Elevance Health jobs in Tennessee

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LTSS SERVICE COORDINATOR - RN CLINICIAN

Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long...

CompanyElevance Health
AddressBrentwood, TN
CategoryInformation Technology
Date Posted 3 days ago See detail

LTSS Service Coordinator - RN Clinician

Elevance Health

Brentwood, TN

Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long...

Investigator I

Elevance Health

NASHVILLE, TN

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. . Preparation...

Compliance Consultant

Elevance Health

NASHVILLE, TN

At the advanced level, report, communicate, research laws at the advanced level, regulations, requirements, regulatory audits and/or exams. . Provide advanced level support to regulatory audits or exams, internal audits, accredit...

CarelonRx Account Executive

Elevance Health

KNOXVILLE, TN

Builds and maintains relationships with key customers of specific line of business which may include physicians, urgent care, infusion clinics, hospitals, skilled nursing centers, and payors. Works with leadership to develop terr...

Behavioral Health Case Manager ll

Elevance Health

NASHVILLE, TN

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...

Provider Network Manager Sr

Elevance Health

NASHVILLE, TN

Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development. . Works independently and requires high level of judgment and discretion. . May work on projects impacting the bus...

Billing Specialist Sr

Elevance Health

NASHVILLE, TN

Maintains billing system database. . Identifies, analyzes, and reconciles discrepancies in data. Posts to sub-ledgers and coordinates account eligibility with Membership areas. Provides billing information to internal and external...

Nurse Reviewer- Home Health

Elevance Health

Brentwood, TN

$73.3K - $92.8K a year

Job Family: Medical and Clinical Type: Full time. Date Posted: Mar 21, 2024 Anticipated End Date: Apr 04, 2024 Reference: JR108851. Conducts initial medical necessity clinical screening and determines if initial clinical informati...

Health Services Director

Elevance Health

Nashville, TN

$147K - $186K a year

Job Family: Medical and Clinical Type: Full time. Date Posted: Feb 26, 2024 Anticipated End Date: Mar 09, 2024 Reference: JR95360. Directs forecasting activities of the business unit focused on setting and achieving short and long...