Elevance Health jobs in Florida
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MEDICAL MANAGEMENT SPECIALIST I
Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review). . Provides information regarding network providers or general program...
| Company | Elevance Health |
|---|---|
| Address | Tampa, FL |
| Category | Healthcare |
| Date Posted | a week ago See detail |
Medical Management Specialist I
Elevance Health
Tampa, FL
Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review). . Provides information regarding network providers or general program...
a week ago seen See more...
- View all Elevance Health jobs - jobs in Tampa, FL
Network Data Specialist I
Elevance Health
Miami, FL
Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database. . Validates the data to be housed on provider databases and ensuring adherence to business and sy...
a week ago seen See more...
- View all Elevance Health jobs - jobs in Miami, FL
Nurse Care Mgr I
Elevance Health
Miami, FL
Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions and extensions of stay, outpatient services, out of network services, and appropriateness of treatme...
2 weeks ago seen See more...
- View all Elevance Health jobs - jobs in Miami, FL
Program Manager- BioPlus Specialty Pharmacy
Elevance Health
ALTAMONTE SPRINGS, FL
Manages and coordinates the development, approval, implementation and compliance of on-going external client facing programs; develops program budget; ensures program meets its stated objectives; provides subject matter expertise...
2 weeks ago seen See more...
Business Analyst III
Elevance Health
ALTAMONTE SPRINGS, FL
Analyzes complex end user needs to determine optimal means of meeting those needs. . Determines specific business application software requirements to address complex business needs. . Develops project plans and identifies and co...
2 weeks ago seen See more...
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...
2 weeks ago seen See more...
- View all Elevance Health jobs - jobs in Tampa, FL
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...
2 weeks ago seen See more...
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...
2 weeks ago seen See more...
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...
2 weeks ago seen See more...
- View all Elevance Health jobs - jobs in Miami, FL
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...
Billing Spec Sr (US)
Elevance Health
ALTAMONTE SPRINGS, FL
Maintains billing system database; identifies, analyzes and reconciles discrepancies in data; posts to sub ledgers; coordinates account eligibility with membership areas; and provides billing information to internal and external...
2 weeks ago seen See more...
Biller (US)-19
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...
CarelonRx Pharmaceutical Sales Rep-Oncology
Elevance Health
MIAMI, FL
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...
3 weeks ago seen See more...
- View all Elevance Health jobs - jobs in MIAMI, FL
CarelonRx Sales Support Specialist
Elevance Health
ALTAMONTE SPRINGS, FL
Completes administrative duties for efficient operations. . Notifies physician offices of the outcome of patient benefit investigations. . Triages prescriptions to in-network pharmacy in the event that unable to be filled thr...
3 weeks ago seen See more...
Carelon Account Executive III
Elevance Health
Tampa, FL
Responsible for achieving client retention by identifying client strategy and developing deep familiarity with all aspects of client contracts including products, service levels, and client KPIs. . Foster collaboration with key s...
3 weeks ago seen See more...
- View all Elevance Health jobs - jobs in Tampa, FL
Social Services Specialist
Elevance Health
PALM BEACH, FL
Serves as a first line resource for Access Florida representatives. Provides training. Assists associates by answering day-to-day questions and encourages a teamwork environment. Requires HS diploma or equivalent and a minimum of...
3 weeks ago seen See more...
- View all Elevance Health jobs - jobs in PALM BEACH, FL
Pharmacy Claims Admit Representative- BioPlus Specialty Pharmacy
Elevance Health
ALTAMONTE SPRINGS, FL
Participates in claims workflow projects. . Initiates inquiries and steps to assist callers regarding issues relating to the content or interpretation of benefits, policies and procedures, provider contracts, and adjudication of...
3 weeks ago seen See more...
Pharmacy Credentialing Analyst
Elevance Health
ALTAMONTE SPRINGS, FL
Acts as a troubleshooter in resolving payor departmental issues related to credentialing. . Manages and maintains pharmacy license tracking tool to advise pharmacy sites and pharmacists of license renewals. . Maintains confidenti...
3 weeks ago seen See more...
