Elevance Health
182 open jobsHospitals and Health Care
182 job openings at Elevance Health
Elevance Health
Manage a high-volume portfolio of ASO contracts, drafting and negotiating agreements. Review and analyze contract modifications, ensuring compliance with laws and regulations. Collaborate with Sales and internal stakeholders, providing customer service throughout the contract lifecycle.
hybrid, Atlanta, GA, United States
Full Time
Senior (5+ years)Elevance Health
Develop and maintain community contacts and partnerships. Act as a liaison with advocacy groups, assist members with inquiries, and track marketing activities. Conduct marketing presentations to enhance community presence and rapport with potential members.
field, Charleston, WV, United StatesFull TimeJunior (<2 years)Elevance Health
Create architectural solutions for Java, Cloud & AI-Enabled Enterprise Applications. Lead distributed teams, establish engineering standards, and translate business needs into technology outcomes.
hybrid, Atlanta, GA, United StatesFull TimeSenior (5+ years)Elevance Health
Conduct service coordination for a defined caseload, facilitating the Person Centered Planning process, conducting assessments, and developing comprehensive Person Centered Support Plans (PCSP).
field, Urbandale, IA, United StatesFull TimeJunior (<2 years)Elevance Health
Receive provider applications and contact providers for additional documentation. Build file documentation and prepare files for credentialing committee review. Determine if providers meet criteria based on guidelines and document deficiencies.
hybrid, New York, NY, United States
$42k – $62k/yrFull TimeJunior (<2 years)Elevance Health
Coordinate relationships with internal partners to ensure growth and compliance. Plan, budget, and implement initiatives to enhance operational efficiency across various markets.
hybrid, Louisville, KY, United StatesFull TimeDirectorElevance Health
Analyze complex end user needs and determine software requirements. Develop project plans, coordinate resources, and collaborate with programming staff to ensure requirements are met in system design and testing. Act as a resource for users and provide guidance to team members.
hybrid, Latham, NY, United States$77k – $116k/yrFull TimeMiddle (2-4 years)Elevance Health
Manage member cases within RN licensure scope, providing oversight to non-RN clinicians. Develop, monitor, and revise care plans based on member needs. Conduct clinical assessments and coordinate care for members with chronic illnesses and disabilities.
field, Connersville, IN, United StatesFull TimeMiddle (2-4 years)Elevance Health
Conduct audits of paid claims for overpayments using various techniques, including systems-based queries and specialized reporting. Collaborate with recovery and collection vendors to validate overpayments and vendor invoices.
hybrid, Atlanta, GA, United States$47k – $70k/yrFull TimeMiddle (2-4 years)Elevance Health
Provide health coaching to members with chronic diseases, conduct behavioral assessments, and coordinate health coaching plans with nurse case managers. Implement behavior change principles to identify and overcome member barriers, monitor interventions, and evaluate goal attainment.
field, St Louis, MO, United StatesFull TimeMiddle (2-4 years)Elevance Health
Define and implement testing strategies and frameworks. Establish quality gates and review mechanisms across projects. Design scalable automation frameworks for various testing types and manage applications in Snowflake and Python.
onsite, Bengaluru, KA, IndiaFull TimeJunior (<2 years)Elevance Health
Lead end-to-end sourcing and category management for IT Services and Software, including RFx execution, supplier selection, and commercial negotiations. Conduct spend analysis, market intelligence, and cost modeling to deliver savings and value.
onsite, Bengaluru, KA, IndiaFull TimeSenior (5+ years)Elevance Health
Manage members' cases, providing supervision to non-RN clinicians. Conduct clinical assessments, develop and revise care plans, and coordinate care for members with chronic illnesses. Interface with healthcare teams and assist in problem-solving with providers and claims.
hybrid, Miami, FL, United StatesFull TimeLead / ManagerElevance Health
Conduct behavioral and clinical assessments to identify member needs, coordinate health coaching plans, and implement care plans. Educate members on clinical needs, facilitate referrals, and monitor the effectiveness of interventions.
remote, United StatesFull TimeJunior (<2 years)Elevance Health
Perform care management for members with complex and chronic needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans. Conduct assessments, facilitate authorizations/referrals, and coordinate resources to meet identified needs.
remote, CT, United States$71k – $111k/yrFull TimeMiddle (2-4 years)Elevance Health
Manage care for members with complex and chronic needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans. Conduct assessments to identify needs, facilitate authorizations/referrals, and coordinate resources.
hybrid, Atlanta, GA, United StatesFull TimeSenior (5+ years)Elevance Health
Investigate and review customer appeals regarding service and benefit coverage issues. Prepare case files for grievance committees, summarize information for clinical specialists, and respond to complaints. Ensure timely resolution of inquiries and document interactions.
