Elevance Health jobs in Washington

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STRATEGIC SALES CONSULTANT

Achieves new business target for all lines of business through advanced execution of sales process. Cultivates deep trust-based relationships and develops comprehensive understandings of client needs and priorities. . Acts as a c...

CompanyElevance Health
AddressMissouri, United States
CategoryRetail
Date Posted 2 days ago See detail

Strategic Sales Consultant

Elevance Health

Missouri, United States

Achieves new business target for all lines of business through advanced execution of sales process. Cultivates deep trust-based relationships and develops comprehensive understandings of client needs and priorities. . Acts as a c...

Center Director (FNP) - Paragon Infusion Centers

Elevance Health

Missouri, United States

Assign work details and patient care to available staff within the facility as needed. . Abides by company policies and procedures as well as federal, state and/or local guidelines and practices. . Monitors Clinical Staff in the...

Data Analytics/Data Science Analyst

Elevance Health

Missouri, United States

Obtain, verify, analyze, and model financial target outcomes such as return-on-investment (ROI) and payback periods using claims and authorization data. . Lead and/or actively participate in new solution strategy sessions with Ca...

Network Data Spec II (contract)

Elevance Health

Remote

$58.3K - $73.8K a year

Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Requires a H.S. diploma. 3-5 years rel...

BH Clinical Quality Analyst SR

Elevance Health

New York, United States

Performs monthly audits of UM denials, UM approvals, and case management files against contractual and regulatory requirements. Prepares cases for customer review. Defines opportunities for improvement through trend analysis and c...

Nurse Reviewer I - Chicago, United States - Elevance Health

Elevance Health

United States

Type: Full time. Date Posted: Apr 17, 202. Anticipated End Date: May 17, 2024. Reference: JR113707. Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical neces...

Security Analyst Iii - Hanover, United States - Elevance Health

Elevance Health

United States

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...

Security Analyst III

Elevance Health

Washington, United States

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...

Manager, Utilization Management Department

Elevance Health

Washington, United States

Engages in the development and implementation of integrated medical management programs across the different member population types covered by the health plan. Ensures continued compliance with specific medical management standa...

Pharmacy Cust Associate I (US)-2

Elevance Health

Missouri, United States

Develops and maintains positive customer relations and coordinates with functions within the company to ensure customer requests are handled and resolved appropriate and in a timely manner. . Interacts with internal and external...

Outreach Care Specialist

Elevance Health

New Hampshire, United States

Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs. Assesses member compliance with medical treatment plans via telephone or through on-site visits. Identifies barriers t...

Strategic Sales Manager

Elevance Health

Ohio, United States

Achieves new business target for all lines of business through expert execution of sales process. . Cultivates deep trust-based relationships and develops comprehensive understandings of client needs and priorities. Acts as a con...

Nurse Practitioner - Nurse Line

Elevance Health

Washington, United States

Responsible for reviewing clinical assessments gathered by triage RN and helping develop a plan of care for patients concern. . Provides clinical support to triage RNs as clinical questions or concerns arise. . Will assess and t...

Medical Director-Internal Medicine/Hospitalist

Elevance Health

Georgia, United States

Supports clinicians to ensure timely and consistent responses to members and providers. . Provides guidance for clinical operational aspects of a program. . Conducts peer-to-peer clinical reviews with attending physicians or other...

Outreach Care Specialist Lead

Elevance Health

Indiana, United States

Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs. Assesses member compliance with medical treatment plans via telephone or through on-site visits. Identifies barriers t...

Mgr II HCMS

Elevance Health

Washington, United States

Engages in the development and implementation of integrated medical management programs across the different member population types covered by the health plan. Ensures continued compliance with specific medical management standa...

Pharmacy Tech II

Elevance Health

Oregon, United States

Verifies member information and inputs data for the pharmacists. . Educates members on pharmacy based rules related to prescriptions and medication resources or assistance programs. . Processes prior authorization requests from p...

Gig Project - Sales Account Consultant (gig)

Elevance Health

Remote

$64.7K - $81.9K a year

The Sales Account Consultant will facilitate Open Enrollment events for our Commercial Medical business for National Accounts, Large Group Accounts, and GRS Business. These events will include Health Fairs, Benefit Fairs, Presenta...

DEI Engagement Internship - Summer 2024, Graduate

Elevance Health

Washington, United States

Provide written and digital content creation in support of DEI strategic priority projects. . Create just-in-time guides/materials for leaders to use when faced with DEI-related discussions . Draft communications for CDEIO & othe...

Account Executive- Paragon Infusion Centers

Elevance Health

Ohio, United States

Builds and maintains relationships with key customers for the infusion center line of business which will include physician offices. . Works with leadership to develop territory sales forecasts and acheive goals. . Qualifies op...

Pharmacy Service Coordinator

Elevance Health

North Carolina, United States

Researches and interprets claims issues while ensuring good, accurate and timely customer service for our pharmacy clients. . Understands the intricacies of prescription drug benefits and how they adjudicate. Understands and inte...

Pharmacist - Clinical Reviewer

Elevance Health

Indiana, United States

Researches and synthesizes detailed clinical data related to pharmaceuticals. May review and approve or deny coverage for pharmaceuticals (as permitted by state/federal law or state/federal program contracts) based on medical nec...

Product & Admin Specialist I

Elevance Health

North Carolina, United States

Responds to questions and concerns from the sales and operations teams. Provides support for product conversions, migrations and implementations. Supports the coordination of proposal activities and responses with other operating...

DEI Strategic Partner

Elevance Health

Washington, United States

Partners with the DEI Director, BU Strategic Partnerships and acts as a Strategic Partner within the Business Units to lead the implementation of business strategies, programs and policies aimed at improving recruitment, developme...

DEI Strategic Partner

Elevance Health

Washington, United States

Partners with the DEI Director, BU Strategic Partnerships and acts as a Strategic Partner within the Business Units to lead the implementation of business strategies, programs and policies aimed at improving recruitment, developme...

Cost of Care Mgr (US)

Elevance Health

Maine, United States

Identifies and develops best practices and Cost of Care improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual benefit design p...

Compliance Consultant Sr

Elevance Health

Minnesota, United States

At the most senior advanced level, report, communicate, research laws, regulations, requirements, regulatory audits and/or exams. Provide senior level analytical support to projects, initiatives, regulatory audits or exams, intern...

Cloud Engineer

Elevance Health

Georgia, United States

Infrastructure as Code (IaC) Terraform modules development and automation with Python, Shell, PowerShell, and other languages. . Create automated Docker images (Windows and Linux) deployment using Helm charts. Update CI/CD pipelin...

Cost of Care Mgr (US)

Elevance Health

New Hampshire, United States

Identifies and develops best practices and Cost of Care improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual benefit design p...

Prior Authorization Rep I - BioPlus Specialty Pharmacy

Elevance Health

Missouri, United States

Enters Prior Authorizations or reauthorizations into the portal and ensures accurate completion of authorization forms. . Submits completed authorization forms to the appropriate insurance plans. . Maintains log of all authoriza...