medicare Risk Adjustment Analytics and Reporting Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Elevance......
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 team of committed clinicians and......
Medical Director- Carelon Product Location: This position will work a hybrid model (remote and office). The Ideal candidate will must live within 50 miles of one of our Elevance Health......
LOCATION: California. You MUST be within 50 miles of one of the offices listed below.HOURS: The hours for this position are 8:30 am - 5:00 pm, PSTEligible offices: Cerritos, Costa......
LTSS Service Coordinator - RN ClinicianLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova,......
LTSS Service Coordinator - RN ClinicianLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova,......
Primary Care PhysicianLocation: Physician will rotate between 303 S Union Ave., Los Angeles, California clinic location and 2444 W Beverly Rd. Montebello, California clinic location with the goal to transition......
LTSS Service Coordinator - RN ClinicianLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova,......
LOCATION: California. You MUST be within 50 miles of one of the offices listed below.HOURS: The hours for this position are 8:30 am - 5:00 pm, PSTEligible offices: Cerritos, Costa......
LTSS Service CoordinatorLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova, Sacramento, Walnut Creek,......
Referral Specialist I Location: California (Downey, Fullerton, Lawndale, Long Beach, or Whittier)Hours: Monday - Friday, from 8 am - 5 pm PSTThe Referral Specialist I is responsible for providing support......
LTSS Service CoordinatorLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova, Sacramento, Walnut Creek,......
Director I Medical Management Location: This position will work a hybrid model (remote and office). The ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint......
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......
Location: Within 50 miles of any Elevance Health Pulse Point officeShift: Monday – Friday; 8.5-hour shifts between 7am – 7pm CT (later shift hours preferred)The Clinical Ops Medical Director opportunity......
Group Underwriter Consultant, Sr.Location: Open to anywhere in the contiguous USThis position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office......
Wellness Nurse ConsultantSign Bonus: $5000At Federal Health Products and Services - FHPS, a proud member of the Elevance Health, Inc. family of companies, it’s a powerful combination, and the foundation......
Insurance Customer Care Representative- Bilingual (Korean)Location: On-site 2789 W OLYMPIC BLVDThe Insurance Customer Care Representative - Bilingual (Korean) is responsible for handling all walk-in customers by respondin...
Staff VP Claims Operations (Original Claims)Location: Successful candidate must reside within 50 miles of an Elevance office, and able to work a hybrid work schedule (3 days in office)SummaryResponsible for......
The Manager II Behavioral Health Services is responsible for Behavioral Health Utilization Management (BH UM), or Behavioral Health Case Management (BH CM) or a combination of both functions (integrated model).......
Provider Contract Director-CALocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of the posted Elevance Health locations.The Provider Contract Director-CA leads...
Rancho Cordova, California
today
Provider Payment Appeal Analyst I Must be located within 50 miles of Norfolk, VA, Tampa, FL, Houston, TX, Mason, OH, Costa Mesa, CA, Palo Alto, CA, Rancho Cordova, CA, Walnut......
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 team of committed clinicians and......
Rancho Cordova, California
today
LOCATION: California. You MUST be within 50 miles of one of the offices listed below.HOURS: The hours for this position are 8:30 am - 5:00 pm, PSTEligible offices: Cerritos, Costa......
Carelon Sales ExecutiveLocation: Virtual with 50% travel and the ideal candidate living within 50 miles of our posted California, Nevada, or Washington state PulsePoint locations. A proud member of the......
Be Part of an Extraordinary Team Title: Carelon Health Care ManagerLocation: Fully virtual. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location in......
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 team of committed clinicians and......
LTSS Service Coordinator - RN ClinicianLocation: Candidate should reside in California and be within 50 miles of one of our PulsePoint locations (Cerritos, Costa Mesa, LA, Palo Alto, Rancho Cordova,......
Rancho Cordova, California
today
Staff VP Claims Operations (Original Claims)Location: Successful candidate must reside within 50 miles of an Elevance office, and able to work a hybrid work schedule (3 days in office)SummaryResponsible for......
Staff VP Claims Operations (Original Claims)Location: Successful candidate must reside within 50 miles of an Elevance office, and able to work a hybrid work schedule (3 days in office)SummaryResponsible for......
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