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: Virtual; Within 50 miles of any Elevance Health PulsePoint officeShift: Monday – Friday; 8:00am – 5:00pmThe Claims Coding Analyst is responsible for the audit and review of medical record......
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......
The Trainer Ld is responsible for providing day to day leadership to a team and ensures consistency and quality of work outputs. Primary duties may include, but are not limited......
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Associate Manager Clinical SupportCareBridge 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......
The Learning Experience Dsgnr Ld is responsible for analyzing, designing, building, and implementing business-aligned, integrated learning solutions using a variety of techniques and tools. Primary duties may include, but...
Clinical Quality Program Administrator-Risk ManagementLocation: 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......
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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......
Business Information Developer ConsultantLocation: 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......
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...
Pharmacist Consultant Sr.Location: This position is primarily a Virtual/Remote role.Work Shift: Monday – Friday, 8 hrs. work shift starting at either 7 am, 8 am or 9 am (Central Standard......
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...
Provider Collaboration ManagerOffice Location: Knoxville, TN**The position requires to be in the field visiting providers 80% of the time**The Provider Collaboration Manager receives a moderate level of guidance and direc...
Position specific details: The successful candidate will ideally reside and be licensed in the states of Kansas, Indiana, or Tennessee. The hours for the position are 8-5pm local to the......
LTSS Service Coordinator - RN ClinicianLocation: Dickson/Houston/Benton CountySign-on Bonus:$2500This is a field position 4-5 days per weekThe LTSS Service Coordinator - RN Clinician is responsible for overall management ...
The Network Support Manager coordinates work flow and tactical implementation of various activities related to maintaining facility, provider network and contracting initiatives. Participates in projects designed to impro...
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 II - SIU Fraud & AbuseLocation: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will......
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......
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......
Business Information Analyst IILocation: 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......
Clinical Operations Associate Medical DirectorCarelon Medical Benefits ManagementLocation: Alternate locations may be considered. The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint loca...
Audit & Reimbursement IILocation: This is a virtual United States based positionNational Government Services is a proud member of Elevance Health’s family of brands. We administer government contracts for Medicare and...
Salesforce Marketing Cloud DeveloperLocation: 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......
Location: Candidate should reside within 50 Miles of the Nashville office.The Outreach Care Specialist II is responsible for ensuring that appropriate member treatment plans are followed on moderately complex cases......
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 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).......
The Provider Network Manager Sr develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically wor...
Information Security Sr Advisor (Email Security)Location: This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles of one of our Elevance Health......
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......
Program DirectorLocations: 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......
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......
JR139582 Provider Network Manager SrThe Provider Network Manager Sr. develops the provider network through contract negotiations, relationship development, and servicing. Typically works with the most complex providers. C...
Transitions of Care-Nurse RegisteredCareBridge 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.....
Associate Manager Clinical SupportCareBridge 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......
Dir Clinical Ops Therapy Prog Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of......
Acute Care Advance Practice Provider - BilingualLocation: This position is primarily a Virtual/Remote role.Work Shift: Evenings and weekends, which may include 8 hours and 12 hours shifts, 3-4 days weekly.......
RN Triage NurseLocation: This position is primarily a Virtual/Remote role.Work Shift: 4/10 works shifts, 1:00 pm to 11:00 pm (Central Standard Time) and every two weeks, full weekend shift.The RN......
Audit & Reimbursement IIILocation: 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...
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......
Location: Sit anywhere within the state of Tennessee. This position is 100% work from home.Hours of position: Mon – Friday 8am – 5pm. With rotating on call, about every 4......
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......
Transitions of Care-Nurse RegisteredCareBridge 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.....
Customer Care Representative I Location: This position is remote, but requires you to reside within 50 miles or a one-hour commute of one of the following Elevance Health pulse point......
LTSS Service Coordinator - RN ClinicianLocation: Dickson/Houston/Benton CountySign-on Bonus:$2500This is a field position 4-5 days per weekThe LTSS Service Coordinator - RN Clinician is responsible for overall management ...
Clinical Operations Associate Medical DirectorCarelon Medical Benefits ManagementLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will liv...
HEDIS Compliance Audit Specialist / Manager (JR140903)Location: Alternate locations in addition to the posted locations may be considered. This position will work in a hybrid model (remote and office). The......
RN Triage NurseLocation: This position is primarily a Virtual/Remote role.Work Shift: 4/10 works shifts, 11 am to 9 pm (Central Standard Time) and every two weeks, full weekend shift.The RN......
Compliance Consultant Location: Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote work and 1-2 days in....
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