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Elevance Health jobs in Virginia

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INVESTIGATOR SENIOR

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...

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

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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

LTSS Service Coordinator-RN Clinician

Elevance Health

ARLINGTON, 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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

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....

3 weeks ago seen See more...

LTSS Service Coordinator - RN Clinician

Elevance Health

Roanoke, VA

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 t...

3 weeks ago seen See more...

LTSS Service Coordinator- RN Clinician

Elevance Health

Hampton, 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...

3 weeks ago seen See more...

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...

3 weeks ago seen See more...

LTSS Service Coordinator- RN Clinician

Elevance Health

Virginia Beach, 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...

3 weeks ago seen See more...

Managed Care Coordinator - Foster Care

Elevance Health

Roanoke, VA

Working with children within the Foster Care System. Responsible for performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordinat...

3 weeks ago seen See more...

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...

4 weeks 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...

4 weeks 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...

4 weeks ago seen See more...

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...

4 weeks ago seen See more...

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...

4 weeks ago seen See more...

Business Analyst III

Elevance Health

RICHMOND, VA

Analyzes complex end user needs to determine optimal means of meeting those needs. . Determines specific business application software requirements to address complex business needs. . Develops project plans and identifies and coo...

4 weeks ago seen See more...

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...

4 weeks ago seen See more...

Claims Representative I (Health & Dental) - FHPS

Elevance Health

ROANOKE, VA

Learning the activities/tasks associated with his/her role. Works under direct supervision. Relies on others for instruction, guidance, and direction. Work is reviewed for technical accuracy and soundness. Codes and processes cla...

4 weeks ago seen See more...

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...

4 weeks ago seen See more...

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...

4 weeks ago seen See more...

Business Analyst III (US)

Elevance Health

RICHMOND, VA

Analyzes complex end user needs to determine optimal means of meeting those needs. . Determines specific business application software requirements to address complex business needs. . Develops project plans and identifies and co...

4 weeks ago seen See more...

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...

4 weeks ago seen See more...

Bus Info Developer Consultant

Elevance Health

Richmond, VA

$90.5K - $115K a year

Job Family: Data Warehousing and Business Information Type: Full time. Date Posted: Mar 28, 2024 Anticipated End Date: Apr 11, 2024 Reference: JR106893. Determines how decision support systems will provide the data required to mak...

4 weeks ago seen See more...

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Top Jobs

Business Analyst, Pharmacy Technician, Medical Assistant, Case Manager, Manager, Program Manager, Security Analyst, Behavioral Health Case Manager, Service Coordinator, Tableau Developer, Nurse Case,

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