Elevance Health jobs
Proposal Develop Consultant
Proposal Develop Consultant
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 locations
The Proposal Develop Consultant is responsible for developing responses for complex RFPs/RFIs received by sales personnel from major consulting firms as well as directly from employer groups.
How you will make an impact:
Dental Services Analyst
Dental Services Analyst
Work schedule: Monday - Friday 8:00am to 4:30pm depending on time zone.
Location: This is a virtual position, but candidates must reside within 50 miles of a Elevance Health Pulse Point location.
The Dental Services Analyst is responsible for the analysis of dental claims, radiographs, patient histories and other records to ensure consistent application of and compliance with policy and departmental g...
Program Director- Operational Excellence
Program Director
Location: Alternate locations may be considered. This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live within 50 miles of an Elevance Health PulsePoint location.
AmeriBen is a proud member of the Elevance Health family of companies. We are a third-party administrator (TPA) of medical benefits, also providing medical management, human resource consulting and retirement benefit adm...
Sales Support Coordinator I
Title: Sales Support Coordinator I
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 Sales Support Coordinator I is responsible for supporting new and renewal business in partnership with strategic sales and account associates.
How you will make an impact:
- Provides general administrative support to t...
Med Mgmt Nurse CA (US)
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 determine whether to approve requested service(s) as medically necessary. Works with healthcare providers to understand and assess a member’s clinical picture. Utilizes nursing judgment to determine whether treatment is medically necessary and provides consultation to Medical Direc...
Med Mgmt Nurse CA (US)
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 determine whether to approve requested service(s) as medically necessary. Works with healthcare providers to understand and assess a member’s clinical picture. Utilizes nursing judgment to determine whether treatment is medically necessary and provides consultation to Medical Direc...
Medicare Quality Management Health Plan Director Sr.
Medicare Quality Management Health Planning Director Sr.
Location: This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our California Elevance Health PulsePoint locations.
The Medicare Quality Management Health Planning Director Sr. will be responsible for driving the development, coordination, communication, and implementation of a strategic clinical quality management ...
Manager II Grievances and Appeals (RN)
Manager II Grievance/Appeals (RN)
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 locations.
Expected Work Hours: Monday-Friday; 8am-5pm PST
The Manager II Grievance/Appeals is responsible for management oversight of grievances and appeals departmental units to investigate, resolve, and respond to grievances an...
Associate Medical Director – Physical Medicine and Rehab/Post Acute Care
Clinical Operations Associate Medical Director
Carelon Medical Benefits Management
Location: Alternate locations may be considered. The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
Schedule: 10:00-7:00 Central Time
A proud member of the Elevance Health family of companies, Carelon Post Acute Solutions, formerly myNEXUS, is the leader in health...
Salesforce Architect (Lead Engineer Senior)
Salesforce Architect (Lead Engineer 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 one of our Pulse Point locations in Woodland Hills, CA, Atlanta, GA, Richmond, VA or Mason, OH.
The Salesforce Architect (Lead Engineer Senior) is responsible for leading the end-to-end application system development and maintenance on large comple...