Elevance Health jobs in Missouri

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OUTREACH CARE SPECIALIST

Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs. Assesses member compliance with medical treatment plans via telephone or through on-site visits. Identifies barriers t...

CompanyElevance Health
AddressNew Hampshire, United States
CategorySales/marketing
Date Posted yesterday See detail

Outreach Care Specialist

Elevance Health

New Hampshire, United States

Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs. Assesses member compliance with medical treatment plans via telephone or through on-site visits. Identifies barriers t...

Strategic Sales Manager

Elevance Health

Ohio, United States

Achieves new business target for all lines of business through expert execution of sales process. . Cultivates deep trust-based relationships and develops comprehensive understandings of client needs and priorities. Acts as a con...

Nurse Practitioner - Nurse Line

Elevance Health

Washington, United States

Responsible for reviewing clinical assessments gathered by triage RN and helping develop a plan of care for patients concern. . Provides clinical support to triage RNs as clinical questions or concerns arise. . Will assess and t...

Medical Director-Internal Medicine/Hospitalist

Elevance Health

Georgia, United States

Supports clinicians to ensure timely and consistent responses to members and providers. . Provides guidance for clinical operational aspects of a program. . Conducts peer-to-peer clinical reviews with attending physicians or other...

Outreach Care Specialist Lead

Elevance Health

Indiana, United States

Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs. Assesses member compliance with medical treatment plans via telephone or through on-site visits. Identifies barriers t...

Mgr II HCMS

Elevance Health

Washington, United States

Engages in the development and implementation of integrated medical management programs across the different member population types covered by the health plan. Ensures continued compliance with specific medical management standa...

Pharmacy Tech II

Elevance Health

Oregon, United States

Verifies member information and inputs data for the pharmacists. . Educates members on pharmacy based rules related to prescriptions and medication resources or assistance programs. . Processes prior authorization requests from p...

Gig Project - Sales Account Consultant (gig)

Elevance Health

Remote

$64.7K - $81.9K a year

The Sales Account Consultant will facilitate Open Enrollment events for our Commercial Medical business for National Accounts, Large Group Accounts, and GRS Business. These events will include Health Fairs, Benefit Fairs, Presenta...

DEI Engagement Internship - Summer 2024, Graduate

Elevance Health

Washington, United States

Provide written and digital content creation in support of DEI strategic priority projects. . Create just-in-time guides/materials for leaders to use when faced with DEI-related discussions . Draft communications for CDEIO & othe...

Account Executive- Paragon Infusion Centers

Elevance Health

Ohio, United States

Builds and maintains relationships with key customers for the infusion center line of business which will include physician offices. . Works with leadership to develop territory sales forecasts and acheive goals. . Qualifies op...

Pharmacy Service Coordinator

Elevance Health

North Carolina, United States

Researches and interprets claims issues while ensuring good, accurate and timely customer service for our pharmacy clients. . Understands the intricacies of prescription drug benefits and how they adjudicate. Understands and inte...

Pharmacist - Clinical Reviewer

Elevance Health

Indiana, United States

Researches and synthesizes detailed clinical data related to pharmaceuticals. May review and approve or deny coverage for pharmaceuticals (as permitted by state/federal law or state/federal program contracts) based on medical nec...

Product & Admin Specialist I

Elevance Health

North Carolina, United States

Responds to questions and concerns from the sales and operations teams. Provides support for product conversions, migrations and implementations. Supports the coordination of proposal activities and responses with other operating...

DEI Strategic Partner

Elevance Health

Washington, United States

Partners with the DEI Director, BU Strategic Partnerships and acts as a Strategic Partner within the Business Units to lead the implementation of business strategies, programs and policies aimed at improving recruitment, developme...

DEI Strategic Partner

Elevance Health

Washington, United States

Partners with the DEI Director, BU Strategic Partnerships and acts as a Strategic Partner within the Business Units to lead the implementation of business strategies, programs and policies aimed at improving recruitment, developme...

