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Elevance Health
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St. Louis, Missouri
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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
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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 ... review and discussion with management.
Communication skills, both oral and written required for
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Elevance Health
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St. Louis, Missouri
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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
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Elevance Health
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St. Louis, Missouri
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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
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Elevance Health
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St. Louis, Missouri
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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
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Elevance Health
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Sappington, Missouri
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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
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Elevance Health
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Sappington, Missouri
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operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager
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Elevance Health
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St. Louis, Missouri
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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
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Elevance Health
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Sappington, Missouri
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operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager
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Elevance Health
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St. Louis, Missouri
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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
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Elevance Health
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St. Louis, Missouri
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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
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Elevance Health
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Sappington, Missouri
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operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager
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Elevance Health
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Sappington, Missouri
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operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager
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Elevance Health
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St. Louis, Missouri
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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
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Elevance Health
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St. Louis, Missouri
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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
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Elevance Health
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Missouri
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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
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Elevance Health
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St. Louis, Missouri
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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
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Elevance Health
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St. Louis, Missouri
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:** 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
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Elevance Health
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St. Louis, Missouri
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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
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Elevance Health
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St. Louis, Missouri
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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
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Elevance Health
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Kansas City, Missouri
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operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager
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Elevance Health
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Independence, Missouri
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operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager
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Elevance Health
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St. Louis, Missouri
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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
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Elevance Health
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St. Louis, Missouri
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operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager
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Elevance Health
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St. Louis, Missouri
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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
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Elevance Health
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St. Louis, Missouri
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operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager
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Elevance Health
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St. Louis, Missouri
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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
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Elevance Health
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St. Louis, Missouri
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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
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Elevance Health
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St. Louis, Missouri
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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
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Elevance Health
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St. Louis, Missouri
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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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