Elevance Health jobs in Virginia

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CUSTOMER CARE REPRESENTATIVE I, II

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. . O...

CompanyElevance Health
AddressNORFOLK, VA
CategoryInformation Technology
Date Posted 2 days ago See detail

Customer Care Representative I, II

Elevance Health

NORFOLK, VA

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. . O...

Performance Quality Auditor II

Elevance Health

NORFOLK, VA

Evaluates the quality and accuracy of transactions and/or communications with providers, groups, and/or policyholders. . Identifies, documents, and reports any transaction errors or communications issues in a timely manner to ens...

Security Analyst Senior - Integration Management

Elevance Health

NORFOLK, VA

Lead strategic discussions to facilitate planning of integration activities, identify and remediate risks and issues, drive decisions, and track integration activity progress. . Facilitate cross-functional discussions to address...

Business Information Developer Consultant Senior

Elevance Health

NORFOLK, VA

Undertakes complex assignments requiring additional specialized technical knowledge. . Develops very complex and varied strategic report applications from a data warehouse. . Establishes and communicates common goal and direction...

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...

Specialty Sales Dir - Specialty Sales

Elevance Health

NORFOLK, VA

Focuses on strengthening key relationships, while driving sales and retention results. . Works in partnership with local medical leadership and teams to ensure field sales and retention team goals are met. . Fosters both interna...

Business Information Developer Consultant (Level 3 Data Engineer)

Elevance Health

RICHMOND, VA

Establish connectivity to operations source systems and data repositories. . Conduct data discovery work to understand strengths, limitations, and opportunities within the available data. . Build an increasingly comprehensive und...

Direct Sales Agent Lead

Elevance Health

Roanoke, VA

Coaches and monitors telesales representatives to meet performance standards. Provides feedback to telesales representatives and managers. . Implements daily inbound and outbound schedules and maintains adequate telephone coverag...

Analytics and Operations Support Internship, Summer 2024

Elevance Health

RICHMOND, VA

12 weeks . Paid Summer Internship . Flexible Hybrid Work Schedule . Assist sales with market and prospect analysis . Assist sales with client meeting preparation . Assist sales with broker meeting preparation . Assist the team in...

Managed Care Coordinator

Elevance Health

Chesapeake, VA

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Referral Specialist I

Elevance Health

RICHMOND, VA

Initiates and manages clinical referrals for pre-authorization. Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources. Reviews referrals for completeness and follows up for add...

Business Information Developer Consultant

Elevance Health

NORFOLK, VA

Works with Data Science/Carelon Digital to develop Clinical Artificial Intelligence (AI) solutions for the Medical Management team. . Leverages Large Language Models (LLMs) to develop and implement solutions. . Leverages clinical...

LTSS Service Coordinator - Clinician

Elevance Health

Roanoke, VA

Assists responsible RN in identifying members for high risk complications. Obtains clinical data as directed by the responsible RN. . Assists the responsible RN in identifying members that would benefit from an alternative le...

Identity and Access Management (IAM) Security Senior Advisor

Elevance Health

NORFOLK, VA

Write and deploy code to downstream applications such as SailPoint. . Provision infrastructure as code for the automated identity management system. . Support internal SLAs (Service Level Agreements) to deliver automated identity...

Contract Administrator Ld

Elevance Health

NORFOLK, VA

Develops and oversees the regulatory approval process for submission of health insurance products with federal and state insurance regulators. Collaborate with multiple functional business areas (enterprise and local senior manage...

LTSS Service Coordinator - Clinician

Elevance Health

ROANOKE, VA

Assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long te...

Foster Care Case Manager (Northern Region)

Elevance Health

Arlington, 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...

Foster Care Case Manager (East Region)

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...

RN Nurse Case Manager I

Elevance Health

Richmond, 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...

Investigator I

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...

Solutions Management Director - Utilization Management

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...

Business Information Developer Senior (Senior Data Engineer)

Elevance Health

RICHMOND, VA

Assists with data import building, data modeling, and data sense-making to enhance the line-of-sight and measurement of operational processes. . Identifies new relationships and patterns within data. . Establishes connectivity to...

Data Warehouse Consultant

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...

Director, Proposal Strategy & Staff

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...

Investigator Senior

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...

Business Information Developer (Data Engineer Operations Analytics)

Elevance Health

RICHMOND, VA

Assists with data import building and data modeling to enhance the line-of-sight and measurement of operational processes. . Identifies new relationships and patterns within data. . Programs and writes queries and reports. . Dete...

LTSS Service Coordinator-RN Clinician

Elevance Health

ROANOKE, 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...

Foster Care Case Manager (West Region)

Elevance Health

Roanoke, 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...

AWS GovCloud Senior Site Reliability Engineer

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...

Foster Care Case Manager (Central Region)

Elevance Health

Richmond, 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...