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......
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......
Washington, District of Columbia
7 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
7 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...
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......
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......
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 -......
North New Hyde Park, New York
7 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
7 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
7 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......
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......
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
7 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...
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
7 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
7 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
7 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...
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......
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
7 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......
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...
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......
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
7 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......
JR136085 Behavioral Health Provider Quality ManagerResponsible for leading Behavioral Health (BH) provider engagement, with a focus on leveraging the data available to providers and helping to improve the value delivered....
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 therapies through our specialty pharmacies,......
Pharmacy Internal AuditorLocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.A proud member of the......
Location: This position will work a hybrid model (remote and office) which requires working in the nearest Elevance Health office 1-2 times per week. The rest of the time would be......
The 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 states: Washington...
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......
Location: Must reside in the state of Kansas.The RN Nurse Case Manager I will be responsible for performing care management within the scope of licensure for members with complex and......
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...
Process Improvement Director-HEDISLocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1hour commute from the posted Elevance Health locations.This Process Improvement Director...
Analyst Consultant (US) - Salesforce Product ManagerLocation: This position will work a hybrid model (in office 1-2 days per week). The ideal candidate will live within 50 miles of one......
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 ...
Process Improvement Director-HEDISLocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1hour commute from the posted Elevance Health locations.This Process Improvement Director...
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...
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 ...
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 ...
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...
Process Improvement Director-HEDISLocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1hour commute from the posted Elevance Health locations.This Process Improvement Director...
Manchester, New Hampshire
7 days
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 ...
Analyst Consultant (US) - Salesforce Product ManagerLocation: This position will work a hybrid model (in office 1-2 days per week). The ideal candidate will live within 50 miles of one......
Manchester, New Hampshire
7 days
Analyst Consultant (US) - Salesforce Product ManagerLocation: This position will work a hybrid model (in office 1-2 days per week). The ideal candidate will live within 50 miles of one......
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