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21 Jobs

  • UM Medical Director - Pediatrician or Family Practitioner

    Costa Mesa, California
    ... of physical and/or behavioral health medical services, to ensure the appropriate and most cost ... regulations if the Medical Director is filing a role required by a State agency. Preferred Skills ...
  • Clinical Pharmacy Account Director - Pharmacy Benefit Management

    Costa Mesa, California
    ... overall health outcomes by putting the patient first. The Pharmacy Account Director is ... , associates are required to work at an Elevance Health location at least once per week, and potentially ...
  • Nurse Appeals CA (US)

    COSTA MESA, California
    ... summarizes medical information for medical director, consultants and other external review. Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval. Ensures that ...
  • Nurse Appeals CA (US)

    COSTA MESA, California
    ... summarizes medical information for medical director, consultants and other external review. Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval. Ensures that ...
  • Nurse Appeals CA (US)

    COSTA MESA, California
    ... summarizes medical information for medical director, consultants and other external review. Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval. Ensures that ...
  • Nurse Appeals CA (US)

    COSTA MESA, California
    ... summarizes medical information for medical director, consultants and other external review. Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval. Ensures that ...
  • Nurse Appeals CA (US)

    COSTA MESA, California
    ... summarizes medical information for medical director, consultants and other external review. Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval. Ensures that ...
  • Nurse Appeals CA (US)

    COSTA MESA, California
    ... summarizes medical information for medical director, consultants and other external review. Prepares recommendations to either uphold or deny appeal and forwards to Medical Director for approval. Ensures that ...
  • Nurse Medical Management II

    COSTA MESA, California
    ... . Requires current active unrestricted RN license to practice as a health professional in applicable state(s ... specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health ...
  • Associate Medical Director - Interventional Pain

    Costa Mesa, California
    ... . Associate Medical Director - Interventional Pain Job Family: MED > Licensed Physician/Doctor ... Description Clinical Operations Associate Medical Director **Carelon Medical Benefit ...
  • Orthopedic Surgery Associate Medical Director - Sign on Bonus $7,500

    Costa Mesa, California
    ... . Orthopedic Surgery Associate Medical Director - Sign on Bonus $7,500 Job Family: MED > Licensed ... Oklahoma Description **Clinical Operations Associate Medical Director ...
  • Medical Oncology Medical Director - Utilization Review

    Costa Mesa, California
    ... . Medical Oncology Medical Director - Utilization Review Job Family: MED > Licensed Physician ... Operations Medical Director** **Utilization Management of Medical Oncology Benefits ...
  • National Solution Medical Director - Surgery

    COSTA MESA, California
    ... . National Solution Medical Director - Surgery Job Family: MED > Licensed Physician/Doctor/Dentist ... , Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in ...
  • Reviewer - Therapy Services

    COSTA MESA, California
    ... , associates are required to work at an Elevance Health location at least once per week, and potentially ... opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online ...
  • Nurse Appeals Ld (US)- CA

    COSTA MESA, California
    ... necessity. Extrapolates and summarizes medical information for medical director, consultants and other ... background. Current active unrestricted RN license to practice as a health professional within the scope ...
  • Nurse Appeals-CA

    COSTA MESA, California
    ... medical necessity. Extrapolates and summarizes medical information for medical director, consultants ... to Medical Director for approval. Ensures that appeals and grievances are resolved timely to ...
  • Reviewer - Therapy Services

    COSTA MESA, California
    ... , associates are required to work at an Elevance Health location at least once per week, and potentially ... opportunities, some of which may pose as legitimate companies. Elevance Health requires a completed online ...
  • Associate Medical Director - Post Acute Care

    COSTA MESA, California
    ... . Associate Medical Director - Post Acute Care Job Family: MED > Licensed Physician/Doctor/Dentist ... Associate Medical Director** Carelon Insights **Post Acute Care Utilization Review ...
  • National Medical Director, Post Acute Solutions

    COSTA MESA, California
    ... . National Medical Director, Post Acute Solutions Job Family: MED > Licensed Physician/Doctor ... Description A proud member of the Elevance Health family of companies, Carelon Medical Benefits ...
  • National Solution Medical Director, Vascular Surgery

    COSTA MESA, California
    ... . National Solution Medical Director, Vascular Surgery Job Family: MED > Licensed Physician/Doctor ... the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty ...
  • Telephonic Nurse Case Manager II

    COSTA MESA, California
    ... specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health ... Notice for California Residents Elevance Health, Inc. is anE-verify Employer (https://www.e ...
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