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Elevance Health jobs in California

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STAFF VP BUSINESS IMPROVEMENT (FHPS)

As a part of the FHPS senior leadership team, plays a key role in executing and setting the organizational goals and objectives of all of FHPS and each functional area that it supports. . Establishes and maintains partner relatio...

CompanyElevance Health
AddressWOODLAND HILLS, CA
CategoryRetail
Date Posted 15 hours ago See detail

Staff VP Business Improvement (FHPS) New

Elevance Health

WOODLAND HILLS, CA

As a part of the FHPS senior leadership team, plays a key role in executing and setting the organizational goals and objectives of all of FHPS and each functional area that it supports. . Establishes and maintains partner relatio...

15 hours ago seen See more...

Business Information Analyst Senior New

Elevance Health

WOODLAND HILLS, CA

This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Requirements include but are not limited to more stringent and fre...

15 hours ago seen See more...

Associate Medical Director - Sleep Medicine New

Elevance Health

PALO ALTO, CA

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...

15 hours ago seen See more...

AI Audit Analyst New

Elevance Health

PALO ALTO, CA

Lead the development and execution of high-quality risk assessments of AI solutions. . Perform reviews of AI solutions, testing for compliance to Elevance Health standards, policies, and regulations. . Identify risks and collabor...

15 hours ago seen See more...

Membership Representative III

Elevance Health

WOODLAND HILLS, CA

Responds to incoming calls and may initiate outgoing calls, providing customer service to plan members, providers and employer groups by answering benefit questions, resolving issues and educating callers. Verifies enrollment stat...

2 weeks ago seen See more...

Associate General Counsel Sr.- Carelon Network Contracting

Elevance Health

WOODLAND HILLS, CA

Advises business partners on complex contracting best practices; drafts, edits, and revises provider agreements; and leads provider dispute resolution efforts. . Uses professional legal theories and best practices to contribute to...

3 weeks ago seen See more...

Medical Director, Surgical Solution

Elevance Health

Costa Mesa, CA

Develops clinical appropriateness guidelines for the Surgical Solution. . Monitors competitor products and internal medical management capabilities and responds with recommendations for improvement in company models. . Contributes...

3 weeks ago seen See more...

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...

4 weeks 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...

4 weeks 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...

4 weeks 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...

a month 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...

a month 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...

a month 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...

a month 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...

a month 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...

a month 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...

a month 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...

a month 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...

a month 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...

a month 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 month 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 month 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 month 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...

a month 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...

a month 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...

a month 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...

a month 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...

a month 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...

a month 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...

a month 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, The University of Kansas Health System, TEKsystems, Mercyhealth, ProCare Therapy, Humana,

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