Elevance Health Jobs in United States

Anticipated End Date: · Position Title: · Medical Coding Appeals AnalystJob Description: · Sign On Bonus: $1,000 · Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and aut ...

Anticipated End Date: · Position Title: · Medical Management ClinicianJob Description: · The Medical Management Clinician is responsible for ensuring appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under re ...

A leading health organization is seeking a Program Director for the Anthem Health Plan Out-Of-Network repricing program. This role involves managing client-facing programs and requires significant experience in strategic planning and program management. Ideal candidates will have ...

Anticipated End Date: · Position Title: · Behavioral Health - Care Manager IIJob Description: · Behavioral Health - Care Manager II · Location: Virtual: This role enables associate to work virtually full-time, with the exception of required in-person training sessions, providing ...

JR177529 Behavioral Health Case Manager II · Responsible for performing case management telephonically within the scope of licensure for members with behavioral health needs. This position will provide case management to our autistic members and their families. · Location: Virtua ...

Location: · This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual wor ...

This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. · ...

Epic Interface Analyst · PLEASE NOTE: This position is not eligible for current or future visa sponsorship · Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity ...

Anticipated End Date: · Position Title: · Manager Associate Customer CareJob Description: · Manager Associate Customer Care Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support pr ...

The Financial Operations Analyst will be responsible for completing financial activities for the purpose of accurate and timely reporting both internally and externally. This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, w ...

This role enables associates to work virtually full-time with the exception of required in-person training sessions. · It promotes productivity and supports work-life integration. · ...

The Behavioral Health Case Manager I will work with our children and adolescent member population with behavioral health needs and substance use disorder. · This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. · The successful cand ...

This role requires associates to work from the posted location full-time, · enabling consistent face-to-face collaboration, teamwork and direct engagement. · ...

We are looking for an E/M Coding Auditor who will ensure accurate adjudication of claims by translating medical policies into effective reimbursement criteria. · Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. · Conduct res ...

The Strategy Director for Payment Integrity at Carelon plays a critical role in steering long-term strategic initiatives that align with both the operational objectives of the Coordination of Benefits (COB) business unit, as well as the overarching goals of Carelon and Elevance H ...

Business Analyst III · Location: Chicago, IL (8600 W Bryn Mawr Ave preferred) · Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This a ...

The role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and autonomy. · May provide clinical guidance for programs. · Serves as a resource and consultant to other areas of the company. · ...

The LTSS Service Coordinator-RN is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitor ...

The QualityEvaluatortherapistSrisponsibleformonitoringandevaluatingclinicalandnon-clinicalcontactbetweenprogramstaff(physicaltherapy/occupationaltherapy)andparticipants assessingadherence toprotocolsandexpertheticalinteraction. · Evaluatescallsforsafetycliniceffectivenessproducti ...

This role enables associates to work virtually full-time except for required in-person training sessions providing maximum flexibility and autonomy. · ...