Elevance Health jobs in Virginia

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BUSINESS ANALYST I (US)

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...

CompanyElevance Health
AddressNORFOLK, VA
CategoryInformation Technology
Date Posted 4 weeks ago See detail

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...

Cloud Solutions Engineer (US)

Elevance Health

RICHMOND, VA

Demonstrate maturity and understand of one or more of the following CSPs (AWS, Azure, GCP, Oracle, IBM Cloud, etc.) and the perspective technology stack. . Be able to articulate multiple cloud environment infrastructure (Compute,...

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...

Business Information Analyst Senior

Elevance Health

RICHMOND, 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 data,...

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...

Manager Rating/Claims Analysts

Elevance Health

RICHMOND, VA

Sets direction for the team and associated systems. . Acts as a liaison to other teams in regards to systems work and provides subject matter expertise. . Works with business partners to address obstacles and communicates both fe...

Medical Management Specialist I

Elevance Health

Richmond, VA

Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review). . Provides information regarding network providers or general program...

Medical Management Specialist

Elevance Health

RICHMOND, VA

Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review). . Provides information regarding network providers or general program...

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...

Concierge Service Associate

Elevance Health

RICHMOND, VA

Understands and communicates the benefit design packages to members as defined by employer at their on-site locations. Interacts with members in a multi-channel environment verbally (e.g., chat, telephone, face to face, video chat...

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)...

WFM Analyst II/Scheduler

Elevance Health

Roanoke, VA

$56,014 a year

Job Family: Analytics Type: Full time. Date Posted: Apr 05, 2024 Anticipated End Date: Apr 12, 2024 Reference: JR106095. Monitors call volume demand in real time and flexes workforce accordingly. Ensures that the best possible cal...

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...

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...

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...

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

Elevance Health

ROANOKE, 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 as...

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...

Job Description Managed Care Coordinator

Elevance Health

Charlottesville, VA

$23.47 - $29.33 an hour

Performing telephonic or face-to-face history and program needs assessments using a tool with pre-defined questions for the identification, evaluation, coordination and management of member's program needs. Using tools and pre-def...

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...