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PROGRAM MANAGER - PARTICIPANT DIRECTIONS COORDINATOR, LTSS

Manages and coordinates the development, approval, implementation, and compliance of the Participant Directed Attendant Care program; ensures program meets its stated objectives; provides subject matter expertise in response to d...

CompanyElevance Health
AddressIndianapolis, IN
CategoryInformation Technology
Date Posted 2 weeks ago See detail

Program Manager - Participant Directions Coordinator, LTSS

Elevance Health

Indianapolis, IN

Manages and coordinates the development, approval, implementation, and compliance of the Participant Directed Attendant Care program; ensures program meets its stated objectives; provides subject matter expertise in response to d...

Technical Project Manager Senior (US)

Elevance Health

PLANO, TX

Manages projects at least $5-7 M in size or equal complexity. Directs system analysts, software designers and programmers to determine best methods to achieve project objectives. Coaches and mentors project team members. Mentors o...

Compensation Manager (US)

Elevance Health

Atlanta, GA

Provides expertise and on-going leadership in various compensation issues and policy development. Leads various corporate-wide compensation initiatives including incentive plan design, merit process, total direct compensation anal...

Program Manager- BioPlus Specialty Pharmacy

Elevance Health

ALTAMONTE SPRINGS, FL

Manages and coordinates the development, approval, implementation and compliance of on-going external client facing programs; develops program budget; ensures program meets its stated objectives; provides subject matter expertise...

Business Analyst Internship - Summer 2024, Undergraduate

Elevance Health

WOODLAND HILLS, CA

Analyzes business and IT needs to determine optimal means of meeting those needs. . Responsible for developing strategies, programs and solutions based on business priorities, consumer insights and industry trends that support di...

Provider Collaboration Manager Sr.

Elevance Health

LOUISVILLE, KY

Provides support for assigned provider contracts. Manage and oversee the value-based program intake process. Obtains and analyzes financial performance quality metrics and reports to providers on the impact to performance. Support...

Customer Care Representative II - Dental

Elevance Health

LATHAM, NY

Heres what Elevance Health offers: A career path with opportunity for growth Ability to obtain your Associates or Bachelors degree or further your education with tuition reimbursement. Affordable Health Insurance...

Provider Network Manager Sr.

Elevance Health

DENVER, CO

Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development. . Works independently and requires high level of judgment and discretion. . May work on projects impacting the busi...

Gig Project - Sales Account Consultant (gig)

Elevance Health

Remote

$64.7K - $81.9K a year

The Sales Account Consultant will facilitate Open Enrollment events for our Commercial Medical business for National Accounts, Large Group Accounts, and GRS Business. These events will include Health Fairs, Benefit Fairs, Presenta...

Nurse Reviewer I

Elevance Health

PALO ALTO, CA

California. Washington. Nevada. Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review. Condu...

Director, Behavioral Health Services, Kansas

Elevance Health

Kansas City, KS

Drives and assists in the design of strategic plans and management of enterprise-wide, large-scale clinical initiatives, pilots, and projects promoting quality care. Directs and oversees innovation initiatives, data analysis acti...

Investigator II

Elevance Health

Atlanta, GA

Claim reviews for appropriate coding, data mining, entity review, interviewing, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for iden...

LTSS Service Coordinator - Clinician

Elevance Health

ROANOKE, VA

Assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long te...

Business Analyst III

Elevance Health

ALTAMONTE SPRINGS, FL

Analyzes complex end user needs to determine optimal means of meeting those needs. . Determines specific business application software requirements to address complex business needs. . Develops project plans and identifies and co...

Foster Care Case Manager (Northern Region)

Elevance Health

Arlington, VA

Conducts assessments to identify individual needs. Develops comprehensive care plan to address objectives and goals as identified during assessment. Supports member access to appropriate quality and cost effective care and modifi...

Quality Evaluator Senior

Elevance Health

CHICAGO, IL

Responsible for care center training and the preceptor program, conducting the quality calibration process and acts as a preceptor to new Quality Evaluators or Quality Evaluators in need of performance improvement. . Develops and...

DEI Engagement Internship - Summer 2024, Graduate

Elevance Health

Washington, United States

Provide written and digital content creation in support of DEI strategic priority projects. . Create just-in-time guides/materials for leaders to use when faced with DEI-related discussions . Draft communications for CDEIO & othe...

Prior Authorization Rep I - BioPlus Specialty Pharmacy

Elevance Health

INDIANAPOLIS, IN

Enters Prior Authorizations or reauthorizations into the portal and ensures accurate completion of authorization forms. . Submits completed authorization forms to the appropriate insurance plans. . Maintains log of all authoriza...

Community Health Worker

Elevance Health

GLENDALE, CA

Meets patient in clinic, facility or at home to help identify social determinants of health impacting patients health and general well-being. Collaborates with social worker and/or care manager to develop action plan. Develops t...

Foster Care Case Manager (East Region)

Elevance Health

CHESAPEAKE, VA

Conducts assessments to identify individual needs. Develops comprehensive care plan to address objectives and goals as identified during assessment. Supports member access to appropriate quality and cost effective care and modifi...

RN Nurse Case Manager I

Elevance Health

Richmond, VA

Ensures member access to services appropriate to their health needs. . Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. . Imple...

State of NH, Claims Manager

Elevance Health

WOBURN, MA

Plans, directs, and controls the resources and efforts of an operational unit within blended Digital Operations organization. Supports objectives of the company and the blended Digital Ops organization. Supports digitization initi...

Financial Analyst Sr.

Elevance Health

ATLANTA, GA

Prepares budgets, forecasts, trend analyses and expense accruals. Provides information for various monthly journal entries. Compiles and prepares standard and adhoc financial reports. MBA, CPA, or CMA preferred....

Telemarketing Rep MMM

Elevance Health

HATILLO, PR

Coordinate seminars, transfer call to in office reps or for In Home Visits. . Make calls to possible beneficiaries to coordinate CMS approved activities, assistance, in-home visits, or transfer calls to In Office representatives f...

Investigator I

Elevance Health

NORFOLK, VA

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. . Review of med...

Account Executive- Paragon Infusion Centers

Elevance Health

Ohio, United States

Builds and maintains relationships with key customers for the infusion center line of business which will include physician offices. . Works with leadership to develop territory sales forecasts and acheive goals. . Qualifies op...

Solutions Management Director - Utilization Management

Elevance Health

NORFOLK, VA

Provides consultation and advice to business partners regarding benefits of products and analytics. Explains timelines and measures of success for implementing these products. Coordinates with the Physician Liaison regarding clini...

Business Information Developer Senior (Senior Data Engineer)

Elevance Health

RICHMOND, VA

Assists with data import building, data modeling, and data sense-making to enhance the line-of-sight and measurement of operational processes. . Identifies new relationships and patterns within data. . Establishes connectivity to...

Actuarial Analyst II

Elevance Health

DENVER, CO

Perform actuarial pricing for large-group commercial medical products. Develop and test models to facilitate pricing factor developments and strategy refinement. Analyze complex data, conduct research, identify critical trends, a...

Senior Investigator

Elevance Health

Morristown, NJ

Claim reviews for appropriate coding, data mining, entity review, interviewing, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for inde...