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......
Title: Concierge Service AssociateLocation: This position will work an hybrid model, where candidates will travel to client location in Normal, IL.The Concierge Service Associate will be responsible for assisting national...
Clinical Provider Auditor ISupports Payment Integrity & Behavioral HealthLocation: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live......
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......
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Director, Data Analysis & PlanningLocation: 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......
Business Analytics 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 or Indianapolis,......
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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Technology Compliance Auditor AdvisorLocation: 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......
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: 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......
Business Information Consultant - AILocation: 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......
The Medical Director, Cardiology is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and providers. In this role, you will participate in pre-authorizatio...
Title: Concierge Service AssociateLocation: This position will work an hybrid model, where candidates will travel to client location in Normal, IL.The Concierge Service Associate will be responsible for assisting national...
Title: Concierge Service AssociateLocation: This position will work an hybrid model, where candidates will travel to client location in Normal, IL.The Concierge Service Associate will be responsible for assisting national...
National Account Strategic Exec - National Central Acct ManagementLocation: This position will work a hybrid model (remote and office). The ideal candidate must live within 50 miles of one of......
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 ...
Clinical Operations Associate Medical DirectorCarelon Medical Benefits ManagementRadiology Benefit Management/Utilization ReviewSchedule: Monday-Friday 9AM-5PM Central TimeLocation: Alternate locations may be considered. ...
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......
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......
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...
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......
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......
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......
Title: Concierge Service AssociateLocation: This position will work an hybrid model, where candidates will travel to client location in Normal, IL.The Concierge Service Associate will be responsible for assisting national...
Business 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 Business Consultant......
Proposal Writer Locations: The ideal candidate should live within 50 miles of our Open Access Pulse Points locations listed in this requisition .This position will work in a hybrid model......
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...
Clinical Engine Designer Location: 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 office locations.Preferred......
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......
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).......
National Account Strategic Manager - National Central Acct Management Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one......
Clinical Operations Associate Medical DirectorCarelon Medical Benefits ManagementLocation: Alternate locations may be considered. The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint loca...
Proposal Develop 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 locationsThe Proposal......
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......
Associate General CounselLocation: Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our......
Hours: 10am-630pm ESTLocation: The successful hire will be required to be within 50 miles of one of our company locations (Pulse Point).Please note: The Peer Specialist Certification is required for......
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......
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