Project DirectorLocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of the following PulsePoint location. 705 5th Avenue South, Seattle, WA......
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,...
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......
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......
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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....
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: 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...
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Woodbridge Township, New Jersey
1 month
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....
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....
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......
LTSS Service Coordinator - RN Telehealth Location: While this position is fully remote, candidate must reside in the tri-state area (NY, NJ, or CT) and within 50 miles of a PulsePoint.The......
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......
Location: Field associates spend 4-5 days per week in-person with patients, members or providers.Sign-On Bonus: A sign-on bonus of up to $2,000 is available for qualified candidates, effective 10/31/2024!The LTSS......
Advanced Analytics Analyst SeniorLocation: 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.Preferred......
Location: Field associates spend 4-5 days per week in-person with patients, members or providers in the following counties: Grant, Blackford, Jay, Madison, Delaware, Randolph, and Henry countiesThe Case Manager- LCSW/LSW/...
PBM Formulary Analyst II (Business Analyst II)Location: This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live within 50 miles of an Elevance Health......
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: 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,.....
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,......
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....
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 ...
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....
Title: Staff VP, Accreditation & Quality Programs Location: Within 50 miles of a PulsePoint office with strong preference given to Washington DC, Virginia Beach VA, Maryland, New York, Chicago IL, or......
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......
Location: Primarily work from home and must be located in Kansas.Shift: Monday-Friday, 8:00am-5:00pm CSTFunctions with the expertise in managing negotiated pricing loads. Responsible for coordinating the process for the m...
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 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......
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....
Colonial Heights, Virginia
26 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......
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......
LTSS Service Coordinator - RN Telehealth Location: While this position is fully remote, candidate must reside in the tri-state area (NY, NJ, or CT) and within 50 miles of a PulsePoint.The......
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......
Manchester, New Hampshire
26 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......
Community Health Care Case Worker Location: Field Base PositionThe Community Health Care Case Worker is responsible for serving as the initial and main point of Field contact between the Company......
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......
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...
Charleston, West Virginia
26 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......
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......
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......
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,......
Community Health Coordinator - Florida***$1,500 Sign On Bonus*** Location: This is a field-based position (50% - 75% of the time). Seeking candidates that reside in the state of Florida. You will......
Community Health Coordinator - Florida***$1,500 Sign On Bonus*** Location: This is a field-based position (50% - 75% of the time). Seeking candidates that reside in the state of Florida. You will......
Community Health Coordinator - Florida***$1,500 Sign On Bonus*** Location: This is a field-based position (50% - 75% of the time). Seeking candidates that reside in the state of Florida. You will......
Community Health Coordinator - Florida***$1,500 Sign On Bonus*** Location: This is a field-based position (50% - 75% of the time). Seeking candidates that reside in the state of Florida. You will......
Community Health Coordinator - Florida***$1,500 Sign On Bonus*** Location: This is a field-based position (50% - 75% of the time). Seeking candidates that reside in the state of Florida. You will......
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......
Community Health Coordinator - Florida***$1,500 Sign On Bonus*** Location: This is a field-based position (50% - 75% of the time). Seeking candidates that reside in the state of Florida. You will......
Community Health Coordinator - Florida***$1,500 Sign On Bonus*** Location: This is a field-based position (50% - 75% of the time). Seeking candidates that reside in the state of Florida. You will......
Community Health Coordinator - Florida***$1,500 Sign On Bonus*** Location: This is a field-based position (50% - 75% of the time). Seeking candidates that reside in the state of Florida. You will......
JR127299 Business Consultant Sr (Analytical)The Sr. Business Consultant will support the Advanced Primary Care risk adjustment team through vendor engagement, reporting and identifying areas for process improvement. The ...
Business Information 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......
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...
Location: This is an onsite position located at NC-RALEIGH, 1100 N RALEIGH BLVD, STE 130.Schedule: Monday-Friday , 8:00am-5:00pm ESTResponsible for assisting clinicians in the examination and treatment of patients under....
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...
JR127299 Business Consultant Sr (Analytical)The Sr. Business Consultant will support the Advanced Primary Care risk adjustment team through vendor engagement, reporting and identifying areas for process improvement. The ...
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......
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......
Senior Portfolio Manager Location: 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 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......
Altamonte Springs, Florida
15 days
Location: Candidates must reside within a 50-mile or 1-hour commute each way of a relevant Elevance Health location. The first 90 days will be 5 days in the office, with......
Wellpoint, formerly Amerigroup, is a proud member of Elevance Health’s family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid plans in......
Position specific details: The successful candidate will be a board-certified psychiatrist licensed and residing in the state of Nevada, within 50 miles of our company locations/Pulse Points in Las Vegas. ......
Business Consultant Location: 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 desig...
Business Consultant Location: 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 desig...
Business Consultant Location: 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 desig...
Strategic Consulting Manager Location: 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......
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......
$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. ......
Manager, Behavioral Health ServicesLocation: Metairie, LouisianaThis position will work a hybrid model (remote and office). Ideal candidates will live in the state of Louisiana within 50 miles of one of......
Strategic Consulting Manager Location: 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 Consultant Location: 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 desig...
Location: Primarily work from home; will come onsite (Pulse Point) for onboarding, training, or as otherwise required by managersShift: Monday-Friday 8:30am-5:00pmResponsible for coordinating all activities of an audit o...
Business Consultant Location: 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 desig...
$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. ......
Manager II GBD Special ProgramsLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Tampa OR Miami, Florida Elevance......
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......
Business Information ConsultantLocation: This position will work a hybrid model (remote and office). This position is for candidates based from one of our Pulse Points in: Indianapolis, Chicago, Atlanta, Miami......
Provider Data Relationship LeadLocation: This position will work a hybrid model (remote and office). We are looking for individuals that can work in a hybrid model from one of the......
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......
Location: Field associates spend 4-5 days per week in-person with patients, members or providers in the Hays, Colby, Emporia and Hiawatha areas.Sign-On Bonus: A sign-on bonus of up to $5,000......
Clinical Provider Auditor IISupports Payment Integrity & Behavioral Health Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our......
Financial ConsultantLocation: 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 desig...
East Hartford, Connecticut
20 days
Behavioral Health Care Coordinator***Seeking a BH Care Coordinator in Connecticut with expertise in case management, human services, family and/or community resources.***Location : This is a field-based role where the maj...
Location: Field associates spend 4-5 days per week in-person with patients, members or providers in the following counties: Grant, Blackford, Jay, Madison, Delaware, Randolph, and Henry countiesThe RN Case Manager......
Financial ConsultantLocation: 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 desig...
Behavioral Health Care Coordinator***Seeking a BH Care Coordinator in Connecticut with expertise in case management, human services, family and/or community resources.***Location : This is a field-based role where the maj...
Location: Field associates spend 4-5 days per week in-person with patients, members or providers in the following counties: Grant, Blackford, Jay, Madison, Delaware, Randolph, and Henry countiesThe RN Case Manager......
Sign-on Bonus $500The 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....
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......
Blue Ridge Manor, Kentucky
11 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......
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......
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......
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......
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:......
Provider Reimburse Admin Sr.Location: This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of one of our PulsePoint locations.Schedule: This is a......
Senior Technical Project ManagerBe 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......
Network Adequacy Business Information 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......
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