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Elevance Health jobs in California

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EXECUTIVE ADVISOR AND PROGRAM LEAD, GLOBAL BUSINESS RESILIENCE

Initiates, develops, designs, and implements innovative resilience and business continuity initiatives. . Maintains seamless connections with multiple teams across the enterprise to bring strategic leadership to globally coordina...

CompanyElevance Health
AddressRICHMOND, CA
CategoryRetail
Date Posted 2 days ago See detail

Executive Advisor and Program Lead, Global Business Resilience

Elevance Health

RICHMOND, CA

Initiates, develops, designs, and implements innovative resilience and business continuity initiatives. . Maintains seamless connections with multiple teams across the enterprise to bring strategic leadership to globally coordina...

2 days ago seen See more...

Associate General Counsel Sr. (Commercial Transactions)

Elevance Health

Palo Alto, CA

Developing and negotiating a broad spectrum of complex vendor and supply technology transaction types, with experience in health care technology or the health care industry a plus. Advising on complex legal issues related to cloud...

2 days ago seen See more...

Business Change Director

Elevance Health

WOODLAND HILLS, CA

May specialize in one area of organization effectiveness (planning, project portfolio, or culture/change) or be assigned to directly support a business unit and ensures activities are aligned with corporate strategy. . Identifies...

2 days ago seen See more...

RVP Sr Clinical Officer-Commercial CA.

Elevance Health

SAN FRANCISCO, CA

Partnering closely with other leaders to manage the organization's growth, profit & loss (P&L) margin, vendor oversight, stakeholder management, and provider relationships. Sets and executes priorities to improve health care cost...

3 days ago seen See more...

Nurse Medical Management II

Elevance Health

PALO ALTO, CA

Conducts precertification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, be...

3 days ago seen See more...

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...

3 days ago seen See more...

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...

3 days ago seen See more...

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...

6 days ago seen See more...

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...

6 days ago seen See more...

Manager II Grievance/Appeals (RN)

Elevance Health

WOODLAND HILLS, CA

Description Manager II Grievance/Appeals Claims Support Location: *CA Residential Requirement This position will work a hybrid model (remote and office). This range may be modified in the future and actual compensation may var...

7 days ago seen See more...

Nurse Appeals (RN)

Elevance Health

WOODLAND HILLS, CA

Conducts investigations and reviews of member and provider medical necessity appeals. Reviews prospective, inpatient, or retrospective medical records of denied services for medical necessity. Extrapolates and summarizes medical...

7 days ago seen See more...

Reviewer - Therapy Services

Elevance Health

PALO ALTO, CA

Follows the system guidelines that makes decisions on approval for care for a patient. . Processes system generated decisions for authorization requests, meeting all contract requirements, processes, and operational unit goals to...

7 days ago seen See more...

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...

7 days ago seen See more...

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...

a week ago seen See more...

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...

a week ago seen See more...

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...

a week 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...

Director of Medical Mgmt - Home Health, DME UM

Elevance Health

BRENTWOOD, CA

Accountable for meeting company goals and client deliverables, meeting client SLAs and client Performance guarantees- greatly reducing MBM's financial exposure to PG payouts. . Develops short/long-term customer care objectives an...

2 weeks ago seen See more...

Director of Medical Mgmt, Post Acute Care UM

Elevance Health

WOODLAND HILLS, CA

Accountable for meeting company goals and client deliverables, meeting client SLAs and client Performance guarantees- greatly reducing MBM's financial exposure to PG payouts. . Develops short/long-term customer care objectives an...

2 weeks ago seen See more...

Manager I Customer Care

Elevance Health

RANCHO CORDOVA, CA

Description Manager I Customer Care Location: This position will work a hybrid model (remote and office). This range may be modified in the future and actual compensation may vary from posting based on geographic location, work ex...

2 weeks ago seen See more...

Utilization Management Representative II

Elevance Health

PALO ALTO, CA

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...

AWC Lien Support Rep

Elevance Health

Costa Mesa, CA

$91,264 - $136,896 a year

Job Family: FRD > Regulatory Type: Full time. Date Posted: Mar 29, 2024 Anticipated End Date: Apr 13, 2024 Reference: JR110216. Supports all Workers' Compensation clients with liens filed against by contracted providers/facilities...

2 weeks ago seen See more...

Grievance/Appeals Analyst I (California)

Elevance Health

WOODLAND HILLS, CA

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...

Community Health Care Case Worker

Elevance Health

Santa Clara, CA

Responds to telephone, written, and in-person inquiries and initiates steps to assist regarding issues relating to content or interpretation of benefits, policies and procedures. Provides timely and accurate resolution of inquirie...

2 weeks ago seen See more...

Director Service, Quality, & Training

Elevance Health

Mendota, CA

Accountable for claims and/or member services and may also be accountable for adjustments, provider database, provider service and member service for local group membership. . Host service and individual member service will also...

2 weeks ago seen See more...

Strategic Sourcing Manager

Elevance Health

WOODLAND HILLS, CA

Executes standardized Strategic Sourcing processes for assigned sub-categories. Builds and maintains strong working relationships with internal customers and key suppliers for sub-categories. Focuses on cost savings. Participates...

2 weeks ago seen See more...

CarelonRx Pharmaceutical Sales Rep-Dermatology Specialty

Elevance Health

PALO ALTO, CA

Achieves sales of new accounts while maintaining relationships with existing accounts. . Maintains sales effectiveness within the assigned territory. Utilizes databases and other tools to identify key accounts and maximize referr...

2 weeks ago seen See more...

Network Management Representative II

Elevance Health

WOODLAND HILLS, CA

Serves as point of contact for other internal departments regarding provider issues that may impact provider satisfaction. Researches and resolves the more complex provider issues and appeals for prompt resolution. Coordinates pro...

2 weeks ago seen See more...

IT Quality Control Advisor

Elevance Health

IRVINE, CA

Identifies, plans, and executes testing activities to ensure high quality software and ensure compliance according to regulatory statues, policies and procedures. . Tests Web Application software, including Java and. Net. . Tes...

2 weeks ago seen See more...

IT Quality Control Advisor

Elevance Health

IRVINE, CA

Identifies, plans, and executes testing activities to ensure high quality software and ensure compliance according to regulatory statues, policies and procedures. . Tests Web Application software, including Java and. Net. . Tes...

2 weeks ago seen See more...

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Top Jobs

Case Manager, Business Analyst, Medical Assistant, Pharmacy Technician, Medical Management Specialist, Program Manager, Behavioral Health Case Manager, Security Analyst, Service Coordinator, Manager, Nurse Case, Community Health Worker, Tableau Developer, Specialty Pharmacy, Provider Contract,

What companies are hiring for similar jobs Elevance Health?

The top companies hiring now for Elevance Health similar jobs are Compass Group, Lowe's, HCA Healthcare, Veterans Health Administration, H&R Block, Walmart, CVS Health, Dollar General, Care.com, Varsity Tutors, Internal Revenue Service, TARGET, Gotham Enterprises LTD, Sprouts Farmers Market, Elevance Health,

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