Cost of Care Mgr (US)

Elevance Health

Maine, United States

Identifies and develops best practices and Cost of Care improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual benefit design p...

Compliance Consultant Sr

Elevance Health

Minnesota, United States

At the most senior advanced level, report, communicate, research laws, regulations, requirements, regulatory audits and/or exams. Provide senior level analytical support to projects, initiatives, regulatory audits or exams, intern...

Cloud Engineer

Elevance Health

Georgia, United States

Infrastructure as Code (IaC) Terraform modules development and automation with Python, Shell, PowerShell, and other languages. . Create automated Docker images (Windows and Linux) deployment using Helm charts. Update CI/CD pipelin...

Cost of Care Mgr (US)

Elevance Health

New Hampshire, United States

Identifies and develops best practices and Cost of Care improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual benefit design p...

Prior Authorization Rep I - BioPlus Specialty Pharmacy

Elevance Health

Missouri, United States

Enters Prior Authorizations or reauthorizations into the portal and ensures accurate completion of authorization forms. . Submits completed authorization forms to the appropriate insurance plans. . Maintains log of all authoriza...

Process Expert II

Elevance Health

Connecticut, United States

flow problems and system irregularities; develops tests, presents process improvement solutions for new systems, new accounts and other operational improvements; develops and leads project plans and communicates project status. R...

Strategy & Innovation Director

Elevance Health

Georgia, United States

Description Strategy & Innovation Director Location: This position will work a hybrid model (remote and office). Minimum Requirements: Requires a BA/BS degree in Information Technology, Computer Science, or a related field of stud...

Medicare Field Sales Agent

Elevance Health

Missouri, United States

Sells and promotes Senior Services products by coordinating and delivering formal sales presentations to consumer groups, arranging private appointments, making outbound phone calls to prospects, managing temporary support staff,...

Medicare Field Sales Agent

Elevance Health

Ohio, United States

Sells and promotes Senior Services products by coordinating and delivering formal sales presentations to consumer groups, arranging private appointments, making outbound phone calls to prospects, managing temporary support staff,...

Patient Financial Navigator

Elevance Health

Missouri, United States

8 AM-5 PM EST . 9 AM-6 PM EST . 10 AM-7 PM EST . 11 AM-8 PM EST . Understands a patient's financial needs and assists with coordinating and enrolling them in pharmaceutical manufacturer and/or foundation assistance programs. . D...

Strategy & Innovation Director

Elevance Health

Georgia, United States

Description Strategy & Innovation Director Location: This position will work a hybrid model (remote and office). Minimum Requirements: Requires a BA/BS degree in Information Technology, Computer Science, or a related field of stud...

Manager Pharmacy Prior Authorizations

Elevance Health

Missouri, United States

$96.5K - $122K a year

Job Family: Customer Care Type: Full time. Date Posted: Apr 04, 2024 Anticipated End Date: Jun 01, 2024 Reference: JR110175. Ensures adherence to formulary and member benefit structures to provide service that is medically appropr...

Government Benefits State Operations Director- Midwest

Elevance Health

Missouri, United States

Resolves programmatic challenges related to operations including member issues, provider claims issues, contract configuration issues, etc. Serves as liaison to Health Plan support services, which could include: Claims, Enrollmen...

Clin Quality Audit Analyst Sr (contract)

Elevance Health

Remote

$77.6K - $98.3K a year

Participates in on site quality external audits such as NCQA, AAHC, and EQRO, and prepares audits of required documents. Provides recommendations for quality improvement studies including selection of valid and reliable indicators...

Care Consultant Sr (contract)

Elevance Health

Remote

$102K - $129K a year

Obtains and analyzes practice specific cost and quality data. Reports for cost of care and quality opportunities. Helps practice to target high risk Anthem members and gaps in care based on reports provided. Supports practice impl...