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Elevance Health jobs in Norfolk, VA

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FOSTER CARE CASE MANAGER (EAST REGION)

Conducts assessments to identify individual needs. Develops comprehensive care plan to address objectives and goals as identified during assessment. Supports member access to appropriate quality and cost effective care and modifi...

CompanyElevance Health
AddressCHESAPEAKE, VA
CategoryHealthcare
Date Posted just now See detail

Foster Care Case Manager (East Region) New

Elevance Health

CHESAPEAKE, VA

Conducts assessments to identify individual needs. Develops comprehensive care plan to address objectives and goals as identified during assessment. Supports member access to appropriate quality and cost effective care and modifi...

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Investigator I New

Elevance Health

NORFOLK, VA

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...

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Solutions Management Director - Utilization Management New

Elevance Health

NORFOLK, VA

Provides consultation and advice to business partners regarding benefits of products and analytics. Explains timelines and measures of success for implementing these products. Coordinates with the Physician Liaison regarding clini...

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Data Warehouse Consultant New

Elevance Health

NORFOLK, VA

Instructs, directs and reviews work of less experience Data Warehouse analysts. . Maintains information policies and procedures to support current and future data information needs. . Ensures proper data definitions, ownership, u...

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Director, Proposal Strategy & Staff New

Elevance Health

Norfolk, VA

Coordinates the growth and development of proposal staff.. Evaluates the effectiveness of existing multi-line work streams and recommends changes to maximize effectiveness and drive sales.. Directs and coordinates intake and ass...

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Investigator Senior New

Elevance Health

NORFOLK, VA

Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims.. Responsible for independently id...

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AWS GovCloud Senior Site Reliability Engineer New

Elevance Health

NORFOLK, VA

Specializes, creates, and implements cloud-based solutions such as SaaS and PaaS in AWS. . Builds multiple cloud environment infrastructure (Compute, Storage, Network, Backups, DR, and Monitoring). . Works closely with developmen...

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Data Warehouse Analyst Sr

Elevance Health

NORFOLK, VA

Guides and advises less experienced Data Warehouse Analysts. . Maintains information policies and procedures to support current and future data information needs and ensures proper data definitions, ownership, use and integrity o...

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Director Advanced Analytics

Elevance Health

Norfolk, VA

Description Director Advanced Analytics Location: This position will work a hybrid model (remote and office). Minimum Requirements: Requires a BA/BS in Health Services Research, Health Economics, Epidemiology, Statistics, Applied...

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Culture Transformation Director

Elevance Health

NORFOLK, VA

Developing and leading strategic creative programs in support of the desired culture. Builds and deploys culture creative solutions based on business needs. Leads the design and implementation of creative projects. Drives culture...

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Internal Audit Manager/Lead

Elevance Health

NORFOLK, VA

Direct administration of multiple audit teams across multiple audits including scheduling, resource management, ensuring quality standards are met, and reporting progress to leadership. Lead assessments of complex processes to ide...

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Tech Program Manager

Elevance Health

NORFOLK, VA

Coaches and mentors project team members; mentors other project managers around project management methodology. Develops program materials using Powerpoint and other internal and external materials for Interoperability leadership....

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Implementation Director

Elevance Health

NORFOLK, VA

Acts as strategic counsel and planner to identify and solution for complex client requests for services and issues arising throughout the course of an Implementation project. . Leads, designs, and participates in various workstr...

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Utilization Management Representative I

Elevance Health

Norfolk, VA

$14.97 - $26.94 an hour

Job Family: CUS > Care Support Type: Full time. Date Posted: Mar 29, 2024 Anticipated End Date: Apr 12, 2024 Reference: JR110000. Managing incoming calls or incoming post services claims work. Determines contract and benefit eligi...

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Utilization Management Representative III

Elevance Health

NORFOLK, VA

Responsible for providing technical guidance to UM Reps who handle correspondence and assist callers with issues concerning contract and benefit eligibility for requested continuing pre-certification and prior authorization of inp...

5 days ago seen See more...

Utilization Management Representative III

Elevance Health

NORFOLK, VA

Responsible for providing technical guidance to UM Reps who handle correspondence and assist callers with issues concerning contract and benefit eligibility for requested continuing pre-certification and prior authorization of inp...

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Software Developer-Application Security Analyst III (US)

Elevance Health

NORFOLK, VA

Participates and completes tasks associated with the implementations for systems and network security technologies; executes testing plans; coordinates and prepares reporting of data security events and incidents; provides system...

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Business Information Analyst II

Elevance Health

NORFOLK, VA

Creates and maintains databases to track business performance. . Analyzes data and summarizes performance using summary statistical procedures. . Develops and analyzes business performance reports (e.g. for claims data, provider...

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Financial Consultant Manager/Lead

Elevance Health

NORFOLK, VA

How you will make an impact: Primary duties may include, but are not limited to: Focuses on business process improvement initiatives and in some departments will help to create innovative financial system solutions to minimiz...

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RACF Security Administrator (US)

Elevance Health

NORFOLK, VA

Provides trouble resolution on complex problems and leads implementations for RACF system security technologies; . Develops testing plans to ensure quality of implementation; coordinates and prepares the reporting of data securit...

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Business Analyst II

Elevance Health

NORFOLK, VA

Analyzes business needs to determine optimal means of meeting those needs. . Determines specific business application software requirements to address specific business needs. . Works with programming staff to ensure requirements...

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Utilization Management Representative I

Elevance Health

NORFOLK, VA

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...

6 days ago seen See more...

Business Analyst I (US)

Elevance Health

NORFOLK, VA

Participates in developing and/or modifying requirements, business design specifications, user training and documentation. Researches and documents business issues. Translates business requirements to technical staff to ensure tha...

7 days ago seen See more...

Portfolio Manager

Elevance Health

NORFOLK, VA

Participates in strategic project planning and annual budgeting. Interacts closely with senior management business partners to plan and ensure project objectives are met and budget aligns with IT budget objectives. Provide strateg...

7 days ago seen See more...

Analyst Sr. – Commercial Claims

Elevance Health

NORFOLK, VA

Works on complex business needs develops epics and user stories manages backlog in tools and research issues. Thorough subject matter expertise and an understanding of business processes. Responsible for working with the Business...

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Nurse Case Mgr I

Elevance Health

NORFOLK, VA

Ensures member access to services appropriate to their health needs. Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during the assessment. Implem...

7 days ago seen See more...

Operations Expert-2

Elevance Health

NORFOLK, VA

Serves as a first line resource for operation associates for workflow and technical related processes; provides operational training; assists associates by answering day-to-day technical questions; encourages a teamwork environmen...

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Telephonic Nurse Case Manager II

Elevance Health

NORFOLK, VA

Ensures member access to services appropriate to their health needs. . Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment. . Imple...

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Government Benefits State Operations Director- Mid Atlantic

Elevance Health

NORFOLK, VA

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...

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Medicare Duals Management Director - Mid Atlantic

Elevance Health

NORFOLK, VA

Support the development of a 3 to 5-year Duals product and growth strategy for the Health Plan and lead coordinating and facilitating enterprise product/process innovation and development activities. Establish performance indicat...

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