Quality Evaluator (Post Acute HEDIS Measures)
Elevance Health
TAMPA, FL
Provides written and/or verbal feedback to program staff to assist with performance improvement and staff development . Develops reporting and overall performance trend identification . Serves as the subject matter expert in the...
3 weeks ago seen See more...
- View all Elevance Health jobs - jobs in TAMPA, FL
Senior Cloud Engineer
Elevance Health
Lorida, FL
Infrastructure as Code (IaC) Terraform modules development and automation with Python and other languages. . Develop Java applications & services and dependencies to design for Cloud migration with disaster recovery (DR). . Create...
3 weeks ago seen See more...
- View all Elevance Health jobs - jobs in Lorida, FL
Cloud Cyber Security Analyst (Data Protection/DevOps)
Elevance Health
Lorida, FL
Configuring virtual [Linux] servers, AWS, GCP & Azure resources to complete database activity compliance. Troubleshoot, diagnose, and resolve DAM tool related errors, vendor software bugs, and/or functionality issues across a mult...
3 weeks ago seen See more...
- View all Elevance Health jobs - jobs in Lorida, FL
Pharmacy Technician I-Data Entry - BioPlus Specialty Pharmacy
Elevance Health
ALTAMONTE SPRINGS, FL
Verifies member information and inputs data for the pharmacists. Educates members on pharmacy based rules related to prescriptions and medication resources or assistance programs. Complete order set up by verifying insurance for l...
3 weeks ago seen See more...
Membership Representative I
Elevance Health
TAMPA, FL
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 s...
4 weeks ago seen See more...
- View all Elevance Health jobs - jobs in TAMPA, FL
Information Security Advisor
Elevance Health
TAMPA, FL
Provides first level engineering design functions and trouble resolution. . Provides trouble resolution and serves as point of technical escalation on complex problems. . Leads or plans implementations for access management and n...
4 weeks ago seen See more...
- View all Elevance Health jobs - jobs in TAMPA, FL
Pharmacy Customer Associate - BioPlus Specialty Pharmacy
Elevance Health
Altamonte Springs, FL
$15.89 - $19.86 an hour
401(k). 401(k) matching. Dental insurance. Flexible schedule. Health insurance. Health savings account. Life insurance. Paid time off. Referral program. Retirement plan. Tuition reimbursement. Vision insurance. 8 hour shift. Day s...
4 weeks ago seen See more...
Medical Records Clerk (contract)
Elevance Health
Miami, FL
$34.7K - $43.9K a year
Protect the security and integrity of Medical Records to ensure that patient confidentiality is maintained in compliance with company policies and federal, state, and local regulations. Maintains patient files and retrieves files...
4 weeks ago seen See more...
- View all Elevance Health jobs - jobs in Miami, FL
Cost & Budget Consultant/Sr. Financial Analyst
Elevance Health
Altamonte Springs, FL
Leads the annual and monthly cost allocation budget processes. Leads the quarterly forecast process and supports annual budget process. Collects and balances statistical data. Identifies and implements system enhancements and proc...
4 weeks ago seen See more...
Distribution Associate (US)
Elevance Health
Altamonte Springs, FL
$33.6K - $42.5K a year
Job Family: Enterprise Operations Type: Full time. Date Posted: Mar 28, 2024 Anticipated End Date: Apr 15, 2024 Reference: JR110241. Picks products, packages shipments per product specific protocols, prepares shipping labels, etc....
a month ago seen See more...
Broker Service Representative
Elevance Health
Jacksonville, FL
Provides timely and effective responses to service-related concerns and issues. Talks with brokers, groups or account management by phone, email, and/or chat to ensure the best service possible. Answers inquiries regarding health...
a month ago seen See more...
- View all Elevance Health jobs - jobs in Jacksonville, FL
Medical Clinic Receptionist - Bilingual (English/ Spanish)
Elevance Health
Fort Lauderdale, FL
Check in patients by ensuring medical records have been pulled, demographics and eligibility verified/updated, forms completed, co-pay collected. . Check out patients by scheduling return appointments, providing referral inform...
a month ago seen See more...
- View all Elevance Health jobs - jobs in Fort Lauderdale, FL
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