Elevance Health jobs in Norfolk, VA

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BUSINESS ANALYST II

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...

CompanyElevance Health
AddressNORFOLK, VA
CategoryInformation Technology
Date Posted 3 weeks ago See detail

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

Investigator II

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 identifying and...

Internal IT Auditor Sr

Elevance Health

NORFOLK, VA

740 W Peachtree St NW, Atlanta, GA 30308 . 220 Virginia Ave, Indianapolis, IN 46204 . 4241 Irwin Simpson Rd, Mason, OH 45040 . 5800 Northampton Blvd, Norfolk, VA 23502 . 5411 Sky Center Dr, Tampa, FL 33607 . N17W24222 Riverwood D...

WFM Analyst II/Scheduler

Elevance Health

NORFOLK, VA

Monitors call volume demand in real time and flexes workforce accordingly. . Ensures that the best possible call center service levels are achieved to maximize utilization. . Monitors call volume and average speed of answer (ASA)...

Health Program Representative I

Elevance Health

Norfolk, VA

$16.00 - $28.80 an hour

Job Family: Customer Care Type: Full time. Date Posted: Mar 29, 2024 Anticipated End Date: May 31, 2024 Reference: JR111029. Gathers and records appropriate member information in accordance with policies and procedures via telepho...

Utilization Management Rep I (contract)

Elevance Health

Norfolk, VA

$42.3K - $53.6K a year

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 request...

SQL Developer Consultant

Elevance Health

Norfolk, VA

Determines how decision support systems will provide the data required to make effective business decisions. . Performs modeling of information sources and flows. . May coordinate the activities of a project team and monitors proj...

Information Security Executive Advisor – Military OneSource (FedRAMP)

Elevance Health

NORFOLK, VA

Collaborates across enterprise teams to create comprehensive security solutions, integrations, and reference architectures for security patterns that align to FedRAMP High and DoD IL 4/5 requirements. . Recommends updates to clou...

Behavioral Health Case Manager II

Elevance Health

NORFOLK, VA

Behavioral Health Case Manager II with the H.O.P.E. program, serving FEP (Federal Employee Program) members exclusively . Monday - Friday 8a-5p in local time zone . Remote with 50% local fieldwork . The BH Case Manager II is res...

Enterprise Architect Principal - Military OneSource (FedRAMP)

Elevance Health

NORFOLK, VA

Collaborates across enterprise organizations to create comprehensive security solutions, integrations, and reference architectures for security patterns that align to FedRAMP High and DoD IL 4/5 requirements. . Creates and delive...

Lead Marketing Data Scientist

Elevance Health

NORFOLK, VA

Provide analytical insights to support business solution development based on quality, use, cost and other key drivers. . Develop targeting criteria or customer segmentation based on analytical insights, clinical inputs, product...

LTSS Service Coordinator-RN Clinician

Elevance Health

Chesapeake, VA

Identifies members for high risk complications and coordinates care in conjunction with the member and the health care team. . Manages members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective...

Managed Care Coordinator (LPC, LCSW, LBBSW, LMSW, QMHP-A&C, or LPN)

Elevance Health

Norfolk, VA

Assists in identifying members for high risk complications. Obtains clinical data as directed. . Assists in identifying members that would benefit from an alternative level of care or other waiver programs. . Conducts clinical ass...

eCOB Specialist II

Elevance Health

Norfolk, VA

$19.20 - $34.55 an hour

Job Family: Claims Type: Full time. Date Posted: Mar 19, 2024 Anticipated End Date: Apr 05, 2024 Reference: JR108718. Utilizes internal queries, internal resource tools, must initiate delicate-in-nature phone calls to other carrie...

Compliance Consultant

Elevance Health

Norfolk, VA

$66.7K - $84.5K a year

Job Family: Enterprise Operations Type: Full time. Date Posted: Feb 23, 2024 Anticipated End Date: Apr 01, 2024 Reference: JR107132. Report, communicate, research laws, regulations, requirements, regulatory audits and/or exams. Pr...