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Elevance Health jobs in California

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NETWORK MANAGEMENT REPRESENTATIVE II

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...

CompanyElevance Health
AddressWOODLAND HILLS, CA
CategoryInformation Technology
Date Posted 4 weeks ago See detail

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...

4 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...

4 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...

4 weeks ago seen See more...

Director Medi-Cal Plan Marketing

Elevance Health

SACRAMENTO, CA

Responsible for coordinating and directing the efforts of the Medicaid growth and engagement initiatives . Ensuring marketing plans within the region meet state contractual requirements . Developing and implementing individual he...

a month ago seen See more...

Engineer, Senior

Elevance Health

COSTA MESA, CA

Maintains active relationships with customers to determine business requirements and leads requirements gathering meetings. Owns the change request process and may coordinate with other teams as necessary. Provides technical advic...

a month ago seen See more...

Director GBD Special Programs Services - CalAIM

Elevance Health

WALNUT CREEK, CA

Directs and oversees program operations in support of corporate and health plan management in execution of clinical service delivery. Monitors national and local health plan market trends relative to the clinical span of the progr...

a month ago seen See more...

HEDIS Business Change Director

Elevance Health

PALO ALTO, 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...

a month ago seen See more...

Wellness Nurse Consultant

Elevance Health

Vacaville, CA

Works consultatively with federal employees and agencies to develop and manage tailored plans/seminars to impact health and wellness including strategies that improve health conditions. . Analyze utilization data to determine the...

a month ago seen See more...

Nurse Appeals-CA

Elevance Health

COSTA MESA, 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 i...

a month ago seen See more...

Nurse Appeals Ld (US)- CA

Elevance Health

COSTA MESA, CA

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

a month ago seen See more...

Provider Relationship Account Consultant - CA

Elevance Health

Walnut Creek, CA

$59,724 - $102,384 a year

Job Family: PND >Provider Relationship Account Mgmt Type: Full time. Date Posted: Mar 25, 2024 Anticipated End Date: Apr 25, 2024 Reference: JR110118. Develops and maintains positive Provider Relationships with provider community...

a month ago seen See more...

Financial Consultant Manager

Elevance Health

Woodland Hills, CA

$94,480 - $170,064 a year

Job Family: Finance and Actuarial Type: Full time. Date Posted: Mar 19, 2024 Anticipated End Date: Apr 02, 2024 Reference: JR101401. Substantial, complex modelling Leads projects and focuses on business process improvement initiat...

a month ago seen See more...

Investigator I

Elevance Health

Washington, CA

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...

2 months ago seen See more...

License Insurance Customer Care Representative (Bilingual - Korean)

Elevance Health

Los Angeles, CA

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...

2 months ago seen See more...

Account Executive - FHPS Field Service Account Consultant I

Elevance Health

WOODLAND HILLS, CA

Manages assigned accounts providing superior quality of services related to sale, enrollment and other consultative services. Conducts Open Enrollment presentations and manages the Open Enrollment process while actively influencin...

2 months ago seen See more...

Health Program Rep II (contract)

Elevance Health

San Francisco, CA

$42K - $53.1K a year

Gathers and records appropriate member information in accordance with policies and procedures via telephone. Encourages members to participate in the Care Management programs by providing information about the program, outlining p...

2 months ago seen See more...

Provider Network Manager

Elevance Health

Cerritos, CA

$64,000 - $115,200 a year

Job Family: Digital and Technology Type: Full time. Date Posted: Mar 05, 2024 Anticipated End Date: May 03, 2024 Reference: JR108184. Serves as key resource for other contracting staff and provides mentoring and on-the-job trainin...

2 months ago seen See more...

Investigator I

Elevance Health

Woodland Hills, CA

$56,880 - $102,384 a year

Job Family: Enterprise Operations Type: Full time. Date Posted: Mar 21, 2024 Anticipated End Date: Apr 18, 2024 Reference: JR108783. Using appropriate system tools and databases for analysis of data and review of professional and...

2 months ago seen See more...

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