Location: Field associates spend 4-5 days per week in-person with patients, members or providers The RN Case Manager (LTSS Service Coordinator- RN) is responsible for overall management of member's case within......
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......
Be Part of an Extraordinary Team Medical Management Specialist ILocation: Remote, but candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-Time Days,......
Manchester, New Hampshire
10 days
Audit & Reimbursement III- Medicare Cost Report Audit This is a United States based, virtual position.National Government Services is a proud member of Elevance Health’s family of brands. We administer......
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Audit & Reimbursement III- Medicare Cost Report Audit This is a United States based, virtual position.National Government Services is a proud member of Elevance Health’s family of brands. We administer......
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......
Behavioral Health Medical Director – Psychiatrist – NevadaLocation: The successful candidate will be a board-certified psychiatrist licensed and residing in the state of Nevada, within 50 miles of our company......
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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......
Utilization Management Representative IILocation: This is a remote position but candidates should live within 50 miles of one of our PulsePoint locations.The Utilizations Management Representative II is responsible for ma...
Audit & Reimbursement III- Medicare Cost Report Audit This is a United States based, virtual position.National Government Services is a proud member of Elevance Health’s family of brands. We administer......
Audit & Reimbursement III- Medicare Cost Report Audit This is a United States based, virtual position.National Government Services is a proud member of Elevance Health’s family of brands. We administer......
Care Coordinator Family Support***$1,500 Sign-On Bonus******Seeking a Care Coordinator in Connecticut with expertise in case management, human services, family and/or community resources.***Location : This is a field-base...
Audit & Reimbursement III- Medicare Cost Report Audit This is a United States based, virtual position.National Government Services is a proud member of Elevance Health’s family of brands. We administer......
Audit & Reimbursement III- Medicare Cost Report Audit This is a United States based, virtual position.National Government Services is a proud member of Elevance Health’s family of brands. We administer......
Blue Ridge Manor, Kentucky
10 days
Audit & Reimbursement III- Medicare Cost Report Audit This is a United States based, virtual position.National Government Services is a proud member of Elevance Health’s family of brands. We administer......
Location: Alternate locations may be considered. This position will work in a virtual environment. Candidate must reside within 50 miles of an Elevance PulsePoint. The Sr Oversight Compliance Consultant is......
Senior Researcher 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 Pulse......
***$6,000 Sign On Bonus***LTSS Service Coordinator - ClinicianLocation: This is a field based position. Candidate would need to reside in one of the following counties: Lee, Sarasota, Hillsborough, Pinellas, Escambia, Duv...
Title: Grievance/Appeals Analyst ILocation: This position will work a remote model. Ideal candidates will live within 50 miles of our California PulsePoint locations.The Grievance/Appeals Analyst I is an entry level......
Technical Project ManagerLocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live or be willing to relocate to......
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......
Washington Court House, Ohio
7 days
Location: Virtual; The ideal candidate will live within one of the following states: WA, IA, WI Shift: Monday – Friday; 8:00am – 5:00pmThe Behavioral Health Case Manager I is responsible for......
Business Performance Management Director - Enterprise HEDIS Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles......
Compliance DirectorLocation: 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 Compliance......
Business Intelligent - Data EngineerLocation: 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......
Actuarial Analyst IIILocation: 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 desi...
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......
Title: Sales Support Coordinator ILocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our Connecticut PulsePoint location.The Sales......
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......
Title: Grievance/Appeals Analyst 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 Grievance/Appeals Analyst I......
Location: This is a Virtual role , Must be located within 50 miles of a Pulse PointSchedule: 9:30am-6:00pm , Rotating weekend shifts.Responsible for conducting preauthorization, out of network and appropriateness......
Compliance DirectorLocation: 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 Compliance......
Technical Project ManagerLocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live or be willing to relocate to......
Location: Virtual; within 50 miles of any Elevance Health PulsePoint locationShift: Monday – Friday; 11:30am – 8:00pm ETThe Behavioral Health EAP Consultant II is responsible for providing 24/7 Behavioral Health......
Woodbridge Township, New Jersey
7 days
Location: This is a Virtual role , Must be located within 50 miles of a Pulse PointSchedule: 9:30am-6:00pm , Rotating weekend shifts.Responsible for conducting preauthorization, out of network and appropriateness......
Compliance DirectorLocation: 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 Compliance......
Title: Grievance/Appeals Analyst ILocation: This position will work a remote model. Ideal candidates will live within 50 miles of our California PulsePoint locations.The Grievance/Appeals Analyst I is an entry level......
Program DirectorLocation: Alternate locations may be considered. 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......
Title: Utilization Management Representative IILocation: 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...
Contract Administrator Lead – Contract ComplianceLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health......
Associate General Counsel Location: St. Louis, MO, Mason, OH, Indianapolis, IN, Mendota Heights, MN, or Louisville, KY. Alternate locations may be considered. This position will work in a hybrid model (remote......
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring......
Information Security AdvisorLocation: 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......
