Legal Counsel, Carelon Contracting - Grand Prairie, TX

We are seeking a bilingual Spanish-speaking Virtual Triage Nurse I to work in a full-time virtual role with required in-person training sessions. · ...

+This role enables associates to work virtually full-time with maximum flexibility and autonomy. The Investigator I is responsible for investigating assigned cases collecting researching and analyzing claim data in order to detect fraudulent abusive or wasteful activities/practic ...

The Investigator I is responsible for investigating assigned cases, · collecting, researching and analyzing claim data in order to detect fraudulent, · abusive or wasteful activities/practices. · This role enables associates to work virtually full-time, · with the exception of re ...

This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. · Using appropriate system tools and databases for analysis of data and review of professional and facility claims to ...

This Behavioral Health Care Manager I role enables associates to work virtually full-time except for required in-person training sessions promoting productivity supporting work-life integration and ensuring essential face-to-face onboarding skill development. · ...

Work Location: Virtual · This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ens ...

This role requires associates to be in-office at least 3 days per week, · while providing flexibility to support productivity and work-life balance. · The approach combines structured office engagement with the autonomy of virtual work, · promoting a dynamic and adaptable workpla ...

The Investigator I is responsible for investigating assigned cases, collecting, researching and analyzing claim data in order to detect fraudulent, abusive or wasteful activities/practices. · Using appropriate system tools and databases for analysis of data and review of professi ...

This role enables associates to work virtually full-time with maximum flexibility and autonomy. · Responsibilities include investigating assigned cases collecting researching and analyzing claim data in order to detect fraudulent abusive or wasteful activities/practices. · ...

The Medical Director is responsible for providing clinical education to the CareBridge NPs and ensuring appropriate medical care is received. · ...

We are seeking a Virtual Triage Nurse I who is licensed in one of the following states: AZ, FL, IA, IN, KS, MA, NM, OH, TN, TX or VA. · This role enables associates to work virtually full-time with maximum flexibility and autonomy. · The RN will work eight (8) 10-hour shifts in a ...

Work Location: Virtual · This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ens ...

This role is responsible for managing Medicare Health plans in multiple states, including AZ, CO, LA, NV, TX and WA.The position oversees fiscal operations for these health plans. · ...