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Utilization Management Representative at Elevance Health

St. Louis, MO | Full Time
$78k-97k (estimate)
Just Posted
Job Family: CUS > Care Support. Type: Full time. Date Posted: Apr 16, 2024. Anticipated End Date: Apr 30, 2024. Reference: JR113194. Description. Utilization Management Representative. Location. This is a remote position. Ideal candidates will live within 50 miles of one of the following PulsePoint locations : Atlanta, GA, Chicago, IL, Indianapolis, IN, Louisville, KY or St. Louis, MO. The. Utilization Management Representative. is responsible fo...

Tech Program Manager at Elevance Health

Waukesha, WI | Full Time
$126k-169k (estimate)
Just Posted
Job Family: IFT > IT Project Mgmt. Type: Full time. Date Posted: Apr 16, 2024. Anticipated End Date: Apr 24, 2024. Reference: JR106355. Description. Tech Program Manager. Location. Waukesha, WI. This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The. Tech Program Manager. will be responsible for the development and ongoing management of one ...

Director Advanced Analytics at Elevance Health

Richmond, VA | Full Time
$180k-234k (estimate)
Just Posted
Job Family: RDA > Reporting & Data Analysis. Type: Full time. Date Posted: Apr 16, 2024. Anticipated End Date: Jun 17, 2024. Reference: JR112427. Description. Director Advanced Analytics. Location. This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our PulsePoint locations. The. Director Advanced Analytics. is responsible for planning, directing, and controlling the resources and effor...

Managed Care Coordinator - Foster Care at Elevance Health

Norfolk, VA | Full Time
$66k-88k (estimate)
Just Posted
Job Family: MED > Care Coord & Care Mgmt (Non-Licensed). Type. Date Posted: Apr 16, 2024. Anticipated End Date: May 20, 2024. Reference: JR113650. Description. The. Foster Care Managed Case Manager. is responsible for overall management of member's individual service plan within the scope of position, as required by applicable state law and contract. How you will make an impact. Working with children within the Foster Care System. Responsible for...

LTSS Service Coordinator- RN Clinician at Elevance Health

Virginia, VA | Full Time
$96k-122k (estimate)
Just Posted
Job Family: MED > Licensed Nurse. Type: Full time. Date Posted: Apr 16, 2024. Anticipated End Date: Jul 31, 2024. Reference: JR111872. Description. Location. This is a field position and the candidate should reside in Virginia Beach, Portsmouth, Chesapeake. The. LTSS Service Coordinator RN Clinician. is responsible for overall management of member's case within the scope of licensure. provides supervision and direction to non-RN clinicians partic...

Implementation Director at Elevance Health

Norfolk, VA | Full Time
$122k-171k (estimate)
Just Posted
Job Family: MBR > Implementation. Type: Full time. Date Posted: Apr 16, 2024. Anticipated End Date: May 07, 2024. Reference: JR112537. Description. JR112537 Implementation Director. Responsible for end-to-end solutioning across business units workstreams for a portfolio of cross-service and diverse product offerings. Responsible for leading and/or planning workstreams specific to business systems across the business unit’s implementation projects...

UM Medical Director - Cardiology at Elevance Health

Indiana, PA | Full Time
$194k-252k (estimate)
Just Posted
Description. This position will work a hybrid model (remote and office). Ideal candidates must live within 50 miles of one of our Elevance Health locations. The Medical Director is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May...

Associate Medical Director - Interventional Pain at Elevance Health

Indiana, PA | Full Time
$231k-291k (estimate)
Just Posted
Description. Clinical Operations Associate Medical Director. Carelon Medical Benefit Management. Interventional Pain Benefit Review. Location. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-managemen...

Clerk II at Elevance Health

New York, NY | Full Time
$45k-56k (estimate)
Just Posted
Description. Clerk II. Location. On-Site 15 Plaza Drive Latham, NY 12110. The. Clerk II. is responsible for performing routine but varied clerical duties in accordance with standard procedures. How you will make an impact. Receives, classifies, reconciles, consolidates and summarizes documents and information. processes and codes documents. Makes and receives phone calls to exchange information to accomplish tasks. Sets up and maintains records, ...

Provider Experience Cons at Elevance Health

Buffalo, NY | Full Time
$58k-76k (estimate)
Just Posted
Job Family: PND > Provider Relationship Account Mgmt. Type: Full time. Date Posted: Apr 16, 2024. Anticipated End Date: May 03, 2024. Reference: JR113159. Description. A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for...

Telephonic Nurse Case Mgr 1 at Elevance Health

Latham, NY | Full Time
$87k-104k (estimate)
Just Posted
Job Family: MED > Licensed Nurse. Type: Full time. Date Posted: Apr 15, 2024. Anticipated End Date: Apr 22, 2024. Reference: JR110826. Description. Job Title: Telephonic Nurse Case Manager I. Location: This is a virtual position. Prefer candidates who reside within 50 miles of an Elevance Health PulsePoint location. Schedule: Monday through Friday, 8:00am to 4:30pm EST and evening coverage 2 to 4 times per month from 11:30am to 8:00pm EST. The. T...

Reviewer - Therapy Services at Elevance Health

Cerritos, CA | Full Time
$97k-123k (estimate)
Just Posted
Job Family: MED > Licensed/Certified Allied Health Professional. Type: Full time. Date Posted: Apr 16, 2024. Anticipated End Date: Apr 30, 2024. Reference: JR112597. Description. Reviewer - Therapy Services. Location. 50 miles of a Pulse Point in PST or MST. Hours. 8:30 am PST/ 9:30 am MST - 5:00 pm PST / 6:00 pm MST. The. Reviewer - Therapy Services. is responsible for the review of medical records to determine if requests for therapy services (...
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