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......
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......
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......
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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......
Rancho Cordova, California
12 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...
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...
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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......
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......
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......
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......
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......
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......
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......
Director II, TechnologyLocation: 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 Director......
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......
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...
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......
A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform delivers significant cost-of-care sav...
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......
Data Science Internship – Summer 2025Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Chicago, IL, Norfolk, VA,......
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......
Rancho Cordova, California
1 day
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......
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......
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......
Telephonic Nurse Case Manager IILocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Hours: Monday - Friday 9:00am to 5:30pm EST and......
Clinical Operations Associate Medical DirectorCarelon Medical Benefits ManagementRadiology Benefit Management/Utilization ReviewSchedule: Monday-Friday 9AM-5:30PM Central TimeLocation: Alternate locations may be considere...
Referral Services AssistantLocation : This is a remote role. The candidate must reside within 50 miles of an Elevance Health PulsePoint location in Illinois, Tennessee, Indiana or California.Work Schedule :......
Staff VP & CIO, Carelon Advanced Primary & Palliative Care Location: Within 50 miles of a PulsePoint office preferably Costa Mesa, CA, Altanta, GA, Indianapolis, IN, or Grand Prairie, TX Summary The Staff......
Medicare Star Strategy & Program Development DirectorLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance......
Medicare Star Strategy & Program Development DirectorLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance......
Insurance Customer Care Representative- Bilingual (Korean)Location: On-site 2789 W OLYMPIC BLVDThe Insurance Customer Care Representative - Bilingual (Korean) is responsible for handling all walk-in customers by respondin...
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......
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......
A proud member of the Elevance Health family of companies, Carelon Research, formerly HealthCore, Inc., works with life sciences companies, payers and providers, and government and academic organizations to provide......
Rancho Cordova, California
12 days
Wellness Nurse ConsultantSign Bonus: $5000At Federal Health Products and Services - FHPS, a proud member of the Elevance Health, Inc. family of companies, it’s a powerful combination, and the foundation......
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...
Location: This is a virtual positionShift: Monday-Friday, 8am-5pm PST or CSTResponsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizi...
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...
Carelon 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 clinicians and......
Advanced Analytics ConsultantLocation: This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal candidates will live or be willing to relocate to......
Carelon 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 clinicians and......
Carelon 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 clinicians and......
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 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......
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......
San Francisco, California
6 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...
Business Strategy Planning Director -CaliforniaLocation: 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 Business Strateg...
The Provider Operations Manager is responsible for developing, executing and delivering operational readiness plans for provider experience strategic initiatives. Primary duties may include, but are not limited to:Leads ...
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 position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office per week.**The ideal candidate will live within 50 miles......
Business Strategy Planning Director -CaliforniaLocation: 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 Business Strateg...
A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform delivers significant cost-of-care sav...
Location: Within 50 miles of any Elevance Health Pulse Point officeShift: Monday – Friday; 8.5-hour shifts between 7am – 7pm CT (later shift hours preferred)The Clinical Ops Medical Director opportunity......
Managing Associate General Counsel SeniorLocation: This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of a PulsePoint location. The Managing Associate General Counsel......
Location: This is a hybrid role that requires you to work from the Woodland Hills, CA office 1 - 2 times each week or minimum 1 day/week. One must reside......
Location: Virtual; Within 50 miles of any Elevance Health Pulse Point (Chicago, IL; Costa Mesa, CA; Woodland Hills, CA preferred)Shift: Monday – Friday; 8.5-hour shifts between 7am – 7pm CT......
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......
Telephonic Nurse Case Manager IILocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Hours: Monday - Friday 9:00am to 5:30pm EST and......
Referral Services AssistantLocation : This is a remote role. The candidate must reside within 50 miles of an Elevance Health PulsePoint location in Illinois, Tennessee, Indiana or California.Work Schedule :......
Clinical Operations Associate Medical DirectorCarelon Medical Benefits ManagementRadiology Benefit Management/Utilization ReviewSchedule: Monday-Friday 9AM-5:30PM Central TimeLocation: Alternate locations may be considere...
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......
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...
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...
An Engineering Intern will be responsible for supporting the company’s Digital Platform AI Operations Team. During the program our Interns will receive an orientation to the company and engage in......
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......
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......
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......
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......
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....
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......
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......
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......
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...
Title: Outreach SpecialistLocation: This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations.The Outreach Specialist will be......
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...
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......
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......
Location: This is a Virtual role , Must be located within 50 miles of a Pulse Point Schedule: Monday- Friday 9:30am-6:00pm PST, ability to work rotating weekends.Responsible for conducting preauthorization,......
Location: Must reside within 50 miles / 1 hour commute of an Elevance Health Pulse Point.Shift: Mon - Friday 10am - 7pm CSTResponsible for performing pre-certification certification and/or authorization......
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......
Rancho Cordova, California
1 day
Referral Services AssistantLocation : This is a remote role. The candidate must reside within 50 miles of an Elevance Health PulsePoint location in Illinois, Tennessee, Indiana or California.Work Schedule :......
Referral Services AssistantLocation : This is a remote role. The candidate must reside within 50 miles of an Elevance Health PulsePoint location in Illinois, Tennessee, Indiana or California.Work Schedule :......
Telephonic Nurse Case Manager IILocation: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.Hours: Monday - Friday 9:00am to 5:30pm EST and......
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...
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...
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...
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 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......
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...
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......
Care Consultant Sr. (California Provider Success) – JR138458Location: Must reside in the state of California, and within 50 miles (1 hour commute) of one of the following offices AND be......
Care Consultant Sr. (California Provider Success) – JR138458Location: Must reside in the state of California, and within 50 miles (1 hour commute) of one of the following offices AND be......
Care Consultant Sr. (California Provider Success) – JR138458Location: Must reside in the state of California, and within 50 miles (1 hour commute) of one of the following offices AND be......
Associate General Counsel - LitigationLocation: Woodland Hills, CAThis position will work in a hybrid model (virtual and office). Candidates must reside within 50 miles of Woodland Hills Elevance Health PulsePoint......
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