Elevance Health jobs
Clinical Ops Associate Medical Director
Location: Virtual; Within 50 miles of any Elevance Health Pulse Point; PST time zone preferred
Shift: Monday – Friday; 8.5-hour shifts between 7am – 7pm CT (later shift hours preferred)
The Clinical Operations Associate Medical Director is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and providers.
How you will make an impact:
E...
Business Change Manager (US)
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.
Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint sites used for collaboration, community, and connection, with the minimum in-office commitment being 1-3 days in an office per week.
Candidates...
Clin Prog Dev Manager (US)
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.
Elevance Health supports a hybrid workplace model (virtual and office) with PulsePoint sites used for collaboration, community, and connection, with the minimum in-office commitment being 1-3 days in an office per week.
Candidates must reside w...
Provider Reimbursement Admin (Evaluation and Management Coding/Auditing)
SIGN-ON BONUS: Up to $1,000
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...
Staff VP & CIO, Carelon Advanced Primary Care & Palliative Care
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 VP, Technology is an integral member of Carelon Technology’s senior leadership team and is a key contributor to the definition and execution of our business strategy. Our organization is working to establish a digital-first...
Behavioral Health Case Manager 1
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 responsible for performing telephonic case management within the scope of licensure for members with behavioral health and physical health needs.
How you will make an impact:
- Uses appropriate screening criteria, knowledge, and cl...
Nurse Reviewer I
Location: This is a Virtual role , Must be located within 50 miles of a Pulse Point
Schedule: 9:30am-6:00pm , Rotating weekend shifts.
Responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines.
- Collaborates with healthcar...
Nurse Reviewer I
Location: This is a Virtual role , Must be located within 50 miles of a Pulse Point
Schedule: 9:30am-6:00pm , Rotating weekend shifts.
Responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines.
- Collaborates with healthcar...
Nurse Reviewer I
Location: This is a Virtual role , Must be located within 50 miles of a Pulse Point
Schedule: 9:30am-6:00pm , Rotating weekend shifts.
Responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines.
- Collaborates with healthcar...
Provider Reimbursement Admin (Evaluation and Management Coding/Auditing)
SIGN-ON BONUS: Up to $1,000
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...