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...
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......
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......
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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......
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......
Manager II GBD Special Programs (LTSS)Location: The territory for this position is the entire State of Tennessee. Therefore, the selected candidate must reside within 50 miles of Nashville, Knoxville, or......
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Manager II GBD Special Programs (LTSS)Location: The territory for this position is the entire State of Tennessee. Therefore, the selected candidate must reside within 50 miles of Nashville, Knoxville, or......
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,......
Dir Financial Ops Dept - Payment Integrity Operations Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within......
Whole Health & Health Equity DirectorOffice Location: Nashville, Memphis or Knoxville, TN.Associates are required to live within a 50-mile radius and a 1-hour commute to the Elevance Health major office......
SIGN-ON BONUS: Up to $1,000Location: 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......
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...
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......
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......
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...
Provider Collaboration ManagerOffice Location: Nashville, Memphis or Knoxville, TNAssociates are required to live within a 50-mile radius and a 1-hour commute to the Elevance Health major office (PulsePoint) location list...
Provider Collaboration ManagerOffice Location: Nashville, Memphis or Knoxville, TNAssociates are required to live within a 50-mile radius and a 1-hour commute to the Elevance Health major office (PulsePoint) location list...
Business Analyst IIIOffice location: Nashville, TN; and Indianapolis, IAssociates are required to live within a 50-mile radius and a 1-hour commute to the Elevance Health major office (PulsePoint) location listed......
JR138710 Solutions Management ConsultantResponsible for supporting the planning and implementation of products and services through project leadership, technical oversight, and business partner interactions. Location: Thi...
Carelon's Contact Center Strategy Organization is seeking a Project Manager Sr. Reporting to the Staff VP of Strategic Initiatives, this role will manage multiple technology projects of varying sizes and......
LTSS Service Coordinator - RN ClinicianLocation: Dickson/Houston/Benton CountySign-on Bonus:$2500This is a field position 4-5 days per weekThe LTSS Service Coordinator - RN Clinician is responsible for overall management ...
The Network Support Manager coordinates work flow and tactical implementation of various activities related to maintaining facility, provider network and contracting initiatives. Participates in projects designed to impro...
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...
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......
Program ManagerOffice Location: Nashville, TN; and Indianapolis, IN. This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days physically in office per......
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......
DRG Coding Auditor (DIAGNOSTIC RELATED GROUP)This position will work virtually. Alternate locations may be considered. The Ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint......
Process Expert II – Concept Growth & Discovery - Coordination of BenefitsLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles......
Provider Collaboration ManagerOffice Location: Nashville, Memphis or Knoxville, TNAssociates are required to live within a 50-mile radius and a 1-hour commute to the Elevance Health major office (PulsePoint) location list...
Compliance ManagerLocation: 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 in offi...
Provider Experience ManagerLocation: Tennessee. This position is field-based. The ideal candidate will live within 50 miles of Memphis, Tennessee.Travels to worksite and other locations as necessary.The Provider Experienc...
Whole Health & Health Equity DirectorOffice Location: Nashville, Memphis or Knoxville, TN.Associates are required to live within a 50-mile radius and a 1-hour commute to the Elevance Health major office......
The Provider Network Manager Sr develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically wor...
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......
Location: Candidate should reside within 50 Miles of the Nashville office.The Outreach Care Specialist II is responsible for ensuring that appropriate member treatment plans are followed on moderately complex cases......
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......
Workforce Management AnalystLocation: 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......
Internal Auditor Sr. - SOX & SOC1Location: Elevance Health supports a hybrid workplace model with pulse point sites used for collaboration, community, and connection. Proximity/ within 50 miles to an......
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,......
Provider Contract/Cost of Care ConsultantWe are offering a $5,000 sign-on bonus for this position.Location: This position will work a hybrid I model (remote and in office 1-2 days per week).......
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....
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......
Provider Reimburse Admin Sr.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......
JR139582 Provider Network Manager SrThe Provider Network Manager Sr. develops the provider network through contract negotiations, relationship development, and servicing. Typically works with the most complex providers. C...
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....
Whole Health & Health Equity DirectorOffice Location: Nashville, Memphis or Knoxville, TN.Associates are required to live within a 50-mile radius and a 1-hour commute to the Elevance Health major office......
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......
LTSS Service Coordinator - RN ClinicianLocation: Dickson/Houston/Benton CountySign-on Bonus:$2500This is a field position 4-5 days per weekThe LTSS Service Coordinator - RN Clinician is responsible for overall management ...
LTSS Service Coordinator - ClinicianLocation: Dickson, Cheatham, Davidson CountiesThis is a field position 4-5 days per week$2500 Sign On BonusLTSS Service Coordinator - Clinician this role will be working under......
DLP 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 office locations.The DLP......
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...
Audit & Reimbursement III - Medicare Cost Report AuditLocations: This is a virtual United States based position.National Government Services is a proud member of Elevance Health’s family of brands. We administer......
QM Member Liaison Sr.Office Location: Knoxville, TNAssociates are required to live within a 50-mile radius and a 1-hour commute to the Elevance Health major office (PulsePoint) location listed above. Elevance......
Process Expert Senior – Concept Growth & Discovery - Coordination of Benefits Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50......
Manager II GBD Special Programs (LTSS)Location: The territory for this position is the entire State of Tennessee. Therefore, the selected candidate must reside within 50 miles of Nashville, Knoxville, or......
Provider Experience ManagerLocation: Tennessee. This position is field-based. The ideal candidate will live within 50 miles of Memphis, Tennessee.Travels to worksite and other locations as necessary.The Provider Experienc...
Clinical Operations Associate Medical DirectorCarelon Medical Benefits ManagementLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will liv...
Audit & Reimbursement LeadLocation: This is United States, virtual based position. National Government Services is a proud member of Elevance Health’s family of brands. We administer government contracts for Medicare...
HEDIS Compliance Audit Specialist / Manager (JR140903)Location: Alternate locations in addition to the posted locations may be considered. This position will work in a hybrid model (remote and office). The......
Director GBD Special Programs ServicesOffice Location: Nashville, TNAssociates are required to live within a 50-mile radius and a 1-hour commute to the Elevance Health major office (PulsePoint) location listed above.......
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