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......
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......
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......
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......
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East Hartford, Connecticut
26 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...
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...
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......
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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...
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...
Location: This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.The Strategic Sourcing......
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......
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......
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-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: 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......
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: 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......
Please note: This role has a field component where the successful hire would be meeting with members in-person either in homes and/or in facilities. The hire would need to be......
Referral & Resource SpecialistLocation: This is a remote position. Candidates must reside in one of the following states : MASSACHUSETTS, NEW HAMPSHIRE, CONNECTICUT, RHODE ISLAND OR NEW YORK. Build the......
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......
Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health PulsePoint location.Schedule: First shift PST daytime hoursBehavioral Health Case Manager II The Behavioral Health Case M...
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....
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......
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: 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......
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......
Consumer Experience Analytics & Insights Analyst SeniorLocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live within 50......
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......
Woodbridge Township, New Jersey
26 days
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....
Consumer Experience Analytics & Insights Analyst SeniorLocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live within 50......
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-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......
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......
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 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......
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 locationShift: See example schedules below; Training will be up to 3 weeks on day shift, hours, 8:30am - 5:00pm schedule......
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......
Location: Virtual; within 50 miles of any Elevance Health PulsePoint locationShift: See example schedules below; Training will be up to 3 weeks on day shift, hours, 8:30am - 5:00pm schedule......
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......
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......
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......
Be Part of an Extraordinary Team A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information....
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 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......
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: This is a Virtual role , Must be located within 50 miles of a Pulse PointSchedule: Monday- Friday 9:30am-6:00pm , Rotating weekend shifts.Responsible for conducting preauthorization, out of network......
Lauderdale Lakes, Florida
25 days
LTSS Service Coordinator - ClinicianLocation: This is a field based position, candidate would need travel in and around the following counties based on their current location, Lee, Sarasota, Palm Beach, St.......
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......
Consumer Experience Analytics & Insights Analyst SeniorLocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live within 50......
LTSS Service Coordinator - ClinicianLocation: This is a field based position. Candidate would work remotely and travel 2 - 3 times a week to visit members in Passaic/Bergen counties.The LTSS Service Coordinator-Clinician ...
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......
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...
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......
JR139707 Behavioral Health/EAP Consultant II The Behavioral Health EAP Consultant II (Wellbeing Support Consultant—WSC) has the primary responsibility of providing a range of EAP and wellbeing services. These services may...
Position specific details: The successful hire will be responsible for partnering with providers and Connecticut Certified Community Behavioral Health Clinics (CCBHC). This is a hybrid role where the consultant would......
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......
Location: This is a field based position. Candidate would need to meet face to face with patients in and around O'Brien, Plymouth, Clay County, IA The LTSS Service Coordinator is responsible for conducting......
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......
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......
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......
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......
Altamonte Springs, Florida
11 days
Job DescriptionBioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers......
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......
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......
Managed Care Coordinator, RN Clinician - WashingtonLocation: This position is primarily a Virtual/Remote role. One day a week this position will be required to visit members in person in care......
Altamonte Springs, Florida
11 days
Title: Patient Financial CoordinatorLocation: 370-774 Northlake Blvd, Altamonte Springs, FloridaCandidates must live within 50 miles of location.Shift: Monday through Friday, 8 hour shift between the hours of 8:00am to 8:...
Enterprise Architect Principal – Identity and Access Management (IAM)Location: This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50......
Blue Ridge Manor, Kentucky
12 days
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....
Location: Candidate may live anywhere in the state of Indiana and must live within 50 miles of an Elevance Health PulsePoint office.This utilization management role is responsible for utilization management......
Winston Salem, North Carolina
10 days
Director of Behavioral Health Services- North Carolina Location: This position will work a hybrid model (remote and office). The ideal candidate must live within 50 miles of a North Carolina......
LOCATION: This is a remote/field position for Central or NoVA regions. You must reside within 50 miles of Richmond, Arlington, or Ashburn, and Virginia residency is required.HOURS: General business hours,......
Med Management NurseLocation: Hanover, MDAlternate locations may be considered. This position will be primarily virtual, however will be based within 50 miles of the PulsePoint site listed above. The Med......
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......
Actuarial Analyst II 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......
Woodbridge Township, New Jersey
10 days
Job Title: Program ConsultantLocation: Must reside within 50 miles / 1 hour commute of one of the following Pulse Point locations:Mason, OH - 4361 Irwin Simpson Rd. Iselin, NJ -......
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......
Audit & Reimbursement IILocation: 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.....
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......
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......
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...
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......
Audit & Reimbursement IILocation: 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.....
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......
Woodbridge Township, New Jersey
10 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......
Audit & Reimbursement IILocation: 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.....
Location: This is a virtual position , must be located within 50 miles of an Elevance Health Pulse Point.Shift: Monday-Friday , 8am-5pmResponsible for the discovery, validation, recovery, and adjustments of......
Location: This is a Virtual role , Must be located within 50 miles of a Pulse PointSchedule: Monday-Friday 9:30am-6:00pm CST , Rotating weekend shifts.Responsible for conducting preauthorization, out of network......
Investigator IILocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of Grand Prairie, Texas.The INVESTIGATOR II is responsible for 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....
Blue Ridge Manor, Kentucky
12 days
IBM Case Manager Developer Location: 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......
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......
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 PulsePoint locations.The Sales Support......
Enterprise Architect Principal – Identity and Access Management (IAM)Location: This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50......
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,......
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......
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......
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