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Results based on filters ( 456 jobs found )

Utilization Management Representative I

Elevance Health
Independence, OH
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**Utilization Management Representative I****Virtual:** This role enables ...
Details
Summary
About the job:
associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and prior authorization review.**How you will make an impact:**+ Managing incoming calls or incoming post services claims work.+...
Location:
Independence, OH
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Customer Care Representative

Elevance Health
Mason, OH
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**Customer Care Representative I, II****Location:** **Onsite:** This role ...
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Summary
About the job:
requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support. Alternate locations may be considered.**This position will have on-site training for the first 6 weeks and will require you to be in the** **LOCATION** **office. You must have 100% attendance during the full 14 weeks of training.****Start date: September** 29,...
Location:
Mason, OH
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Utilization Management Representative I

Elevance Health
Mason, OH
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**Utilization Management Representative I****Virtual:** This role enables ...
Details
Summary
About the job:
associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and prior authorization review.**How you will make an impact:**+ Managing incoming calls or incoming post services claims work.+...
Location:
Mason, OH
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Director Associate - Carelon RX

Elevance Health
Mason, OH
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**Medical Director Associate - Carelon RX**Location: This role enables ...
Details
Summary
About the job:
associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.The **M** **edical Director Associate** is responsible for providing day-to-day guidance, support, and leadership for clinical and/or quality activities under the guidance of a Medical Director. May be responsible for supporting one or more...
Location:
Mason, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
Board Certified
Medical License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Director Associate - Carelon RX

Elevance Health
Independence, OH
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**Medical Director Associate - Carelon RX**Location: This role enables ...
Details
Summary
About the job:
associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.The **M** **edical Director Associate** is responsible for providing day-to-day guidance, support, and leadership for clinical and/or quality activities under the guidance of a Medical Director. May be responsible for supporting one or more...
Location:
Independence, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
US.jobs
Certifications / Licenses:
Board Certified
Medical License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Medical Director Associate - Carelon RX

Elevance Health
Cincinnati, OH
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Anticipated End Date: 2025-07-18 Position Medical Director Associate - ...
Details
Summary
About the job:
Carelon RX Job Description: Medical Director Associate - Carelon RX Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. The M edical Director Associate is responsible for providing day-to-day guidance, support, and leadership for clinical and/or quality activities under...
Location:
Cincinnati, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Upper Middle Income Jobs ($50K-$79K)
From:
Elevance Health
Certifications / Licenses:
Board Certified
Medical License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Advanced Practice Provider - Nurse Practitioner - CareBridge - Virtual

Elevance Health
Ohio
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Anticipated End Date: 2025-07-31 Position Advanced Practice Provider - Nurse ...
Details
Summary
About the job:
Practitioner - CareBridge - Virtual Job Description: Carebridge Health is a proud member of the Elevance Health family of companies within our Carelon business. Carebridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through home care and community-based services. $5,000 Sign on Bonus Seeking Nurse Practitioners licensed in TWO or more of the following states: MA, VA, TN, FL, IN, OH, TX, KS, AZ, IA, NM, NJ, HI and must have an...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Nurse Practitioners
Career Level / Education:
Master's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Elevance Health
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Associate Medical Director- Sleep Medicine

Elevance Health
Mason, OH
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Anticipated End Date: 2025-07-31 Position Associate Medical Director- Sleep ...
Details
Summary
About the job:
Medicine Job Description: Clinical Operations Associate Medical Director Carelon Medical Benefits Management Radiology Benefit Management/Utilization Review Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. The Clinical Operations Associate Medical Director is...
Location:
Mason, OH
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Elevance Health
Certifications / Licenses:
Medical License
Board Certified
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Director II Provider Economics – Value-Based Specialty Care

Elevance Health
Columbus, OH
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Anticipated End Date: 2025-07-24 Position Director II Provider Economics – ...
Details
Summary
About the job:
Value-Based Specialty Care Job Description: Director II Provider Economics – Value-Based Specialty Care Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. The Director II, Provider Economics , will lead strategic...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Actuaries
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
From:
Elevance Health
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Utilization Management Representative I

Elevance Health
Cincinnati, OH
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Anticipated End Date: 2025-07-14 Position Utilization Management ...
Details
Summary
About the job:
Representative I Job Description: Utilization Management Representative I Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. The Utilization Management Representative I will be responsible for coordinating cases for precertification and prior authorization review. How you...
Location:
Cincinnati, OH
Job Type:
Full-Time
Permanent
Occupation:
Customer Service Representatives
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
From:
Elevance Health
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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