Financial Accountant Sr.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 Financial......
Altamonte Springs, Florida
6 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......
Financial Accountant Sr.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 Financial......
Actuarial Director - Stop LossLocation: 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......
Full Stack Cloud Solutions EngineerLocation: This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint......
Be Part of an Extraordinary Team Title: Pharmacy Technician II Location: Fully remote. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. Shift:Monday - Friday,......
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring......
Altamonte Springs, Florida
6 days
Be Part of an Extraordinary Team Title: Pharmacy Technician II Location: Fully remote. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. Shift:Monday - Friday,......
Full Stack Cloud Solutions EngineerLocation: This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint......
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,......
Provider Network Manager Sr – Contracting (JR141375)Location: St. Louis or Chicago preferred. Candidates must reside within 50 miles and 1-hour commute each way of an open Elevance Health PulsePoint location.NOTE:This......
Full Stack Cloud Solutions EngineerLocation: This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint......
Associate General Counsel Location: St. Louis, MO, Mason, OH, Indianapolis, IN, Mendota Heights, MN, or Louisville, KY. Alternate locations may be considered. This position will work in a hybrid model (remote......
Investigator Assistant 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 Hybrid 1......
Blue Ridge Manor, Kentucky
6 days
Actuarial Analyst IIILocation: 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 desi...
Provider Contract SpecialistLocation: Seven Hills, OH; Mason, OH & Cincinnati, OHThis position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of the......
Actuarial Analyst IIILocation: 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 desi...
Software Engineering ManagerLocation: 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 locations.National......
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......
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......
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......
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......
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 is a virtual role. The preferred candidate will live within 50 miles of one of our listed California Elevance Health PulsePoint locations.The Behavioral Health Case Manager 1 is......
***$5,000 Sign On Bonus***LTSS Service CoordinatorLocation: This is primarily a field based position. Candidate would need to reside in one of the following counties: Escambia, Broward, Volusia, Marion, Pinellas, Hillsbor...
Provider Contract Cost of Care Analyst Senior Location: This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50 miles of......
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......
JR139503 Genetic Counselor ReviewerThe genetic counselor reviewer (GCR) is responsible for authorization requests and determining their appropriateness per designated clinical guidelines, clinical policies, and client rul...
Location: This is a Virtual role , Must be located within 50 miles of a Pulse PointSchedule: 9:30am-6:00pm , Rotating weekend shifts.Responsible for conducting preauthorization, out of network and appropriateness......
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 is a virtual role. The preferred candidate will live within 50 miles of one of our listed California Elevance Health PulsePoint locations.The Behavioral Health Case Manager 1 is......
Winston Salem, North Carolina
13 days
The Children and Families Specialty Plan is looking to hire a Director of Care Management to lead the care management team in Medicaid Regions 1 and 2 in the state of North......
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......
Manchester, New Hampshire
13 days
Provider Contract/CofC 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 Elevance’s......
JR140167 Provider Relationship Account Manager (TPA)Carelon Behavioral Health, Inc. is enthusiastically supporting the launch of the Statewide School-Based Fee Schedule project by the Department of Health Care Services (D...
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......
Clinical Provider Auditor IISupports the Payment Integrity line of businessLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will......
***$6,000 Sign On Bonus***LTSS Service Coordinator - ClinicianLocation: This is a field based position. Candidate would need to reside in one of the following counties: Lee, Sarasota, Hillsborough, Pinellas, Escambia, Duv...
Actuarial Director - Wellpoint GICPreferred Location: Woburn, MA. This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our......
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......
Be Part of an Extraordinary Team Medical Management Specialist ILocation: Remote, but candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-Time Days,......
Location: This is a virtual role. The candidate will live within 50 miles of one of our Florida Elevance Health PulsePoint locations in Miami or Tampa Florida. Schedule: 12 noon- 8:30 pm......
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......
Provider Contract/CofC 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 Elevance’s......
Location: Field associates spend 4-5 days per week in-person with patients, members or providers in the following counties: Wayne, Fayette, Rush, Union, and Franklin counties.The Case Manager- LCSW/LSW/LMSW/LMHC/LMFT (als...
Centers Health Care is a member of the Elevance Health family of companies, serving as a premier network of skilled nursing, rehabilitation, and senior care services. Our goal is to......
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......
East Hartford, Connecticut
13 days
Bilingual Behavioral Health Care Coordinator***$1,500 Sign-On Bonus******Seeking a BH Care Coordinator in Connecticut with expertise in case management, human services, family and/or community resources.***Location : This...
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......
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......
Be Part of an Extraordinary Team Medical Management Specialist ILocation: Remote, but candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.Shift: Part-Time Days,......
Title: Utilization Management Representative IILocation: 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...
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...
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......
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 is a Virtual role , Must be located within 50 miles of a Pulse PointSchedule: 9:30am-6:00pm , Rotating weekend shifts.Responsible for conducting preauthorization, out of network and appropriateness......
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......
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