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...
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...
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...
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......
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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......
Business Information Consultant Sr (HEDIS)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......
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......
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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......
Behavioral Health Care Manager ILocation: Georgia. This is a virtual position with occasional travel in the field. The ideal candidate will live within 50 miles of one of our Open......
Proposal Content Database Product Manager – FGS GrowthLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our......
North New Hyde Park, New York
14 days
Proposal Content Database Product Manager – FGS GrowthLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our......
Clinical Provider Auditor IISupports Payment Integrity & Behavioral Health Location: This is a field position expected to be in clinic 60% of the time (2-3 days/week) with the other 40%......
Be Part of an Extraordinary TeamCarelonRx Pharmacy is now part of CarelonRx (formerly IngenioRx), a proud member of the Elevance Health family of companies. The CarelonRx Home Delivery Pharmacy will......
Be Part of an Extraordinary Team Medical Management Clinician Senior Location: Remote- Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location below:3080 Bristol......
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...
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 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......
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...
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......
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: 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....
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......
Be Part of an Extraordinary Team 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......
Business Information Developer Consultant – ETL DeveloperLocation: This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50 miles of......
Title: Excess Loss SpecialistLocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of 6087 Technology Pkwy Columbus, GA 31820 PulsePoint location.The......
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......
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: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health PulsePoint location.Schedule: First shift PST daytime hoursThe Behavioral Health Care Manager I is responsible for perfor...
Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health PulsePoint location.Schedule: First shift PST daytime hoursThe Behavioral Health Care Manager I is responsible for perfor...
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......
Medical Director- Florida Medicaid Location: This position will work a hybrid model (remote and office). The Ideal candidate will must live within 50 miles of one of our Elevance Health......
Outreach Care SpecialistLocation : This is a field-based role where the majority of time is working out in the field/community. Candidates must live in Kansas to be considered. We are......
Blue Ridge Manor, Kentucky
15 days
Nurse Care Manager Senior - LGBTIA+/ Transgender CommunityLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member......
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......
Nurse Care Manager Senior - LGBTIA+/ Transgender CommunityLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member......
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......
Behavioral Health Care Manager ILocation: Georgia. This is a virtual position with occasional travel in the field. The ideal candidate will live within 50 miles of one of our Open......
Location: Field associates spend 4-5 days per week in-person with patients, members or providers.The Case Manager- LCSW/LSW/LMSW/LMHC/LMFT (also called the LTSS Service Coordinator - Clinician) has overall responsibility ...
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 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......
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......
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......
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......
Manager II Grievance/Appeals (RN)-CaliforniaLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our California Elevance Health PulsePoint......
Sr Business Information Consultant 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......
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: 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......
Manchester, New Hampshire
12 days
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: Field associates spend 4-5 days per week in-person with patients, members or providers.The LTSS SERVICE COORDINATOR is responsible for conducting service coordination functions for a defined caseload of individu...
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......
Manchester, New Hampshire
18 days
Nurse Care Manager Senior - LGBTIA+/ Transgender CommunityLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member......
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,...
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......
Nurse Care Manager Senior - LGBTIA+/ Transgender CommunityLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member......
Woodbridge Township, New Jersey
18 days
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...
Associate ActuaryLocation: 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 designat...
Hours: 10am-630pm ESTLocation: The successful hire will be required to be within 50 miles of one of our company locations (Pulse Point).Please note: The Peer Specialist Certification is required for......
Provider Collaboration Manager Sr (Value-Based Contracting) JR138366Location: Candidates must reside within 50 miles and 1-hour commute each way of our Manchester, NH Elevance Health location. Candidates in nearby states ...
$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. ......
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......
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,...
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......
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...
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...
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......
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...
Be Part of an Extraordinary TeamA 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 field position and the candidate should reside in Dallas, TX.The LTSS Service Coordinator - Clinician working under the direction/supervision of an RN, with overall responsibility for......
The Med Mgmt Nurse CA is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member’s clinical presentation to......
Behavioral Health Outreach Care SpecialistLocation : This is a hybrid role. Associates will be working from home and out in the community (up to 40% of the time will be......
Nurse Care Manager Senior - LGBTIA+/ Transgender CommunityLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member......
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: 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......
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......
The Behavioral Health Provider Quality Manager is responsible for leading Behavioral Health (BH) provider engagement, with a focus on leveraging the data available to providers and helping to improve the......
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......
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......
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...
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......
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......
Woodbridge Township, New Jersey
18 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...
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......
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......
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
18 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: 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 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......
Rancho Cordova, California
18 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...
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