- Elevance Health (Tampa, FL)
- ** Health Services Director - Carelon Behavioral Health ** Location: This role requires associates to be in-office 3 days per week, fostering ... required by law. Alternate locations may be considered. The ** Health Services Director ** is responsible...denial rationale, auditing, compliance reporting and overall direction for Carelon BH. This person is also responsible for designing,… more
- Elevance Health (Mason, OH)
- ** Carelon Research Sales Director - Carelon Research Growth & Marketing** **Location:** This role requires associates to be in-office 3 days per week, ... for employment, unless an accommodation is granted as required by law. The ** Carelon Research Sales Director ** is responsible for devising and executing… more
- Elevance Health (Lima, OH)
- …of managed long-term services and supports, and including physical and behavioral health services for older adults and adults with physical disabilities to ... **Medical Director -Long Term Support and Services -... services . + Oversee all primary and physical health services provided to individuals of the… more
- Elevance Health (Costa Mesa, CA)
- **Clinical Operations Associate Medical Director ** ** Carelon Medical Benefits Management** **Radiology Benefit Management/Utilization Review** **Virtual** : This ... is granted as required by law._ _A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty… more
- Elevance Health (Morristown, NJ)
- **Clinical Operations Medical Director ** **Medical Oncology** ** Carelon Medical Benefit Management** **Virtual** : This role enables associates to work virtually ... is granted as required by law._ _A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty… more
- Elevance Health (Woodbridge, NJ)
- **Behavioral Health Medical Director - Psychiatrist- NJ Medicaid** Location: The successful candidate will be a board-certified psychiatrist licensed and residing ... part- time position, 20 hours a week. The **Behavioral Health Medical Director - Psychiatrist- New Jersey** is...New Jersey** is responsible for the administration of behavioral health medical services , to ensure the appropriate… more
- Elevance Health (Indianapolis, IN)
- **Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid** **Location:** This role enables associates to work virtually full-time, with the ... law. Ideal candidates will reside in Indiana. The **Behavioral Health Medical Director ** is responsible for reviewing...levels of care. Responsible for the administration of behavioral health medical services , to ensure the appropriate… more
- Elevance Health (Overland Park, KS)
- …improvement in the health of the people we serve. The medical director supports product strategy/design through medical management that impact health care ... **National Accounts Medical Director ** Location: This role enables associates to work...experience, which would provide an equivalent background. + For Health Solutions and Carelon organizations (including behavioral… more
- Elevance Health (VA)
- … Director ** is responsible for the administration of physical and/or behavioral health medical services , to ensure the appropriate and most cost-effective ... **Medical Director ** **Location:** **Virtual -** This role enables associates...experience, which would provide an equivalent background. * _For Health Solutions and Carelon organizations (including behavioral… more
- Elevance Health (St. Louis, MO)
- …-Dermatology Appeals** is responsible for the review of appeals for physical health medical services , to ensure the appropriate and most cost-effective ... **Medical Director -Dermatology Appeals** **Location:** This role enables associates to...experience, which would provide an equivalent background. + For Health Solutions and Carelon organizations (including behavioral… more
- Elevance Health (Dearborn, MI)
- …of care. Evaluates clinical appropriateness of treatment using professional knowledge within Carelon Behavioral Health clinical and work site guidelines and ... on a regular basis to determine whether treatment meets Carelon Behavioral Health criteria for medical necessity....internal and external customers to maintain optimal efficiency of service . + Maintain telephone superior service standards.… more
- Elevance Health (Seattle, WA)
- …Associate** Carelon Post Acute Solutions A proud member of the Elevance Health family of companies, ** Carelon Post Acute Solutions** , formerly myNEXUS, is ... the leader in health resource optimization, focused on transforming how healthcare is...**How you will make an impact:** + Confirms medical services are appropriate based on assigned benefit plan, medical… more
- Elevance Health (Conroe, TX)
- …this individual is providing services in multiple states. + For Paragon and Carelon Health business unit, satisfactory completion of a Tuberculosis test is a ... A proud member of the Elevance Health family of companies, Paragon Healthcare brings over...procedures. + Completes admission process as directed by Center Director . + Performs physical assessment on each patient as… more