Elevance Health jobs
Nurse Audit Senior – Carelon Payment Integrity
Nurse Auditor Senior - Carelon Payment Integrity
Location: 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 one of our Elevance Health PulsePoint locations.
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate, and prevent...
Customer Care Representative I
Customer Care Representative I
$500 Sign On Bonus!
Location: The ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point.
The Customer Care Representative I is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues.
How you will make an impact:
Referral Services Assistant
Referral Services Assistant
Location : This is a remote role. The ideal candidate will live within 50 miles of an Elevance Health PulsePoint location in Illinois, Tennessee, Indiana or California.
Work Schedule : An 8 hour shift based on the needs of the business. The hours of operation are Monday - Friday, between 7 am - 8 pm, Saturday and Sunday 8 am - 12pm CST.
The Referral Services Assistant is respon...
Customer Care Representative I
Customer Care Representative I
$500 Sign On Bonus!
Location: The ideal candidate for this role will live within 50 miles of a Elevance Health Pulse Point.
The Customer Care Representative I is responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues.
How you will make an impact:
Med Mgmt Clinician Sr (US)
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 policies. May collaborate with healthcare providers. Focuses on relatively complex case types that do not require the training or skill of a registered nurse. Acts as a resource for more junior Clinicians. Approval decisions may be subject to review by more senior ...
Med Mgmt Clinician Sr (US)
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 policies. May collaborate with healthcare providers. Focuses on relatively complex case types that do not require the training or skill of a registered nurse. Acts as a resource for more junior Clinicians. Approval decisions may be subject to review by more senior ...
Med Mgmt Clinician Sr (US)
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 policies. May collaborate with healthcare providers. Focuses on relatively complex case types that do not require the training or skill of a registered nurse. Acts as a resource for more junior Clinicians. Approval decisions may be subject to review by more senior ...
Provider Reimbursement Admin (Evaluation and Management Coding/Auditing)
SIGN-ON BONUS: $5,000
Location: 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 the time would be working remotely (from home). Must live within 50 miles of one of our Elevance Health office locations.
The Provider Reimbursement Admin (Evaluation and Management Coding/Auditing) ensures accurate adjudication of claims, by t...
Provider Reimbursement Admin (Evaluation and Management Coding/Auditing)
SIGN-ON BONUS: $5,000
Location: 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 the time would be working remotely (from home). Must live within 50 miles of one of our Elevance Health office locations.
The Provider Reimbursement Admin (Evaluation and Management Coding/Auditing) ensures accurate adjudication of claims, by t...
Reviewer Therapy Svcs-3
Location: This is a virtual position , must be located within 50 miles of the nearest pulse point.
Schedule : Monday-Friday 9:30am-6:00pm PST
Responsible for the review of medical records to determine if requests for therapy services (physical therapy, occupational therapy, and/or speech-language pathology) were medically necessary and filed appropriately.
Primary duties may include...