remote, United StatesFull TimeSenior (5+ years)Elevance Health
Audit inpatient medical records to ensure accurate DRG coding and generate recoverable claims. Perform clinical reviews of documentation, analyze claims using coding principles, and maintain quality standards.
hybrid, Chicago, IL, United States$93k – $160k/yrFull TimeSenior (5+ years)Elevance Health
Design, build, and deploy machine learning and LLM-based systems. Maintain relationships with product, data, and engineering teams to translate business problems into AI/ML solutions. Develop and monitor machine learning models, ensuring performance and reliability.
hybrid, Atlanta, GA, United StatesFull TimeSenior (5+ years)Elevance Health
Audit inpatient medical records to generate recoverable claims, perform clinical reviews for coding and DRG assignment accuracy, and utilize audit tools to make determinations.
hybrid, Indpls, IN, United States$95k – $150k/yrFull TimeSenior (5+ years)Elevance Health
Lead the claims payment operations team, ensuring accurate and timely fund movement. Design and implement modern payment systems and controls, manage multiple payment rails, and partner with technology teams to deploy automation tools.
hybrid, Atlanta, GA, United States$187k – $336k/yrFull TimeVP / C-levelElevance Health
Lead a team of 18-20 members to meet service delivery targets, manage relationships with stakeholders, and ensure execution of plans and strategies. Drive team performance to achieve Service Level Agreements and identify areas for improvement in quality and productivity.
onsite, Gurugram, HR, IndiaFull TimeLead / ManagerElevance Health
Design, develop, and maintain RESTful APIs and microservices. Build scalable full-stack applications using Java and modern front-end frameworks. Develop backend components and automation scripts using Python.
onsite, Bengaluru, KA, IndiaFull TimeSenior (5+ years)Elevance Health
Conduct telephonic sales and marketing of specialty group dental, vision, and supplemental health plans. Proactively prospect new producers, manage existing broker relationships, generate proposals, and close new case sales.
hybrid, Mendota Heights, MN, United States$42k – $63k/yrFull TimeJunior (<2 years)Elevance Health
Identify and prioritize leads for sales teams using broker analytics. Prepare sales teams for meetings through analysis of customer needs. Assist with proposal and renewal management, including coordination with underwriting and identifying upsell opportunities.
hybrid, Indpls, IN, United StatesFull TimeJunior (<2 years)Elevance Health
Examine and treat patients under physician direction, review medical records, interview patients, and record vital signs. Provide nursing interventions and coaching, facilitate patient transfers, and document using standard templates.
remote, United StatesFull TimeJunior (<2 years)Elevance Health
Review documentation and make clinical determinations for Medicare claims. Assess the necessity and reasonableness of items billed, ensuring compliance with medical policies. Conduct investigations of member and provider grievances and appeals, generating written correspondence as needed.
hybrid, East Syracuse, NY, United States$67k – $101k/yrFull TimeJunior (<2 years)Elevance Health
Oversee behavior support services for individuals receiving LTSS. Collaborate with Medical Directors on Behavior Crisis Prevention and Intervention. Conduct pre-certification, concurrent review, and appeals of Behavioral Health OP services.
hybrid, Nashville, TN, United StatesFull TimeJunior (<2 years)Elevance Health
Manage incoming calls and post-service claims, determining contract and benefit eligibility. Authorize inpatient admissions, outpatient precertifications, and prior authorization requests. Conduct demographic intake, verify benefits, and process requests for clinical review.
hybrid, Durham, NC, United StatesFull TimeJunior (<2 years)Elevance Health
Develop multi-year health promotion plans and engagement strategies. Conduct customer worksite wellness assessments and design customized health promotion solutions. Optimize wellness dollars for member engagement and train the Sales team on marketing and implementing health promotion solutions.
hybrid, Indpls, IN, United StatesFull TimeSenior (5+ years)Elevance Health
Prepare items for shipment, package shipments according to protocols, and prepare shipping labels. Process incoming stock, verify quantities against packing slips and purchase orders, and restock packing supplies. Maintain a clean and orderly warehouse and make deliveries as needed.
onsite, Chandler, AZ, United StatesFull TimeEntry with DegreeElevance Health
Lead system and network architecture support for security technologies, develop risk assessment methodologies, and create security incident response plans. Troubleshoot integrations, automate operational processes, and maintain security controls.
hybrid, Atlanta, GA, United StatesFull TimeSenior (5+ years)Elevance Health
Manage project development, including creating project charters and communication plans. Define team roles, develop work plans, schedules, and deployment plans. Lead project meetings, report status, and manage scope changes.
hybrid, Mayagüez, Puerto RicoFull TimeLead / ManagerElevance Health
Conduct healthcare data analyses and retrospective observational studies to evaluate clinical and pharmacy programs. Apply statistical methodologies such as propensity score matching and regression modeling to assess program effectiveness.
