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......
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...
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.......
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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......
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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 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......
Woodbridge Township, New Jersey
11 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......
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
11 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......
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 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......
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
11 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......
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......
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 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
11 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
11 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......
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......
Rancho Cordova, California
11 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...
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...
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 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......
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......
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......
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......
Altamonte Springs, Florida
11 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......
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...
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......
North New Hyde Park, New York
11 days
Medical Management Specialist lLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Elevance Health PulsePoint location in Lake......
Location: This position will serve the Dallas/Ft. Worth, TX area.The LTSS Service Coordinator is responsible for conducting service coordination functions for a defined caseload of individuals in specialized programs.In c...
Be Part of an Extraordinary Team A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug......
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......
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,...
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......
Schedule: This position will take part in Elevance Health's hybrid workforce model which includes virtual work and 1-2 days in office per week.*The ideal candidate will live within 50 miles......
Senior Implementation Specialist 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......
Clinical Provider Auditor SeniorSupports Payment Integrity line of businessLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Hanover,......
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...
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...
JR137542 Business Info Consultant SrResponsible for coordinating and consolidating various impact analyses for management reporting.Location: This position will work a hybrid model (remote and office) and must live within...
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......
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...
This position is hybrid and will require the associate to report to the office at least 1-2 times per week. The ideal candidate will live within 50 miles of one......
Position specific details: The successful hire will be licensed in the state of New York and preferably residing within 50 miles of our Latham, NY location. New York State licensure......
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......
Utilization Management Representative IILocation: Must live within 50 miles of the Miami or Tampa Florida PulsePoint.The Utilization Management Representative II is responsible for managing incoming calls, including triag...
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...
Job Title: Pharmacy Technician IIHours: 12pm – 830pm eastern time zoneLocation: Remote/virtual opportunity.Must reside within 50 miles / 1 hour commute of one of the following Pulse Point locations:Atlanta, GA......
Job Title: Pharmacy Technician IIHours: 12pm – 830pm eastern time zoneLocation: Remote/virtual opportunity.Must reside within 50 miles / 1 hour commute of one of the following Pulse Point locations:Atlanta, GA......
Whole Health & Health Equity DirectorOffice Location: Nashville, Memphis or Knoxville, TN.Associates are required to live within a 50-mile radius and a 1-hour commute to the Elevance Health major office......
JR137542 Business Info Consultant SrResponsible for coordinating and consolidating various impact analyses for management reporting.Location: This position will work a hybrid model (remote and office) and must live within...
This position is hybrid and will require the associate to report to the office at least 1-2 times per week. The ideal candidate will live within 50 miles of one......
Be Part of an Extraordinary TeamA proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug......
Location: This is a field position and the candidate should reside in Dallas, TX.The LTSS Service Coordinator - Clinician working under the direction/supervision of an RN, with overall responsibility for......
The Med Mgmt Nurse CA is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member’s clinical presentation to......
Behavioral Health Outreach Care SpecialistLocation : This is a hybrid role. Associates will be working from home and out in the community (up to 40% of the time will be......
Woodbridge Township, New Jersey
11 days
This position is hybrid and will require the associate to report to the office at least 1-2 times per week. The ideal candidate will live within 50 miles of one......
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......
LTSS Service Coordinator - ClinicianLocation: Gibson, Carrol, Henry, and Weakley CountiesThis is a field position 4-5 days per week$2500 Sign On BonusLTSS Service Coordinator - Clinician this role will be......
Location: This is a field based position. Candidate would need to meet face to face with patients in and around Pottawattamie (and surrounding) Counties, IA. The LTSS Service Coordinator is responsible for conducting......
North Richland Hills, Texas
11 days
Be Part of an Extraordinary Team A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug......
AmeriBen is a proud member of the Elevance Health family of companies. We are a third-party administrator (TPA) of medical benefits, also providing medical management, human resource consulting and retirement......
Location: This is a Virtual role , Must be located within 50 miles of a Pulse Point Schedule: 9:30am-6:00pm PST, ability to work weekends if necessary.New Grads are encouraged to......
The Behavioral Health Provider Quality Manager is responsible for leading Behavioral Health (BH) provider engagement, with a focus on leveraging the data available to providers and helping to improve the......
Clinical Content Analyst 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......
Manchester, New Hampshire
11 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......
JR137542 Business Info Consultant SrResponsible for coordinating and consolidating various impact analyses for management reporting.Location: This position will work a hybrid model (remote and office) and must live within...
Job Title: Pharmacy Technician IIHours: 12pm – 830pm eastern time zoneLocation: Remote/virtual opportunity.Must reside within 50 miles / 1 hour commute of one of the following Pulse Point locations:Atlanta, GA......
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,...
Blue Ridge Manor, Kentucky
11 days
Clinical Content Analyst 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......
Schedule: This position will take part in Elevance Health's hybrid workforce model which includes virtual work and 1-2 days in office per week.*The ideal candidate will live within 50 miles......
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......
Woodbridge Township, New Jersey
11 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...
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......
Washington, District of Columbia
11 days
Social Work Case Manager (licensed clinician) JR130923Location: Must reside within 50 miles (and 1 hour commute) of our Washington DC office, located at 609 H Street NE, Suite 200.NOTE: This......
LTSS Service Coordinator - RN ClinicianLocation: Nashville-Davidson CountySIgn-on Bonus:$2500This is a field position 4-5 days per weekThe LTSS Service Coordinator - RN Clinician is responsible for overall management of ...
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