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WisconsinSupport Medicaid pricing at Elevance Health by analyzing rate impacts, projections, and actuarial models. Validate data used to inform healthcare pricing decisions.
United StatesCaliforniaBuild and maintain secure REST APIs, user interface components, and enterprise applications at Elevance Health. The role spans system design, testing, stakeholder requirements, and on-call support.
Support Elevance Health customers with insurance benefits, eligibility, provider contract, and claims questions. Resolve inquiries through phone and digital channels while documenting cases and coordinating timely solutions.
Support Connecticut Medicaid behavioral health quality measurement and performance improvement as a senior data analyst. Analyze claims data and build Tableau dashboards for providers and other stakeholders.
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Illinois
MinnesotaVirginiaLead healthcare compliance audits, investigations, risk assessments, and corrective actions for Elevance Health. This hybrid role partners with regulators, clients, vendors, and senior leaders to strengthen compliance programs.
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Florida
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North CarolinaOhio
TexasHybridFull-timeMiddleSeniorEnglish RequiredPharmacistManage payer accounts, contractual obligations, reporting, and customer service for Elevance Health’s BioPlus Specialty Pharmacy. This full-time hybrid role supports relationships with health plans and pharmacy benefit managers.
United StatesFloridaMissouri
NevadaSupport specialty pharmacy customers with prescription, claims, and membership questions in a bilingual service role. Manage requests across phone, written correspondence, and digital queues.
United StatesFloridaRemoteFull-timeJuniorMiddleNo degree requiredEnglish RequiredSpanish RequiredBilingualSupport CarelonRx members and healthcare professionals by processing prescriptions, handling prior authorizations, and addressing pharmacy benefits questions. Help maintain accurate records and compliance with Medicare requirements.
United StatesFloridaMissouriTexasVirginiaSenior Business Intelligence Developer creating healthcare analytics and reporting solutions at Elevance Health. Builds SQL data solutions and supports specialty pharmacy data integrations.
United StatesCaliforniaFloridaKentuckyOhioAnalyze Medicaid rates, statistical data, projections, and pricing models for Elevance Health in a hybrid actuarial analyst role.
United StatesFloridaKentuckyNorth CarolinaOhio
TennesseeTexasHybridFull-timeSeniorEnglish RequiredData EngineerSenior engineer responsible for enterprise encryption, tokenization, key management, and data protection across hybrid-cloud and on-premises environments at Elevance Health. The role combines security architecture, automation, integration troubleshooting, incident response, and operational support in a hybrid work setting.
Develop production-scale machine learning, generative AI, and large language model solutions for Elevance Health’s healthcare business. Build RAG, agentic AI, evaluation, and Responsible AI capabilities for enterprise applications.
United StatesFloridaMissouriNorth CarolinaOhioHybridFull-timeMiddleSeniorEnglish RequiredClinical OperationsLead Medicare Star Ratings, CAHPS, and patient-experience quality programs at Elevance Health. Develop compliant clinical tools, manage vendors, and measure program outcomes.
United StatesFloridaTexasVirginiaReview claims and medical records for coding compliance, fraud, waste, and abuse risks. Support investigations, recommend loss-control measures, and help strengthen healthcare claim controls.
Use healthcare analytics to improve member programs, outcomes, and value at Elevance Health. Build predictive models, evaluate programs, and conduct research that informs product and clinical strategy.