hybrid, Atlanta, GA, United StatesFull TimeSenior (5+ years)Elevance Health
Meet monthly sales goals by developing and implementing strategic sales plans. Conduct formal sales presentations, arrange private appointments, and manage customer records in the lead tracking system.
field, Bakersfield, CA, United States$54k – $85k/yrFull TimeJunior (<2 years)Elevance Health
Provide nursing services for patient care, assist physicians in healthcare delivery, collect patient information, perform triage, conduct preliminary tests, administer treatments and medications, and collaborate with the care team to develop treatment plans.
onsite, Aibonito, Puerto RicoFull TimeMiddle (2-4 years)Elevance Health
Evaluate member prescription needs and therapies through medication history review. Assess member compliance with care plans via direct contact with members and physicians. Identify barriers to compliance and propose solutions.
hybrid, Atlanta, GA, United StatesFull TimeJunior (<2 years)Elevance Health
Interpret and enter moderately complex prescriptions, process prior authorization requests, and troubleshoot adjudication issues. Educate members on pharmacy rules and resources, respond to inquiries from physicians and members, and generate reports related to rebates and utilization.
hybrid, Atlanta, GA, United StatesFull TimeJunior (<2 years)Elevance Health
Design, build, and maintain Android applications, including launcher and guardian components, using Kotlin. Implement Android Enterprise features and integrate with backend services.
hybrid, Nashville, TN, United StatesFull TimeSenior (5+ years)Elevance Health
Research, write, file, and implement complex policy and certificate forms for various medical products. Ensure compliance with state and federal laws, file documents with state departments, and monitor relevant legislation.
hybrid, Atlanta, GA, United States$74k – $111k/yrFull TimeSenior (5+ years)Elevance Health
Interpret and enter moderately complex prescriptions, process prior authorization requests, and troubleshoot adjudication issues. Assist in developing prior authorization decision trees and implement clinical programs.
hybrid, Atlanta, GA, United States$33k – $64k/yrFull TimeJunior (<2 years)Elevance Health
Interpret and enter moderately complex prescriptions, process prior authorization requests, and troubleshoot adjudication issues. Assist in developing prior authorization decision trees and implement clinical programs.
hybrid, Atlanta, GA, United States$32k – $62k/yrFull TimeJunior (<2 years)Elevance Health
Provide nutritional counseling and education to patients with chronic conditions, ensuring understanding of nutritional goals. Collaborate with healthcare professionals to maintain adherence to care plans. Develop training modules for nurse consultants involved in patient management programs.
hybrid, Atlanta, GA, United StatesFull TimeMiddle (2-4 years)Elevance Health
Ensure effective psychosocial intervention for patients managing chronic illnesses. Utilize community and government resources to address participant limitations and support interventions. Manage behavioral and psychosocial needs to improve clinical and financial outcomes.
remote, Atlanta, GA, United StatesFull TimeMiddle (2-4 years)Elevance Health
Interpret and enter moderately complex prescriptions, process prior authorization requests, and troubleshoot adjudication issues. Educate members on pharmacy rules and medication resources, respond to inquiries from physicians and members, and generate reports related to rebates and utilization.
remote, United StatesFull TimeJunior (<2 years)Elevance Health
Provide guidance to condition management members to improve respiratory health. Collaborate with health professionals, instruct members on inhaler use, breathing techniques, and prevention techniques. Coach members on health changes focused on Asthma and COPD populations.
hybrid, Atlanta, GA, United StatesFull TimeMiddle (2-4 years)Elevance Health
Support product development processes by managing systems and tools, measuring product adoption, and coordinating cross-functional activities. Document and improve product operations processes, facilitate internal training, and maintain product documentation.
remote, United StatesFull TimeMiddle (2-4 years)Elevance Health
Respond to customer inquiries regarding insurance benefits, eligibility, and claims via phone and written correspondence. Analyze problems and provide solutions while documenting outcomes in the database.
hybrid, San Juan, TX, United StatesFull TimeJunior (<2 years)Elevance Health
Review clinical information and assess medical necessity under relevant guidelines. Conduct precertification, concurrent, retrospective, and appropriateness of treatment setting reviews. Confirm medical services are appropriate based on assigned benefit plans and clinical guidelines.
hybrid, Lake Mary, FL, United StatesFull TimeJunior (<2 years)Elevance Health
Develop and execute regional sales strategies for BioPlus Specialty Pharmacy, focusing on oncology. Maintain sales effectiveness through in-person meetings with healthcare providers, utilizing Salesforce and databases to identify key accounts and analyze performance metrics.
field, Bedford, MA, United States$95k – $164k/yrFull TimeSenior (5+ years)The most sought-after roles at Elevance Health right now are:
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