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32 Jobs

  • Provider Contract/Cost of Care Consultant

    Indianapolis, Indiana
    ... advice, and analytic and consultative support to Medical Directors and management on cost-of-care issues ... work with multiple provider types, e.g. physicians, ancillary, medical groups, or hospitals. Supports a ...
  • Director II Product Management, Carelon Product Platforms

    INDIANAPOLIS, Indiana
    ... . With capabilities spanning pharmacy, behavioral health, complex care delivery, medical benefits ... Platform team is looking to hire a Director II Product Management, Carelon Product Platforms, who is ...
  • Medicare Medical Director Clinical Programs

    Indianapolis, Indiana
    ... Friday, standard business hours.** The Medical Director Clinical Programs is responsible for designing and implementing clinical programs with specific medical condition focus for all lines of business ...
  • Provider Contract/Cost of Care Consultant Senior

    Indianapolis, Indiana
    ... looking for a senior analyst who will lead medical cost trend deep dives to uncover root-cause trend ... . Provides advice, analytic and consultative support to Medical Directors and management on cost of care ...
  • Payment Innovation Director II

    INDIANAPOLIS, Indiana
    ... :** 1-2 days in office per week The Payment Innovation Director II is responsible for ... Plan Leadership, e.g. Presidents, Medical Directors, Finance Directors, etc. Responsible for ...
  • Provider Contract / Cost of Care Analyst Senior

    INDIANAPOLIS, Indiana
    ... , ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract negotiators ... control costs; Projecting cost increases in medical services by using analytic techniques for PMPM ...
  • Reviewer - Therapy Services

    INDIANAPOLIS, Indiana
    ... ** is responsible for the review of medical records to determine if requests for therapy services ... additional data, consults with clinical reviewers and medical directors, when necessary. Acts as a ...
  • Telephonic Nurse Case Manager II

    INDIANAPOLIS, Indiana
    ... effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and ...
  • Telephonic Nurse Case Manager ll

    INDIANAPOLIS, Indiana
    ... . Interfaces with Medical Directors and Physician Advisors on the development of care management treatment ...
  • Associate Medical Director - Neurosurgery

    INDIANAPOLIS, Indiana
    ... Clinical Operations Associate Medical Director Neurosurgery Carelon ... Associate Medical Director of Neurosurgery responsible for performing pre-authorizations and providing ...
  • UM Medical Director - Internal Medicine or Family Medicine

    Indianapolis, Indiana
    ... Medical Director is responsible for the administration of physical and/or behavioral health medical ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an ...
  • Nurse Medical Management I-1

    INDIANAPOLIS, Indiana
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Pharmacy Quality Assurance Specialist

    INDIANAPOLIS, Indiana
    ... ) Specialist** . This Pharmacy Quality Assurance Specialist, reporting to the Director of ... of insurance industry and medical terminology and detailed knowledge of relevant systems and proven ...
  • Nurse Case Mgr II (US)

    INDIANAPOLIS, Indiana
    ... care management plan and modifies as necessary. Interfaces with Medical Directors and Physician ...
  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    Indianapolis, Indiana
    ... .** The Behavioral Health Medical Director is responsible for the administration of behavioral ... identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates ...
  • RN Case Manager

    Indianapolis, Indiana
    ... through extra-contractual arrangements, as permissible. Interfaces with Medical Directors, Physician ...
  • Associate Medical Director - Post Acute Solutions - Rehab, SNF, LTACH

    Indianapolis, Indiana
    ... Clinical Operations Associate Medical Director Carelon Insights **Post Acute ... care for the people we serve. The Clinical Operations Associate Medical Director is ...
  • UM Medical Director - Cardiology

    Indianapolis, Indiana
    ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the ... including Medical Director Associates. May be responsible for an entire clinical program. How you ...
  • Nurse Medical Mgmt I (US)

    INDIANAPOLIS, Indiana
    ... , cost effective care through assessing the medical necessity of inpatient admissions, outpatient ... treatment setting by utilizing the applicable medical policy and industry standards accurately interpreting ...
  • LTSS Service Coordinator (Case Manager)

    Indianapolis, Indiana
    ... of a comprehensive Person Centered Support Plan (PCSP) and backup plan, interfacing with Medical ...
  • UM Medical Director - Physical Medicine and Rehabilitation

    Indianapolis, Indiana
    ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the ... including Medical Director Associates. May be responsible for an entire clinical program. How you ...
  • Associate Medical Director - Interventional Pain

    Indianapolis, Indiana
    ... Clinical Operations Associate Medical Director **Carelon Medical Benefit Management ... and oncology._ The Clinical Operations Medical Director is responsible for supporting ...
  • LTSS Service Coordinator - RN

    Indianapolis, Indiana
    ... through extra-contractual arrangements, as permissible. Interfaces with Medical Directors, Physician ...
  • National Solution Medical Director - Post Acute Services

    INDIANAPOLIS, Indiana
    ... Medical Director for Post Acute Care Solutions** . This high-performing individual contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions Clinical Product ...
  • Nurse Medical Management II

    Indianapolis, Indiana
    ... Nurse Medical Management II At Federal Health Products and Services - FHPS , a ... Medical Management II** is responsible for collaborating with healthcare providers and members to ...
  • Nurse Case Mgr II (US)

    Indianapolis, Indiana
    ... necessary. Interfaces with Medical Directors and Physician Advisors on the development of care ...
  • Medical Director

    INDIANAPOLIS, Indiana
    ... analytics. Medical Director-Internal Medicine Responsible for the administration of ... including Medical Director Associates. May be responsible for an entire clinical program. **This role ...
  • Senior Medical Director, UM Operations

    INDIANAPOLIS, Indiana
    ... **Senior Medical Director** to manage a team of physicians performing clinical coverage and ... Medical Director) Responsible for providing day-to-day guidance, support, and leadership for the ...
  • National Solution Medical Director - Surgery

    INDIANAPOLIS, Indiana
    ... A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management ... and oncology. Carelon Medical Benefits Management is looking to hire a National Medical ...
  • CMO MBM - Carelon

    INDIANAPOLIS, Indiana
    ... . Summary: A proud member of the Elevance Health family of companies, Carelon Medical Benefits ... . Responsible for serving as the chief medical officer (CMO) for Carelon Medical Benefits Management Specialty ...
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