- Elevance Health (Cerritos, CA)
- …within an assigned book of business. This position will be dedicated to the Carelon Behavioral Health of California account. Individual would have support and ... **JR140339 Carelon Account Executive III** Responsible for account management...operations and requirements related to California Department of Managed Care (DMHC) and Knox Keene requirements. Direct experience with… more
- Elevance Health (Las Vegas, NV)
- …The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The ** Carelon Account Executive III** is responsible for ... leading the new relationship and implementation of the Behavioral Health Crisis Care Hub with the state...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Hanover, MD)
- … Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined ... unnecessary medical-expense spending. A proud member of the Elevance Health family of companies, Carelon Behavioral ...depression, and insightful analytics to improve the delivery of care . The **Clinical Provider Auditor I** is responsible for… more
- Elevance Health (Walnut Creek, CA)
- …programs for autism and depression, and insightful analytics to improve the delivery of care . **Behavioral Health Case Manager ** **Location:** 50 Beale St., ... an Extraordinary Team** A proud member of the Elevance Health family of companies, Carelon Behavioral ...1 day physically in office per week. The **Behavioral Health Case Manager II** is responsible for… more
- Elevance Health (Louisville, KY)
- ** Carelon Health ** is a proud member of...and their family members to develop complex plans of care in accordance with the patient's health status ... family of brands, offering clinical programs and primary care options for seniors. We are a team of...eligibility required. + BLS CPR certification required. + For Carelon Health business unit, satisfactory completion of… more
- Elevance Health (Los Angeles, CA)
- …locations. **Schedule: 10:00-7:00 Central Time** _A proud member of the Elevance Health family of companies, Carelon Post Acute Solutions, formerly myNEXUS, ... **Clinical Operations Associate Medical Director** ** Carelon Medical Benefits Management** **Location:** Alternate locations may...is the leader in health resource optimization, focused on transforming how healthcare is… more
- Elevance Health (Cerritos, CA)
- …appropriateness guidelines. + Obtain additional state licensure based upon state regulations and health plan needs. + Adhere to all Carelon Medical Benefits ... Carelon Medical Benefits Management is currently seeking a...live within 50 miles of one of our Elevance Health PulsePoint locations. **How you will make an impact:**… more
- Elevance Health (Rocky Hill, CT)
- …initiatives. + Provides oversight in the planning, implementation and coordination of BH health care audits to ensure high-quality, cost-effective care . + ... be responsible for the oversight and submission of all Carelon contract deliverables for the CCBHC project, including provision...other quality assurance related activities for one or more health plans. The manager is a client… more
- Elevance Health (TN)
- **Associate Manager Clinical Support** CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. ... exists to enable individuals in home and community-based settings to maximize their health , independence, and quality of life through home- care and community… more
- Elevance Health (Atlanta, GA)
- **Marketing Manager ** **Location:** Elevance Health supports a hybrid workplace model (virtual and in-office) with PulsePoint sites used for collaboration, ... and 1-2 days in office per week. The **Marketing Manager ** is responsible for developing enterprise marketing strategies and...and executing targeted marketing strategies that focus on growing Carelon 's key audience segment - health plans.… more
- Elevance Health (Dothan, AL)
- …center staff and managing operating expenses of the pharmacy while providing high quality health care service. **How you will make an impact:** **Primary duties ... Carelon is a proud member of the Elevance Health family of companies providing unparalleled level of service...defining our innovative role in the industry. **Title** : Manager , Pharmacist in Charge **Location** : This role will… more
- Elevance Health (TX)
- …system + Expert communicator over the telephone, providing timely, appropriate advice and/or guidance with health care issues + Hx of care of members with ... Transitions of Care -Nurse Registered CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business.… more
- Elevance Health (Durham, NC)
- …plan or pharmacy benefit manager (PBM) context and/or understanding of the US health care and pharmacy system strongly preferred. + Ph.D. or MD strongly ... KY. The **Senior** **Researcher** is responsible for prospective and retrospective health economic or epidemiologic research activities for Carelon Research… more
- Elevance Health (MA)
- …They will also support formerly homeless individuals who have already been housed in securing health care and other resources. **How you will make an impact:** + ... Friday 7:30am-3:00pm EST _A proud member of the Elevance Health family of companies, Carelon Behavioral ...Assist homeless and formally homeless individuals with accessing primary care , mental health care , and… more
- Elevance Health (Chicago, IL)
- …ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint office locations. Preferred Location: Chicago, IL The **Clinical Engine Designer** ... clinical knowledge to work with facilities and providers for care coordination. + Responsible for design strategy and clinical...for design strategy and clinical QA of algorithms for Carelon MBM solutions on AP clinical engine. + Collaborate… more
- Elevance Health (PA)
- **Outreach Care Specialist** CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge ... exists to enable individuals in home and community-based settings to maximize their health , independence, and quality of life through home- care and community… more
- Elevance Health (Deerfield, IL)
- …Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The **Corporate Communications Director** will lead the development of ... the purpose, mission, strategy, culture and values for the Carelon division. The Director will support Carelon 's...of the enterprise strategy of becoming a lifetime, trusted health partner. + Deliver a variety of strategic communications… more
- Elevance Health (St. Louis, MO)
- …_The Ideal candidate must live within 50 miles of one of our Elevance Health PulsePoint locations._ Carelon Payment Integrity is a proud member of the ... Elevance Health family of companies, Carelon Insights, formerly...record and attending physician's statement sent in by acute care hospitals on submitted DRG. **How you will make… more
- Elevance Health (Houston, TX)
- …preferred. + Sterile Compounding certification is preferred. For Paragon and Carelon Health business unit, satisfactory completion of a Tuberculosis ... **Be Part of an Extraordinary Team** A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies… more
- Elevance Health (Las Vegas, NV)
- …+ Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. + Identifies and develops ... care opportunities. Works independently with oversight from immediate manager . May be responsible for an entire clinical program...) only, minimum of 5 years of experience providing health care is required. + Additional experience… more