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Elevance Health jobs in Nevada

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NETWORK EDUCATION REP SR

Provides/coordinates provider training for claims and billing procedures, contract compliance, medical management, and pharmacy issues. Promotes provider compliance with local/state/region/federal regulations through provider for...

CompanyElevance Health
AddressLAS VEGAS, NV
CategoryInformation Technology
Date Posted 2 days ago See detail

Network Education Rep Sr

Elevance Health

LAS VEGAS, NV

Provides/coordinates provider training for claims and billing procedures, contract compliance, medical management, and pharmacy issues. Promotes provider compliance with local/state/region/federal regulations through provider for...

2 days ago seen See more...

Customer Care Representative I

Elevance Health

Henderson, NV

Responds to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims. . Analyzes problems and provides information/solutions. Opera...

2 days ago seen See more...

Community Health Care Case Worker

Elevance Health

Las Vegas, NV

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...

4 days ago seen See more...

Customer Care Representative I, II - Dental

Elevance Health

LAS VEGAS, NV

Description Title: Customer Care Representative I, II Location: Las Vegas, NV, Colorado Springs, CO, Des Moines, IA, or Gilbert, MN. Affordable Health Insurance, Dental, Vision and Basic Life 401K match, Paid Time Off, H...

7 days ago seen See more...

Customer Care Representative I - FHPS

Elevance Health

Las Vegas, NV

$16.68 - $25.02 an hour

Job Family: Customer Care Type: Full time. Date Posted: Mar 19, 2024 Anticipated End Date: Apr 12, 2024 Reference: JR109107. From the moment you login, youll be focused on proactively resolving our members and/or providers questi...

2 weeks ago seen See more...

Referral Services Assistant

Elevance Health

LAS VEGAS, NV

Initiates and manages clinical referrals for participants registered in a disease management or health program. Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources. Reviews re...

2 weeks ago seen See more...

Grievances and Appeals Analyst I

Elevance Health

LAS VEGAS, NV

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...

Primary Care Physician- Las Vegas, Nevada

Elevance Health

LAS VEGAS, NV

Provides medical patient care by interviewing, examining, and treating clinical patients. . Educates patients and families on wellness, prevention, and early detection. . Provides referrals based on examination and patient needs....

2 weeks ago seen See more...

Prior Authorization Representative II - Las Vegas, NV - BioPlus Specialty Pharmacy

Elevance Health

LAS VEGAS, NV

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 exped...

2 weeks ago seen See more...

Sr. Pharmacy Account Executive

Elevance Health

LAS VEGAS, NV

Provides strategic planning and account management for large accounts. Directs and manages the administration of contractual requirements and obligations. . Manages the new and renewal implementation process for accounts. Interfac...

2 weeks ago seen See more...

Manager of Medical Management - DMEPOS Clinical Solutions

Elevance Health

LAS VEGAS, NV

Ensures adherence to medical policy and member benefits in providing service that is medically appropriate, high quality, and cost effective. Areas managed may include authorizing inpatient admissions, outpatient services, focused...

2 weeks ago seen See more...

Pharmacy Cust Associate I (US)

Elevance Health

LAS VEGAS, NV

Develops and maintains positive customer relations and coordinates with functions within the company to ensure customer requests are handled and resolved appropriate and in a timely manner. Interacts with internal and external cus...

2 weeks ago seen See more...

Clinical Nurse Concierge- Infusion

Elevance Health

Las Vegas, NV

Introduce and inform current and new immunoglobulin patients and referral sources about the services and programs offered. Provide additional touchpoint to customers, be a resource for outside salespeople, and help solve problems...

2 weeks ago seen See more...

Manager I – Grievance & Appeals - Provider Disputes

Elevance Health

LAS VEGAS, NV

Monitors, trends, and analyzes grievance and appeals data for submission to appropriate parties. Serves as a clinical resource expert and mentor to unit and other departments for complex issues and interpretation of regulatory sta...

3 weeks ago seen See more...

BH Case Mgr II

Elevance Health

Las Vegas, NV

Responds to more complex cases and account specific requests. Uses appropriate screening criteria knowledge and clinical judgment to assess member needs. Conducts assessments to identify individual needs and develops specific car...

2 months ago seen See more...

RVP & Plan President Nevada Medicaid Health Plan

Elevance Health

Las Vegas, NV

$198,080 a year

Job Family: Business Development and Planning Type: Full time. Date Posted: Mar 08, 2024 Anticipated End Date: Apr 05, 2024 Reference: JR107725. Run Anthems government health insurance business for Medicaid in Nevada and take ful...

2 months ago seen See more...

Manager, Pharmacy Prior Authorizations - BioPlus Specialty Pharmacy

Elevance Health

Las Vegas, NV

$75,705 - $113,505 a year

Job Family: Customer Care Type: Full time. Date Posted: Mar 05, 2024 Anticipated End Date: Mar 18, 2024 Reference: JR107983. Ensures adherence to formulary and member benefit structures to provide service that is medically appropr...

2 months ago seen See more...

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