Elevance Health jobs
Nurse Reviewer I
Nurse Reviewer I
The ideal candidate will live within 50 miles and a 1-hour commute to one of our Elevance Health major office (PulsePoint) locations. Elevance Health supports a hybrid workplace model with PulsePoint sites used for collaboration, community, and connection.
The Nurse Reviewer I is responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing appro...
Business Development Manager
Location: Indianapolis IN, Atlanta GA, New York NY, Woodland Hills CA, Washington D.C
Hours: Monday - Friday
Travel: Hybrid (1-2 days onsite per week)
Position Overview:
Responsible for leading the development of Medicaid Risk Adjustment business plans and strategies for both new and existing Medicaid markets.
How You Will Make an Impact:
Leads the analysis of...
Nurse Reviewer Associate
Nurse Reviewer Associate
The ideal candidate will live within 50 miles and a 1-hour commute to one of our Elevance Health major office (PulsePoint) locations. Elevance Health supports a hybrid workplace model with PulsePoint sites used for collaboration, community, and connection.
The Nurse Reviewer Associate is responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services b...
Proposal Manager – Medicaid Business Development
Proposal Manager - Medicaid Business Development
Location: 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 PulsePoint locations. Travels to worksite and other locations as necessary.
The Proposal Manager is responsible for leading the proposal process, manages cross-functional resources to complete proposals, ensures quality, com...
Advanced Analytics Analyst Sr
Location: Indianapolis IN, Atlanta GA, New York NY, Washington D.C, Woodland Hills CA
Hours: Monday - Friday
Travel: Hybrid (1-2 days onsite per week)
Position Overview:
Creates statistical models to predict, classify, quantify, and/or forecast Medicaid and Medicaid Risk Adjustment business metrics. Design modeling studies to address specific business issues determined by consultation with our health plan p...
Nurse Reviewer Associate
Nurse Reviewer Associate
The ideal candidate will live within 50 miles and a 1-hour commute to one of our Elevance Health major office (PulsePoint) locations. Elevance Health supports a hybrid workplace model with PulsePoint sites used for collaboration, community, and connection.
The Nurse Reviewer Associate is responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services b...
LTSS Network Relations Consultant
Locations: Woodland Hills CA, Costa Mesa CA
Hours: Monday - Friday
Travel: Field Based Role (travel throughout assigned territory in California + occasional office milestone/meetings)
Position Overview:
Develops and maintains positive provider relationships with provider community by regular on-site visits, communicating administrative and programmatic changes, and facilitating, education and the res...
Business Change Manager
Business Change Manager
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 one of our Elevance Health PulsePoint locations.
The Business Change Manager is responsible for working with management to identify and implement varied projects, programs and plans that support achievement of business unit and enterprise goals...
Business Change Director
Business Change 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 one of our Elevance Health PulsePoint locations.
he Business Change Director is responsible for working with management to identify and implement varied projects, programs and plans that support achievement of business unit and ...
340B Contract Sales Executive – BioPlus Specialty Pharmacy
Title: 340B Contract Sales Executive
BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that’s easy and focused on whole health. Through our distinct clinical expertise, digital capabilities, and broad access to specialty medications across a wide range of conditions, we deliver an el...