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Elevance Health
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St. Louis, Missouri
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with Director, Account Management Services on tracking, monitoring, and reporting progress of all ... impact:**
• Project manages new case implementation activities and serves as a liaison between
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Elevance Health
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St. Louis, Missouri
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Telephonic Nurse Case Manager I
Elevance Health supports a hybrid workplace model with ... ** .
Work Schedule: Monday-Friday Hours: 10:30 - 7 pm CST.
The **Telephonic Nurse Case Manager I
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Elevance Health
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St. Louis, Missouri
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) division within the Department of Health and Human Services). Under direction of management, the Audit and ... .
Monitors workload inventory to ensure timely completion.
Handles complex case research and resolutions
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Elevance Health
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Columbia, Missouri
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Community Health Care Case Worker
Location: Field Base Position
The Community Health Care Case Worker is responsible for serving as the initial and main point of Field
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Elevance Health
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St. Louis, Missouri
...
Actuarial Director - Wellpoint GIC
Preferred Location: Woburn, MA. This position ... our Elevance Health PulsePoint locations.
The Actuarial Director Identifies, evaluates
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Elevance Health
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St. Louis, Missouri
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CarelonRx Sales Strategy Director
Location: This position will work a hybrid model ... PulsePoint locations listed on the requisition.
The CarelonRx Sales Strategy Director is
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Elevance Health
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St. Louis, Missouri
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such as DUR, DIS and formulary management.
How you will make an impact:
Researches ... do not meet.
Serves as a resource to the clinical team in disease management and other clinical
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Elevance Health
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St. Louis, Missouri
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Compliance Director
Location: Elevance Health operates in a Hybrid Workforce ... discussed as part of the hiring process.
The Compliance Director is responsible for directing
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Elevance Health
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St. Louis, Missouri
...
**Medical Director-Medicaid Appeals and Optimization (FM (with Ob experience), EM, Med/Peds, Ob/Gyn ... and primary utilization management reviews for physical health medical services, to ensure the
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Elevance Health
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St. Louis, Missouri
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required.**
The Telephonic Nurse Case Manager II is responsible for care management within the ... Telephonic Nurse Case Manager II
**Location: This is a virtual position. Candidates
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Elevance Health
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St. Louis, Missouri
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professional designation preferred.
Case Management, Disease Management, or clinical background helpful ... management.
How You Will Make an Impact
Primary duties may include, but are not limited to
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Elevance Health
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St. Louis, Missouri
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Director & Actuary I
Location: This position will work a hybrid model (remote and ... Director & Actuary I is responsible for managing, directing and providing leadership for actuarial
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Elevance Health
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St. Louis, Missouri
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Group Underwriting Consultant, Senior
Location: This position is available to qualif
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Elevance Health
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St. Louis, Missouri
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Compliance Director
Location: This position will work a hybrid model (remote and ... .
The Compliance Director will be responsible for directing foundational and strategic compliance
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Elevance Health
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St. Louis, Missouri
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/networks.
Refers members to catastrophic case management.
Minimum Requirements ... * *, Capabilities, and Experiences:
BS in nursing preferred.
Prior case management experience is
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Elevance Health
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St. Louis, Missouri
...
).
Responds to detailed RFP specifications including questionnaires and case specific requests in a manner
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Elevance Health
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St. Louis, Missouri
...
experience in case management/utilization management with a broad range of experience with complex ... assessment coordination implementation case planning monitoring and evaluating to promote quality member
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Elevance Health
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St. Louis, Missouri
...
Location: Elevance Health supports a hybrid workplace model (virtual and in-office) with PulseP
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Elevance Health
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St. Louis, Missouri
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Execution Director
Location: This position will work a hybrid model (remote and ... Execution Director is responsible for facilitating the execution of the Federal Health Plan Services
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Elevance Health
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St. Louis, Missouri
...
Group Underwriter Consultant, Sr.
Location: Open to anywhere in the contiguous US
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Elevance Health
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St. Louis, Missouri
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Senior level management and legal department throughout investigative process.
May assist in ... Plan policies and procedures in all facets of benefit programs management with heavy emphasis in
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Elevance Health
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St. Louis, Missouri
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Reporting and Analytics Director - CAHPS/STARS
Location: This position will work a ... , Tampa, FL or Nashville, TN.
The Reporting and Analytics Director - CAHPS/STARS is
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Elevance Health
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St. Louis, Missouri
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findings and maintain up-to-date electronic case files for management review.
Preparation of final case reports and notification of findings letters to providers.
Receive offers of settlement for
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Elevance Health
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St. Louis, Missouri
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Proposal Director Sr. is responsible for leading the proposal management for multiple prime bids with ... Proposal Director Sr.
Location: This position will work a hybrid model (remote and
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Elevance Health
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St. Louis, Missouri
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pharmacy, the Strategy Director and Chief of Staff is a key leadership position that will drive strategy ... -quality presentations for executive management and interdepartmental meetings, showcasing program
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Elevance Health
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St. Louis, Missouri
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Stop Loss Underwriter Director
Location: Open to anywhere within the continental US ... Stop Loss Underwriter Director is responsible for overseeing stop loss underwriting activities
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Elevance Health
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St. Louis, Missouri
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Group Underwriting Consultant
Location: Elevance Health operates in a Hybrid Workfor
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Elevance Health
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Kansas City, Missouri
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policy and procedures.
Completes admission process as directed by Center Director.
Performs ... Director and is responsible for the follow up on any problem which is identified.
Evaluates the
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Elevance Health
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St. Louis, Missouri
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management on cost of care issues to help reduce costs without compromising quality of care.
**How you
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Elevance Health
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Sappington, Missouri
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standards and company policy and procedures.
Completes admission process as directed by Center Director ... Center Director and is responsible for the follow up on any problem which is identified
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