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REPORTING SPECIALIST SENIOR

Identifies data resources. Collects data. Summarizes data and creates and/or updates various reports as decision support tools for management. Leads or participates in special initiatives including projects, meetings, conference...

CompanyElevance Health
AddressATLANTA, GA
CategorySales/marketing
Date Posted a week ago See detail

Reporting Specialist Senior

Elevance Health

ATLANTA, GA

Identifies data resources. Collects data. Summarizes data and creates and/or updates various reports as decision support tools for management. Leads or participates in special initiatives including projects, meetings, conference...

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Strategic Sales Manager

Elevance Health

Ohio, United States

Achieves new business target for all lines of business through expert execution of sales process. . Cultivates deep trust-based relationships and develops comprehensive understandings of client needs and priorities. Acts as a con...

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SCA EDI Helpdesk Tech-Sen (US)

Elevance Health

HARRISBURG, PA

East Syracuse, NY - $20.42 . Indianapolis, IN - $20.42 . Harrisburg, PA - $19.40 . Responds to EDI inquiries and/or requests for assistance from customers. . Identifies, investigates and researches questions and problems with fir...

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Director of Sales - Account Management

Elevance Health

RANCHO CORDOVA, CA

Provides leadership and strategic direction to ensure profitable growth. . Develops strategies and executes retention and sales plans to achieve membership growth and financial goals. . Develops and motivates staff to achieve com...

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Benefit Coordinator (US)

Elevance Health

SAN JUAN, PR

Assist in development of the parameters of each plan to ensure proper claim adjudication. Enters data to prepare new policy or change to existing policy. Perform benefits testing to ensure proper adjudication and the configuration...

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Clin Qual Prog Manager

Elevance Health

SOUTH PORTLAND, ME

Leads state level quality strategy meetings, develops a quality plan, and ensures integration of quality into the overall business process. . Works with the clinical intervention team to design studies to identify barriers to medi...

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Nurse Practitioner – Virtual 24/7 Nurse Line

Elevance Health

AUSTIN, TX

Responsible for reviewing clinical assessments gathered by triage RN and helping develop a plan of care for patients concern. . Provides clinical support to triage RNs as clinical questions or concerns arise. . Will assess and t...

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Claims Representative I

Elevance Health

COLUMBUS, GA

Learning the activities/tasks associated with his/her role. Works under direct supervision. Relies on others for instruction, guidance, and direction. Work is reviewed for technical accuracy and soundness. Codes and processes cla...

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Health Educator Senior

Elevance Health

PALO ALTO, CA

Provides information to members eligible for disease management or medication alert programs. Makes outbound attempts to program members to provide health information according to program standards. Receives or places calls to me...

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Direct Sales Agent Lead

Elevance Health

Roanoke, VA

Coaches and monitors telesales representatives to meet performance standards. Provides feedback to telesales representatives and managers. . Implements daily inbound and outbound schedules and maintains adequate telephone coverag...

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Medicaid Quality Management Health Plan Director Sr.

Elevance Health

INDIANAPOLIS, IN

Works with both internal and external customers to promote broad understanding of Quality Management activities and objectives within the company and to prioritize departmental projects according to corporate, regional, and depart...

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LTSS Service Coordinator - RN Clinician

Elevance Health

Brentwood, TN

Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long...

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PBM Compliance Manager

Elevance Health

SOUTH PORTLAND, ME

Identifies, monitors, revises and tracks business unit processes and implementing procedures to ensure compliance with all related measures. . Identifies potential risks associated with PBM activities and ensures procedures are...

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LTSS Serivce Coordintor-Clinician (LCSW)

Elevance Health

Cary, NC

Identifies members for high risk complications. . Obtains clinical data. . Identifies members that would benefit from an alternative level of care or other waiver programs. . Verifies and interprets the information, conducts...

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Nurse Practitioner - Nurse Line

Elevance Health

Washington, United States

Responsible for reviewing clinical assessments gathered by triage RN and helping develop a plan of care for patients concern. . Provides clinical support to triage RNs as clinical questions or concerns arise. . Will assess and t...

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LTSS Service Coordinator - Polk County, IA

Elevance Health

Des Moines, IA

Responsible for performing face to face program assessments (using various tools with pre-defined questions) for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an in...

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Carelon Sales Executive

Elevance Health

York, ME

Partners with leadership to identify sales opportunities and meet growth objectives. . Consistently builds and manages a sales pipeline. . Meeting and exceeding set sales quotas while adhering to Carelons rules of engagement. T...

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Business Consultant (US)

Elevance Health

BOSTON, MA

May lead teams of analysts assigned to complex projects. Determines specific business application software requirements to address complex and varied business needs. Analyzes and designs solutions to address complex and varied bus...

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Analytics and Operations Support Internship, Summer 2024

Elevance Health

RICHMOND, VA

12 weeks . Paid Summer Internship . Flexible Hybrid Work Schedule . Assist sales with market and prospect analysis . Assist sales with client meeting preparation . Assist sales with broker meeting preparation . Assist the team in...

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LTSS Service Coordinator-Clinician

Elevance Health

Dallas, TX

Assists in identifying members for high-risk complications. . Obtains clinical data and documents according to plan requirements. . Assists in identifying members that would benefit from an alternative level of care or other waiv...

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Regional Sales Manager

Elevance Health

METAIRIE, LA

Develops and implements sales strategies with home office senior management and agents/brokers to increase individual, senior, and specialty sales within their respective territories. . The RSM will work with new and established...

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Wellness & Recovery Specialist/Peer Support Specialist

Elevance Health

Houston, TX

$21.09 - $26.36 an hour

Teach and role model the value of the members recovery experience. Models effective coping techniques and self-help strategies. Serve as a recovery agent by providing and advocating for recovery-based services to assist the membe...

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Managed Care Coordinator

Elevance Health

Chesapeake, VA

...

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License Insurance Customer Care Representative (Bilingual - Korean)

Elevance Health

Los Angeles, CA

$22.38 - $27.98 an hour

Job Family: CUS > Care Reps Type: Full time. Date Posted: Apr 18, 2024 Anticipated End Date: May 16, 2024 Reference: JR107753. Receives and verifies premium payments. Assists customers with information required to make decisions o...

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Walk-In Customer Representative Bilingual Korean

Elevance Health

Los Angeles, CA

$22.39 - $27.98 an hour

Receives and verifies premium payments. Assists customers with information required to make decisions on health care coverage that best meets their needs by explaining benefits and rates for all policies. Researches and responds t...

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LTSS Service Coordinator

Elevance Health

Houston, TX

Responsible for performing face to face program assessments (using various tools with pre-defined questions) for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an ind...

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Investigator I

Elevance Health

NASHVILLE, TN

Using appropriate system tools and databases for analysis of data and review of professional and facility claims to detect fraudulent, abusive or wasteful healthcare insurance payments to providers and subscribers. . Preparation...

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Payment Innovation Dir (US)

Elevance Health

LOUISVILLE, KY

Performs complex market and competitive analysis. . Engages provider technical and clinical teams and other cross functional teams. . Collects business requirements. . Creates Value Based Payment concepts. . Writes High Level Bus...

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Medical Director-Internal Medicine/Hospitalist

Elevance Health

Georgia, United States

Supports clinicians to ensure timely and consistent responses to members and providers. . Provides guidance for clinical operational aspects of a program. . Conducts peer-to-peer clinical reviews with attending physicians or other...

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Referral Specialist I

Elevance Health

RICHMOND, VA

Initiates and manages clinical referrals for pre-authorization. Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources. Reviews referrals for completeness and follows up for add...

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