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Elevance Health Careers 76 Jobs in Missouri

  • Pharmacy Account Director, Medicare

    Elevance Health - St. Louis, Missouri
    ... pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the ... as well as an understanding of the intricate workings of a pharmacy benefit manager. Ideal ...
  • Investigator I (US)

    Elevance Health - St. Louis, Missouri
    ... findings and maintain up-to-date electronic case files for management review. Preparation of final ... review and discussion with management. Communication skills, both oral and written required for ...
  • Pharmacy Quality Improvement Specialist

    Elevance Health - St. Louis, Missouri
    ... leads, operations experts, associates, and/or managers on process improvement issues. **How you ... system changes and provides specialized input on reports to management. Travels to worksite and ...
  • Internal Auditor, Senior - SOX & SOC1

    Elevance Health - St. Louis, Missouri
    ... insights to the business to improve the effectiveness of risk management, control and governance processes ... . Identify risks and collaborate with team leadership, business management and external auditors on audit ...
  • RN Transplant Case Manager II (Telephonic)

    Elevance Health - St. Louis, Missouri
    ... .** The Transplant Nurse II is responsible for providing case management and/or medical management (UM/UR) for members receiving transplant services. Within the case management role and within the scope ...
  • Audit & Reimbursement III- Medicare Cost Report Appeals

    Elevance Health - Sappington, Missouri
    ... . Able to work independently on assignments and under minimal guidance from the manager. Prepare ... effectively prioritizing work using time management, initiative, project management and problem-solving skills ...
  • Registered Nurse (RN) - Infusion Clinic - Paragon Healthcare

    Elevance Health - Sappington, Missouri
    ... operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager ...
  • Crisis & Referral Specialist Senior

    Elevance Health - St. Louis, Missouri
    ... Health Options, offers superior clinical mental health and substance use disorder management, a ... operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager ...
  • Registered Nurse (RN) - Infusion Clinic - Paragon Healthcare

    Elevance Health - Sappington, Missouri
    ... operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager ...
  • Audit & Reimbursement III - Medicare Cost Report Audit

    Elevance Health - St. Louis, Missouri
    ... guidance from the manager. Prepare detailed work papers and present findings in accordance with ... . Ability to multi-task while independently and effectively prioritizing work using time management ...
  • Medical Director

    Elevance Health - St. Louis, Missouri
    ... clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify ... manager. May be responsible for an entire clinical program and/or independently perform clinical ...
  • Regional Family Nurse Practitioner (FNP) - Paragon Healthcare (MO/CO)

    Elevance Health - Sappington, Missouri
    ... operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager ...
  • Family Nurse Practitioner - Paragon Infusion Centers

    Elevance Health - Sappington, Missouri
    ... operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager ...
  • Product Portfolio Manager

    Elevance Health - St. Louis, Missouri
    ... Manager) is responsible for overseeing the strategic planning, development, and management of the PBM ... Product Portfolio Manager (Program Manager) _This position will work a hybrid model ...
  • RN Hospital Bill Audit/Appeal Lead

    Elevance Health - St. Louis, Missouri
    ... . Assists management with developing unit goals, policies and procedures. Investigates potential fraud ... with Service Operations as well as other areas of the corporation relative to claims reviews and their ...
  • Nurse Medical Management I

    Elevance Health - Missouri
    ... . The Nurse Medical Management I will be responsible to collaborate with healthcare providers and ... , cost effective care throughout the medical management process. Collaborates with providers to ...
  • Nurse Case Mgr I

    Elevance Health - St. Louis, Missouri
    ... Telephonic Nurse Case Manager I Sign-on Bonus: $3000 Elevance Health supports ... :** Monday-Friday Hours: 8:30-5:00 pm CST. The Telephonic Nurse Case Manager I is responsible ...
  • Nurse Case Manager I

    Elevance Health - St. Louis, Missouri
    ... :** Monday – Friday; 9:00am – 5:30pm ET; Must be able to work some evenings The Nurse Case Manager I is responsible for performing care management within the scope of licensure for members with ...
  • Strategic Pharmacy Account Executive - CarelonRx

    Elevance Health - St. Louis, Missouri
    ... benefit management (PBM) field sales team during request for proposal (RFP) processes. Assists in the ... confidently with senior management and executive level stakeholders, as a subject matter expert and ...
  • UM Medical Director - Cardiology

    Elevance Health - St. Louis, Missouri
    ... enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff ... Medical Director Associates. Works independently with oversight from immediate manager. May be ...
  • Regional Family Nurse Practitioner (FNP) - Paragon Healthcare (MO/CO)

    Elevance Health - Kansas City, Missouri
    ... operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager ...
  • Regional Family Nurse Practitioner (FNP) - Paragon Healthcare (MO/CO)

    Elevance Health - Independence, Missouri
    ... operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager ...
  • Actuarial Analyst III - Medicare Risk Adjustment

    Elevance Health - St. Louis, Missouri
    ... management reports supporting new capitation initiatives. Assists in training of actuarial trainees ... operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager ...
  • Clinical Review Nurse I-1

    Elevance Health - St. Louis, Missouri
    ... operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager ...
  • Nurse Care Mgr Sr (US)

    Elevance Health - St. Louis, Missouri
    ... drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and chronic care needs. Primary ...
  • Regional Family Nurse Practitioner (FNP) - Paragon Healthcare (MO/CO)

    Elevance Health - St. Louis, Missouri
    ... operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager ...
  • Mgr II Grievance/Appeals (US)

    Elevance Health - St. Louis, Missouri
    ... Health location. **Responsible for management oversight of grievances and appeals departmental ... & appeals experience and a minimum of 3 years of management experience in the healthcare industry; or any ...
  • Nurse Care Mgr II (US)

    Elevance Health - St. Louis, Missouri
    ... drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and chronic care needs. Primary ...
  • Nurse Case Mgr 2 (US)-3

    Elevance Health - St. Louis, Missouri
    ... Telephonic Nurse Case Manager II Sign-on Bonus: $3000 Elevance Health ... :** Monday-Friday Hours: 8:30-5:00 pm CST. The Telephonic Telephonic Nurse Case Manager II is ...
  • Nurse Case Mgr II (US)

    Elevance Health - St. Louis, Missouri
    ... Manager II** is ​responsible for care management within the scope of licensure for members with complex ... Telephonic Nurse Case Manager II Elevance Health supports a hybrid workplace model with ...
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