-
Elevance Health
-
Florida
...
, or Morristown) at least once a week.
The LTSS Service Coordinator is responsible for ... LTSS Service Coordinator
Location: This is a hybrid role. Candidate will work
...
-
Elevance Health
-
Florida
...
eCOB Specialist I is responsible for researching and investigating other coverage for all of the ... contracts. Accountable for end-to-end functionality on every Coordination of Benefits (COB) function
...
-
Elevance Health
-
Florida
...
LTSS Service Coordinator - RN Telehealth
Location: While this position is remote, candidate must reside in tri-state area (NY, NJ, or CT).
The **LTSS Service Coordinator - RN
...
-
Elevance Health
-
Florida
...
.
The Actuarial Analyst will be responsible for assisting in the determination of rates. This role will also be responsible for analyzing, developing, and validating statistical data.
**How you will
...
-
Elevance Health
-
Florida
...
& Recovery Specialist** is responsible for care coordination and/or care management activities focused on ... :
Identifies opportunities for engagement of members and their families in forming a supportive, recovery
...
-
Elevance Health
-
Tampa, Florida
...
comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
We are looking for candidates to work on the New
...
-
Elevance Health
-
Florida
...
and Manhattan, NY.
The Certified Peer Specialist is responsible for care ... you will make an impact :**
Identifies opportunities for engagement of members and their
...
-
Elevance Health
-
West Palm Beach, Florida
...
as a leader for nursing staff who collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources for the
...
-
Elevance Health
-
Florida
...
necessary.
The Account Service Manager is responsible for providing advanced customer service representation and strategic planning for large accounts.
**How you will make an impact
...
-
Elevance Health
-
Miami, Florida
...
The Social Work Case Manager is responsible for ensuring effective psychosocial intervention ... ) required.
Bilingual (Spanish) or multi-language skills preferred.
For candidates working in
...
-
Elevance Health
-
Miami, Florida
...
for retention and operational excellence that meets/exceeds client service and satisfaction goals for ... trends/opportunities for input/recommendations on client growth and retention strategies
...
-
Elevance Health
-
Florida
...
PulsePoint locations.
The National Acct Strategic Exec is responsible for development of retention strategy for the largest, most complex clients within National Accounts, and in this case will be
...
-
Elevance Health
-
Tampa, Florida
...
for retention and operational excellence that meets/exceeds client service and satisfaction goals for ... trends/opportunities for input/recommendations on client growth and retention strategies
...
-
Elevance Health
-
Florida
...
of a company office/Pulse Point.
The Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing
...
-
Elevance Health
-
Florida
...
PulsePoint locations.
The Talent Lifecycle Program Director will be responsible for creating and ... evaluating the program's performance, including its impact, as well as pinpointing areas for improvement in
...
-
Elevance Health
-
Florida
...
Business Development Director is responsible for coordinating and overseeing the development of new ... plans and formulates strategies for both new and existing businesses, partnerships, joint ventures and
...
-
Elevance Health
-
Miami, Florida
...
resources for more complex medical issues. Ensures medically appropriate, high quality, cost effective care ... accurate claims payment.
May also manage appeals for services denied.
Conducts precertification
...
-
Elevance Health
-
Miami, Florida
...
Case Management (BH CM)*
The Manager Behavioral Health Services is responsible for ... combination of both functions (integrated model). May also be responsible for the Employee Assistance Program
...
-
Elevance Health
-
Miami, Florida
...
comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
We are looking for candidates to work on the New
...
-
Elevance Health
-
Miami, Florida
...
each new code for coverage, policy, reimbursement development, and implications for system edits ... and system edits to identify adjudication issues and to audit claims adjudication for accuracy
...
-
Elevance Health
-
Florida
...
PulsePoint locations.
The National Acct Strategic Exec is responsible for development of retention strategy for the largest, most complex clients within National Accounts, and in this case will be
...
-
Elevance Health
-
Florida
...
Case Manager II** is responsible for performing case management by conducting in home visits and telephonically within the scope of licensure for members with behavioral health and substance abuse or substance
...
-
Elevance Health
-
Florida
...
Nurse Case Manager I is responsible for performing care management within the scope of licensure for ... . Performs duties telephonically or on-site such as at hospitals for discharge planning.
Primary
...
-
Elevance Health
-
Florida
...
of a company office/Pulse Point. Licensure to practice independently is required for this role. RNs ... EST
The Behavioral Health Case Manager I is responsible for performing case management
...
-
Elevance Health
-
Florida
...
of a company office/Pulse Point. Licensure to practice independently is required for this role. RNs ... EST
The Behavioral Health Case Manager II is responsible for performing case management
...
-
Elevance Health
-
Tampa, Florida
...
Manager) is responsible for overseeing the strategic planning, development, and management of the PBM ... may have responsibility for a piece of a larger enterprise/regional external client facing program
...
-
Elevance Health
-
Venice, Florida
...
as a leader for nursing staff who collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources for the
...
-
Elevance Health
-
Miami, Florida
...
.
The Director Portfolio Execution is responsible for facilitating the execution of Plan of Record ... internal and external communication strategy, including responses to inquiries, requests for information
...
-
Elevance Health
-
Tampa, Florida
...
.
The Director Portfolio Execution is responsible for facilitating the execution of Plan of Record ... internal and external communication strategy, including responses to inquiries, requests for information
...
-
Elevance Health
-
Tampa, Florida
...
necessary.
The Strategic Pharmacy Account Executive is responsible for developing and ... benefit management (PBM) field sales team during request for proposal (RFP) processes.
Assists in the
...
