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......
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......
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......
Director, Program Management – Strategic Initiatives Execution Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). The Ideal candidate will live within 50......
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Health Benefits Financial 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......
The Network Services and Programs, Provider Network Mgr develops the provider network through contract negotiations (language and rates), relationship development, and servicing. Primary focus of this role is contracting ...
Audit & Reimbursement II- Medicare Cost Report Audit Locations: This is a United States based, virtual position. National Government Services is a proud member of Elevance Health’s family of brands.......
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The Learning Experience Dsgnr Ld is responsible for analyzing, designing, building, and implementing business-aligned, integrated learning solutions using a variety of techniques and tools. Primary duties may include, but...
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.....
Clinical Quality Program Administrator-Risk ManagementLocation: 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......
Cost of Care Analyst IILocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live within 50 miles of......
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...
Nurse/CPC - Clinical Fraud Investigator Senior - SIU Fraud & AbuseLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate......
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......
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...
Provider Collaboration Director-TennesseeLocation: This position will work a hybrid model (remote and office). Ideal candidate will reside within 50 miles/1 hour commute of the posted Elevance Health location.The Provider...
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......
Nurse/CPC - Clinical Fraud Investigator II - SIU Fraud & AbuseLocation: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will......
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......
Business Information Analyst IILocation: 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 Change Manager, Senior – Special Investigation Unit - Fraud and AbuseLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles......
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......
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....
Group Underwriting Consultant, SeniorLocation: This position is available to qualified candidates within the contiguous US. Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility ...
Audit & Reimbursement III- Medicare Cost Report Audit This is a United States based, virtual position.National Government Services is a proud member of Elevance Health’s family of brands. We administer......
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).......
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...
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......
Security Analyst IIILocation: Ideal candidates will live or be willing to relocate to within 50 miles of one of our Pulse Point locations.Work Hours: Monday to Friday, 8:00 am to......
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......
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 ...
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 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......
A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. Carel...
Business Information Analyst Sr. - Cost of CareLocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within 50......
Medicaid Product Management Director for VisionLocation: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of......
Manager Clinical Quality – HEDIS (JR142001)Location: This position is part of our Hybrid 1 workplace strategy and requires work in the local office at least 1 day each week. Will......
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