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......
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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...
Washington Court House, Ohio
14 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......
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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......
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
14 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......
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......
Altamonte Springs, Florida
13 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......
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......
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,......
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......
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......
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......
***$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......
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......
East Hartford, Connecticut
20 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......
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...
***$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...
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......
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......
***$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...
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 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......
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......
Oncology Medical Director- Commercial National Division Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will must live within 50......
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......
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......
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......
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......
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......
Medical Director- West Region Medicaid Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles......
Woodbridge Township, New Jersey
20 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....
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......
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......
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......
Blue Ridge Manor, Kentucky
20 days
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...
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...
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...
Behavioral 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.......
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......
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......
Behavioral 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.......
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......
Lauderdale Lakes, Florida
19 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.......
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......
Senior Shareholders Services & Corporate Governance SpecialistLocation: Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, community, and connection...
Outreach Care Specialist IILocation : This is a remote role. Ideal candidates will live within 50 miles of an Elevance Health PulsePoint location in California.A proud member of the Elevance......
Outreach Care Specialist IILocation : This is a remote role. Ideal candidates will live within 50 miles of an Elevance Health PulsePoint location in California.A proud member of the Elevance......
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......
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 ...
Asheville, North Carolina
18 days
Location: Field associates spend 4-5 days per week in-person with patients, members or providers in the Henderson, Buncombe, and surrounding counties of North Carolina.The LTSS Service Coordinator-RN Clinician is responsi...
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......
Title: Operations Expert Location: This position will work a remote model. Ideal candidates will live within 50 miles of one of our PulsePoint locations.The Operations Expert is responsible for providing technical......
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......
Compassionate ConnectorLocation: IN PERSON at one of the following 3-store location clusters in the following zip codes : Philadelphia, PA 19134; 19124; 19148Atlanta, GA 30308; 30331; 30035California - El Cerrito......
Location: Must reside within 50 miles / 1 hour commute of an Elevance Health Pulse Point.Shift: Monday - Friday 10am - 7pm CSTResponsible for performing pre-certification certification and/or authorization......
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......
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......
Manchester, New Hampshire
12 days
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......
Location: Must reside within 50 miles / 1 hour commute of an Elevance Health Pulse Point.Shift: Monday - Friday 10am - 7pm CSTResponsible for performing pre-certification certification and/or authorization......
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......
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