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Elevance Health
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South Portland, Maine
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, internal audits, accreditations, on-site reviews, risk assessments; audit planning, conducting mock audits
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Elevance Health
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South Portland, Maine
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Compliance Manager – Office of Healthcare Affordability (OHCA)
Location: This positi
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Elevance Health
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South Portland, Maine
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/leadership experience with CMS, including strategic planning, project management, Medicare or related ... .
Experience with managing operational workloads, productivity and planning forecasts and creating formalized
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Elevance Health
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South Portland, Maine
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Compliance Director – Office of Healthcare Affordability (OHCA)
Location: This posit
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Elevance Health
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South Portland, Maine
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, tools & processes and able to apply to small projects.
Support SVP with department planning and ... plans.
Provide oversight of operational plans (e.g. Associate Engagement Plans, transformation and
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Elevance Health
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South Portland, Maine
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Pharmacy Technician II - Call Center
Shift Schedule: 12:00pm-8:30pm EST; Monday-Friday
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Elevance Health
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South Portland, Maine
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benefit-management leader in Illinois. Our platform delivers significant cost-of-care savings across an
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Elevance Health
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South Portland, Maine
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Business Change Manager, Sr.
Location: Elevance Health operates in a Hybrid Workforc
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Elevance Health
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South Portland, Maine
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Director of Contracts & Procurement
Location: This position will work a hybrid mode
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Elevance Health
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South Portland, Maine
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Serve as a clinical pharmacy resource to pharmacy benefit management and pharmacy operations teams
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Elevance Health
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South Portland, Maine
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Population Health Management Pharmacist – CarelonRx
Location: The ideal candidate wi
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Elevance Health
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South Portland, Maine
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assessment, planning, implementation, coordination, monitoring, and evaluation of members through telephonic ... of condition-specific clinical or home health/discharge planning experience; or any combination of
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Elevance Health
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South Portland, Maine
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clinical pharmacy resource to pharmacy benefit management and pharmacy operations teams.
Ensures
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Elevance Health
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South Portland, Maine
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Please be advised that Elevance Health only accepts resumes for compensation from agencies that have
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Elevance Health
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South Portland, Maine
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auditors on audit planning, testing and evaluation procedures, which includes working with the business on ... pharmacy benefit management, operations and/or specialty pharmacy.
Knowledge or experience with the
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Elevance Health
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South Portland, Maine
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Stop Loss Underwriter Director
Location: Open to anywhere within the continental US.
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Elevance Health
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South Portland, Maine
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procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred
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Elevance Health
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South Portland, Maine
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market teams, leading associate resources, special projects/initiatives, and/or network planning ... .
May assist management in network development planning.
May provide work direction and establish
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Elevance Health
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South Portland, Maine
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Nurse Auditor Senior – Carelon Payment Integrity
Location: The ideal candidate will live
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Elevance Health
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South Portland, Maine
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Business Analyst II
_Location: This position will work a hybrid model (remote and office)
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Elevance Health
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South Portland, Maine
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Nurse Audit Lead – Carelon Payment Integrity
Location: The ideal candidate will live wit
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Elevance Health
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South Portland, Maine
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the Group Health and Employee Benefit market and knowledge of product line and sales process is strongly preferred.
Ability to analyze and interpret EOC language to create benefit summaries strongly
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Elevance Health
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South Portland, Maine
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sales activity.
Researches and resolves routine sales, claims and benefit issues.
Inputs and
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Elevance Health
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South Portland, Maine
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and minimum of 10 years of process improvement experience with planning, project management, business
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Elevance Health
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South Portland, Maine
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supervises preparation of annual settlements, ERISA reports, rate projections, or benefit change increments
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Elevance Health
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South Portland, Maine
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Manager I – Grievances & Appeals – Provider Disputes
Location : This position will wo
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Elevance Health
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South Portland, Maine
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Pharmacist Program Manager
_Location: This position will work a hybrid model (remote and
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Elevance Health
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South Portland, Maine
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Business Information Developer Consultant – HEDIS Analytics
Location: This position
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Elevance Health
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South Portland, Maine
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technical direction, workload planning, associate mentoring and operational support on a day-to-day basis
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Elevance Health
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South Portland, Maine
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Program Manager
Locations: The ideal candidate should live within 50 miles of our pr
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