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......
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......
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...
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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......
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....
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...
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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: 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......
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...
Washington, District of Columbia
2 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......
North New Hyde Park, New York
2 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...
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......
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......
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...
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.......
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......
Operations Expert Must be located within 50 miles of Columbus, GA, Atlanta, GA, Norfolk, VA, Roanoke, VA, Richmond, VA, Miami, FL, Tampa, FL, Des Moines, IA or Mason, OH.The Operations Expert is......
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 -......
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......
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......
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......
North New Hyde Park, New York
2 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......
Pharmacist Consultant - CarelonRxLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member of this team, you......
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......
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......
Execution DirectorLocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of the posted Elevance Health locations.The Execution Director is responsible for......
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...
Woodbridge Township, New Jersey
2 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......
Technical Program ManagerLocation: 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......
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 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......
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...
Shift: Monday – Friday; 8:00am – 5:00pm CTLocation: Hybrid; Within 50 miles of any Elevance Health PulsePoint office*some travel required*The Clinical Quality Program Manager is responsible for serving as a......
Blue Ridge Manor, Kentucky
2 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...
Pharmacy Customer Associate II Location: This is a remote position and virtual training will be required for the first 2 weeks. You must live within 50 miles of any Elevance......
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......
Provider Contract/Cost of Care Consultant 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 Provider Contract/Cost......
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 -......
Pharmacy Customer Associate II Location: This is a remote position and virtual training will be required for the first 2 weeks. You must live within 50 miles of any Elevance......
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......
Execution DirectorLocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of the posted Elevance Health locations.The Execution Director is responsible for......
Location: This is a field position and the candidate should reside in Southeast/Central Dallas.The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope......
Clinical Operations Associate Medical DirectorInterventional PainCarelon Medical Benefits ManagementLocation: Alternate locations may be considered. The ideal candidate will live within 50 miles of one of our Elevance Hea...
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....
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......
Pharmacist Consultant - CarelonRxLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member of this team, you......
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......
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......
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......
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: 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......
Customer Care Representative I $500 Sign On Bonus! Location: The ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point. The Customer Care Representative......
Clinical Operations Associate Medical DirectorInterventional PainCarelon Medical Benefits ManagementLocation: Alternate locations may be considered. The ideal candidate will live within 50 miles of one of our Elevance Hea...
Pharmacy Customer Associate II Location: This is a remote position and virtual training will be required for the first 2 weeks. You must live within 50 miles of any Elevance......
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......
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
2 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......
Customer Care Representative I $500 Sign On Bonus! Location: The ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point. The Customer Care Representative......
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...
Pharmacy Customer Associate II Location: This is a remote position and virtual training will be required for the first 2 weeks. You must live within 50 miles of any 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......
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......
Be Part of an Extraordinary Team Title: Pharmacy Technician I Location: Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location: OH-MASON, 4241 IRWIN SIMPSON......
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......
Sign-on Bonus: $500 Location: Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote work and 1-2 days......
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...
Customer Care Representative I (Weekend Shift) $500 Sign On Bonus! Location: The ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point.The Customer Care......
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
2 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
2 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......
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......
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......
Location: Hybrid; Within 50 miles of any Elevance Health PulsePoint locationShift: Monday – Friday; 8:00am – 5:00pm; Schedule may flex as needed for trainingsThe Training Specialist is responsible for facilitating......
Pharmacist Consultant - CarelonRxLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member of this team, you......
Location: Hybrid; Within 50 miles of any Elevance Health PulsePoint locationShift: Monday – Friday; 8:00am – 5:00pm; Schedule may flex as needed for trainingsThe Training Specialist is responsible for facilitating......
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......
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......
Execution DirectorLocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of the posted Elevance Health locations.The Execution Director is responsible for......
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......
Execution DirectorLocation: This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour commute of the posted Elevance Health locations.The Execution Director is responsible for......
Pharmacist Consultant - CarelonRxLocation: The ideal candidate will live within 50 miles of one of our pulse point locations and will work remotely.Hours: As a member of this team, you......
Customer Care Representative I $500 Sign On Bonus! Location: The ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point. The Customer Care Representative......
Rancho Cordova, California
2 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...
Woodbridge Township, New Jersey
2 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....
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