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MANAGER PHARMACY PRIOR AUTHORIZATIONS

Job Family: Customer Care Type: Full time. Date Posted: Apr 04, 2024 Anticipated End Date: Jun 01, 2024 Reference: JR110175. Ensures adherence to formulary and member benefit structures to provide service that is medically appropr...

CompanyElevance Health
AddressMissouri, United States
CategoryInformation Technology
Salary$96.5K - $122K a year
Job typeFull-time
Date Posted a month ago See detail

Manager Pharmacy Prior Authorizations

Elevance Health

Missouri, United States

$96.5K - $122K a year

Job Family: Customer Care Type: Full time. Date Posted: Apr 04, 2024 Anticipated End Date: Jun 01, 2024 Reference: JR110175. Ensures adherence to formulary and member benefit structures to provide service that is medically appropr...

Government Benefits State Operations Director- Midwest

Elevance Health

Missouri, United States

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...

Clin Quality Audit Analyst Sr (contract)

Elevance Health

Remote

$77.6K - $98.3K a year

Participates in on site quality external audits such as NCQA, AAHC, and EQRO, and prepares audits of required documents. Provides recommendations for quality improvement studies including selection of valid and reliable indicators...

Care Consultant Sr (contract)

Elevance Health

Remote

$102K - $129K a year

Obtains and analyzes practice specific cost and quality data. Reports for cost of care and quality opportunities. Helps practice to target high risk Anthem members and gaps in care based on reports provided. Supports practice impl...

BH Case Mgr I (contract)

Elevance Health

Remote

$72.1K - $91.3K a year

Uses appropriate screening criteria, knowledge and clinical judgment to assess member needs. Conducts assessments to identify individual needs and develops care plan to address objectives and goals as identified during assessment....

Trainer (contract)

Elevance Health

Remote

$77.1K - $97.7K a year

Facilitates learning events that are performance-based in nature and across multiple platforms. Delivers synchronous and asynchronous learning events using varied media in virtual and global environments. Employs rapid course deve...

Pharmacy Tech II Specialty

Elevance Health

Georgia, United States

Assists the pharmacist with dispensing items a physician orders to a valid prescription adhering to the appropriate guidelines and policies. Check for expired / unusable products and disposes of them properly. Answers and initiate...

Pharmacy Customer Associate- BioPlus Specialty Pharmacy

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...

Pharmacy Cust Associate I - JR98914 Pharmacy Customer Associate- BioPlus Specialty Pharmacy

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...

Community Relations Representative III

Elevance Health

Missouri, United States

Develops and maintains a positive working relationship with the member population for the primary purpose of increasing enrollment and decreasing disenrollment. Ensures consistent compliance with state, federal, and company speci...

Project Manager Sr (contract)

Elevance Health

Remote

$114K - $144K a year

Applying project management knowledge, skills, tools and techniques to project deliverables, processes, and systems. Coaches and mentors project team members. Mentors other Project Managers. Ability to foster togetherness with imm...

Cust Care Rep I - Multi (contract)

Elevance Health

Remote

$34.3K - $43.4K a year

Receives inbound telephone calls or paper and electronic claims from members and providers. Resolves issues for members, providers, group administrators and brokers. Analyzes the situation and completes research to ensure no rewor...

Agency Service Representative III

Elevance Health

Nevada, United States

$21.00 - $31.50 an hour

Job Family: Sales Support Type: Full time. Date Posted: Mar 22, 2024 Anticipated End Date: Jun 30, 2024 Reference: JR109386. Assists agents and brokers via telephone or written communication. Works on special projects for brokers,...

Service Coordinator (Case Manager)

Elevance Health

Indiana, United States

$50.8K - $64.3K a year

Job Family: Medical and Clinical Type: Date Posted: Mar 18, 2024 Anticipated End Date: May 01, 2024 Reference: JR109665. Responsible for performing face to face program assessments (using various tools with pre-defined questions)...

Reporting and Data Analyst (contract)

Elevance Health

Remote

$78K - $98.8K a year

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,...

Utilization Management Rep III-5

Elevance Health

Connecticut, United States

$19.04 - $30.06 an hour

Job Family: Customer Care Type: Full time. Date Posted: Mar 22, 2024 Anticipated End Date: Apr 22, 2024 Reference: JR105545. Responsible for providing technical guidance to UM Reps who handle correspondence. Assist callers with is...