Elevance Health jobs

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DATA WAREHOUSE CONSULTANT

Instructs, directs and reviews work of less experience Data Warehouse analysts. . Maintains information policies and procedures to support current and future data information needs. . Ensures proper data definitions, ownership, u...

CompanyElevance Health
AddressNORFOLK, VA
CategoryTransportation/Logistics
Date Posted 2 weeks ago See detail

Data Warehouse Consultant

Elevance Health

NORFOLK, VA

Instructs, directs and reviews work of less experience Data Warehouse analysts. . Maintains information policies and procedures to support current and future data information needs. . Ensures proper data definitions, ownership, u...

Specialty Sales Support Consultant

Elevance Health

DENVER, CO

Supports the growth and retention of large group dental, vision, and supplemental health in assigned regions. Facilitates the administration of contractual requirements and obligations. . Supports the process for requests for pro...

Outside Sales Rep

Elevance Health

BAYAMON, PR

Generate leads through referral development, doctors visits, or follow up on direct mail or other direct response marketing. Network to establish and maintain relationships with community contacts, providers, members, and others...

Clinical Pharmacist- BioPlus Specialty Pharmacy

Elevance Health

SAN ANTONIO, TX

Maintains established procedures concerning quality assurance, security and inventory of controlled substances, and disposal of drugs designated as hazardous waste. . Receives and reviews prescriptions issued by prescribing pract...

Pharmacy Service Coordinator

Elevance Health

North Carolina, United States

Researches and interprets claims issues while ensuring good, accurate and timely customer service for our pharmacy clients. . Understands the intricacies of prescription drug benefits and how they adjudicate. Understands and inte...

Director, Proposal Strategy & Staff

Elevance Health

Norfolk, VA

Coordinates the growth and development of proposal staff.. Evaluates the effectiveness of existing multi-line work streams and recommends changes to maximize effectiveness and drive sales.. Directs and coordinates intake and ass...

Provider Network Manager

Elevance Health

PALO ALTO, CA

Primary focus of this role is contracting and negotiating contract terms with recruitment and renewals for Medicaid FFS providers and support all lines of business Commercial, Medicare Advantage, & Medicaid for local Ancillary pro...

Nurse Reviewer I

Elevance Health

DEERFIELD, IL

Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review. Conducts initial medical necessity re...

Associate Relations Consultant Sr.

Elevance Health

Tampa, FL

Atlanta, GA . Indianapolis, IN . Miami, FL . Tampa, FL . Grand Prairie, TX . Mason, OH . Norfolk, VA . Provides advice, guidance, coaching, and training to associates and managers based on policies and legal consultation, and in...

Patient Financial Coordinator (Co-Pay Card Assistance)-BioPlus Specialty Pharmacy

Elevance Health

DENVER, CO

Takes inbound calls, makes outbound calls. . Understands a patient's financial need and assists with coordinating and enrolling in a Pharmaceutical Manufacturer and/or foundation assistance programs. . Communicates and collabor...

Pharmacy Prior Authorization Representative- BioPlus Specialty Pharmacy

Elevance Health

ALTAMONTE SPRINGS, FL

Reviews accuracy and completeness of Prior Authorization information requested and ensures supporting documents are present and meet company set standards. . Assists with the completion of medical necessity documentation to expe...

GBD Personal Guide

Elevance Health

Augusta, GA

Facilitate and coordinate resolution with internal and external contacts to satisfy a members need. Interprets plan benefit design; resolves complex claim, benefit, and enrollment issues. Performs research to respond to inquiries...

Investigator Senior

Elevance Health

NORFOLK, VA

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

Business Information Developer (Data Engineer Operations Analytics)

Elevance Health

RICHMOND, VA

Assists with data import building and data modeling to enhance the line-of-sight and measurement of operational processes. . Identifies new relationships and patterns within data. . Programs and writes queries and reports. . Dete...

Executive Administrative Assistant I

Elevance Health

Boston, MA

Writes and routes confidential correspondence. Screens, handles, or distributes incoming phone calls and complaints. Maintains confidential correspondence and general files. Orders supplies. Prepares and tracks budgets. Coordinate...

Business Information Developer Senior

Elevance Health

Boston, MA

Develops and executes data mining analyses. Uses program languages to extract data. Develops new and standard reports utilizing data warehouse information. Programs and writes queries and reports. Establishes and maintains strong...

Patient Financial Coordinator - BioPlus Specialty Pharmacy

Elevance Health

ALTAMONTE SPRINGS, FL

Understands a patient's financial needs and assists with coordinating and enrolling them in pharmaceutical manufacturer and/or foundation assistance programs. . Determines which assistance programs are best suited for the patien...

LTSS Service Coordinator-RN Clinician

Elevance Health

ROANOKE, VA

Identifies members for high risk complications and coordinates care in conjunction with the member and the health care team. . Manages members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective...

Foster Care Case Manager (West Region)

Elevance Health

Roanoke, 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...

Provider Relationship Account Manager Sr.

Elevance Health

DENVER, CO

Develops and maintains positive Provider Relationships with the provider community by regular on-site and/or virtual/digital visits, communicating administrative and programmatic changes, and facilitating education and the resolu...

AWS GovCloud Senior Site Reliability Engineer

Elevance Health

NORFOLK, VA

Specializes, creates, and implements cloud-based solutions such as SaaS and PaaS in AWS. . Builds multiple cloud environment infrastructure (Compute, Storage, Network, Backups, DR, and Monitoring). . Works closely with developmen...

Information Security Advisor

Elevance Health

Miami, FL

Provides first-level engineering design functions. . Provides trouble resolution and serves as a point of technical escalation on complex problems. Leads or plans implementations for access management and network security technolo...

Foster Care Case Manager (Central Region)

Elevance Health

Richmond, 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...

Customer Care Representative I - FHPS

Elevance Health

Las Vegas, NV

$16.68 - $25.02 an hour

Job Family: Customer Care Type: Full time. Date Posted: Mar 19, 2024 Anticipated End Date: Apr 12, 2024 Reference: JR109107. From the moment you login, youll be focused on proactively resolving our members and/or providers questi...

Advanced Analytics Consultant (US)

Elevance Health

HANOVER, MD

Provides analytical insights to support business solution development based on quality, use, cost and other key drivers. Develops and refines analysis templates for problem diagnosis and opportunities assessment. Consults on all c...

Behavioral Health Case Manager I

Elevance Health

Indianapolis, IN

Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment...

Data Warehouse Analyst Sr

Elevance Health

NORFOLK, VA

Guides and advises less experienced Data Warehouse Analysts. . Maintains information policies and procedures to support current and future data information needs and ensures proper data definitions, ownership, use and integrity o...

Referral Services Assistant

Elevance Health

LAS VEGAS, NV

Initiates and manages clinical referrals for participants registered in a disease management or health program. Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources. Reviews re...

Director Advanced Analytics

Elevance Health

Norfolk, VA

Description Director Advanced Analytics Location: This position will work a hybrid model (remote and office). Minimum Requirements: Requires a BA/BS in Health Services Research, Health Economics, Epidemiology, Statistics, Applied...

Pharmacist - Clinical Reviewer

Elevance Health

Indiana, United States

Researches and synthesizes detailed clinical data related to pharmaceuticals. May review and approve or deny coverage for pharmaceuticals (as permitted by state/federal law or state/federal program contracts) based on medical nec...