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Elevance Health jobs

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ASSOCIATE MEDICAL DIRECTOR

Ensures timely completion of clinical case reviews for their board certified specialty. . Makes physician to physician calls to gather medical appropriate information in order to make medical necessity determinations for services...

CompanyElevance Health
AddressWoodland, WA
CategoryHealthcare
Date Posted 2 weeks ago See detail

Associate Medical Director

Elevance Health

Woodland, WA

Ensures timely completion of clinical case reviews for their board certified specialty. . Makes physician to physician calls to gather medical appropriate information in order to make medical necessity determinations for services...

2 weeks ago seen See more...

Culture Transformation Director

Elevance Health

NORFOLK, VA

Developing and leading strategic creative programs in support of the desired culture. Builds and deploys culture creative solutions based on business needs. Leads the design and implementation of creative projects. Drives culture...

2 weeks ago seen See more...

Center Director - Infusion Center

Elevance Health

CINCINNATI, OH

Assign work detail and patient care to available staff within the facility as needed. Abides by company policies and procedures as well as federal, state and/or local guidelines and practices. Monitors Clinical Staff in the clinic...

2 weeks ago seen See more...

LTSS Service Coordinator-RN Clinician

Elevance Health

ARLINGTON, 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...

2 weeks ago seen See more...

Biller (US)

Elevance Health

ALTAMONTE SPRINGS, FL

Review patient account files. . Prepares and reviews billings to be submitted to primary/secondary insurance carriers and/or Medicare/MediCal. . Collects and decreases assigned Accounts Receivable focusing on high value accounts....

2 weeks ago seen See more...

Administrative Assistant - Infusion Center

Elevance Health

CINCINNATI, OH

Oversees staff and processes for check-in, verifying charts are pulled for scheduled appointments, demographics/eligibility is updated, and current forms are being utilized. Listens and responds to patient and/or family members c...

2 weeks ago seen See more...

Internal Audit Manager/Lead

Elevance Health

NORFOLK, VA

Direct administration of multiple audit teams across multiple audits including scheduling, resource management, ensuring quality standards are met, and reporting progress to leadership. Lead assessments of complex processes to ide...

2 weeks ago seen See more...

Resource Workforce Management Analyst I

Elevance Health

SEATTLE, WA

Maintains and updates enrollment profiles for assigned markets, often requiring high volume data entry. Monitors receipt of State enrollment files and communicates issues to management. Responds to enrollment verification request...

2 weeks ago seen See more...

Provider Network Manager Sr

Elevance Health

INDIANAPOLIS, IN

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...

2 weeks ago seen See more...

Grievances and Appeals Analyst I

Elevance Health

LAS VEGAS, NV

Reviews, analyzes and processes non-complex Grievances and Appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, under...

2 weeks ago seen See more...

Pharmacy Tech Specialty III - TX

Elevance Health

PLANO, TX

Assists the pharmacist with dispensing items a physician orders pursuant to a valid prescription. . Check for expired / unusable products and disposes of them properly. . Answers and initiates communications related to providin...

2 weeks ago seen See more...

Strategic Vendor Consultant

Elevance Health

AUSTIN, TX

Assess supplier Medicaid Exhibit requirements aligned to growth/expansion/M&A. Triage incoming supplier contract requests and validate against filing guidelines per state contract. Collaborate with internal/external stakeholders t...

2 weeks ago seen See more...

Nurse Practitioner - Infusion Center

Elevance Health

CINCINNATI, OH

Utilizes evidence-based clinical practice standards to provide direct clinical services for patients within prescribed guidelines and physician instructions. Acts independently to perform individual assessments, diagnostic functi...

2 weeks ago seen See more...

Tier 1 SOC Analyst

Elevance Health

INDIANAPOLIS, IN

Provide second level technical trouble support and solve randomly occurring problems. Support customer service requirements for established information and computer security standards. Administers information security safeguards....

2 weeks ago seen See more...

CarelonRx Account Executive

Elevance Health

KNOXVILLE, TN

Builds and maintains relationships with key customers of specific line of business which may include physicians, urgent care, infusion clinics, hospitals, skilled nursing centers, and payors. Works with leadership to develop terr...

2 weeks ago seen See more...

Tech Program Manager (UM / Referrals)

Elevance Health

GRAND PRAIRIE, TX

Works with business partners to identify and implement multiple complex technical systems and/or products of varying sizes. Manages large systems and/or products. Collaborates and stays engaged with the delivery team. Shields the...

2 weeks ago seen See more...

Associate General Counsel Sr. - Information Security

Elevance Health

Boston, MA

Work closely with the CISOs office on Incident Response in managing and coordinating legal aspects of any cybersecurity incidents. Provide oversight on security-related notification requirements, regulatory compliance, and potent...

2 weeks ago seen See more...

Manager I Customer Care

Elevance Health

TUCSON, AZ

Directs implementation and administration of benefit programs. Prepares and communicates information to appropriate parties regarding benefit programs, procedures, changes and government mandated disclosures. Audits to monitor ef...

2 weeks ago seen See more...

Utilization Management Representative

Elevance Health

CHICAGO, IL

Managing incoming calls or incoming post services claims work. . Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requ...

2 weeks ago seen See more...

Tech Program Manager

Elevance Health

NORFOLK, VA

Coaches and mentors project team members; mentors other project managers around project management methodology. Develops program materials using Powerpoint and other internal and external materials for Interoperability leadership....

2 weeks ago seen See more...

Grievance/Appeals Analyst I

Elevance Health

Lexington, KY

Reviews, analyzes and processes non-complex grievances and appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, under...

2 weeks ago seen See more...

Behavioral Health Case Manager II

Elevance Health

BUFFALO, NY

Responds to more complex cases and account specific requests. . Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. . Conducts assessments to identify individual needs and develops specif...

2 weeks ago seen See more...

LTSS Service Coordinator - RN Clinician

Elevance Health

Roanoke, VA

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 t...

2 weeks ago seen See more...

Pharmacy Technician ll

Elevance Health

Phoenix, AZ

Verify member information and input data for the pharmacists. . Educates members on pharmacy-based rules related to prescriptions and medication resources or assistance programs. . Processes prior authorization requests from phys...

2 weeks ago seen See more...

Government Business Quality Management Health Plan Director-CA

Elevance Health

WOODLAND HILLS, CA

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

2 weeks ago seen See more...

Provider Relationship Account Manager (US)

Elevance Health

HOUSTON, TX

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...

2 weeks ago seen See more...

Operations Expert

Elevance Health

MIDLAND, IN

Serves as a first line resource for operation associates for workflow and technical related processes. Provides operational training. Assists associates by answering day-to-day technical questions. Encourages a teamwork environmen...

2 weeks ago seen See more...

Grievance/Appeals Representative I

Elevance Health

Atlanta, GA

Conducts investigation and review of customer grievances and appeals involving provision of service and benefit coverage issues. . Contacts customers to gather information and communicate disposition of case; documents interactio...

2 weeks ago seen See more...

LTSS Service Coordinator- RN Clinician

Elevance Health

Hampton, 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...

2 weeks ago seen See more...

CarelonRx Account Executive

Elevance Health

CINCINNATI, OH

Builds and maintains relationships with key customers of specific line of business which may include physicians, urgent care, infusion clinics, hospitals, skilled nursing centers, and payors.. Works with leadership to develop ter...

2 weeks ago seen See more...

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