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- ...Sales Executive Carelon Research Sales Executive - Carelon Research Location: Field This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance...SuggestedWork at officeDay shift
$136k - $234.6k
Principal Carelon Research Biostatistician Hybrid 1: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. Alternate locations may be considered...SuggestedContract workInterim roleWork at officeLocal area2 days per week1 day per week$135.24k - $202.86k
...Carelon Account Executive III The Carelon Account Executive III will serve as the primary client lead supporting Nevada's 988 Crisis Call Response system, overseeing a complex, statewide behavioral health program that operates 24/7/365. This role partners closely with...SuggestedContract workWork experience placementWork at officeLocal area3 days per week$30 - $45 per hour
Outreach Care Specialist Lead- Carelon Location: Vancouver, Clark County, Klickitat County, and Skamania County, Washington Hybrid: Associates are required to be in‑office 1-2 days per week, with flexibility for remote work. Candidates must be within a reasonable commuting...SuggestedHourly payWork at officeLocal areaRemote work2 days per week1 day per week$155.84k - $280.51k
...Carelon Sales Executive (Behavioral Health) Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach...SuggestedWork at officeLocal area$109.11k - $163.67k
Product Manager Senior- Carelon Rx Location: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work‑life balance. Alternate locations may be considered if candidates...SuggestedWork experience placementWork at officeLocal area2 days per week1 day per week$171.42k - $257.14k
Anticipated End Date: 2026-07-20 Position Title: Carelon Sales Executive - Payment Integrity Job Description: Carelon Sales Executive - Payment Integrity Location: This field-based role enables associates to primarily operate in the field, traveling to client sites or...SuggestedFull timeContract workTemporary workWork experience placementWork at officeLocal areaDay shift- The Elevance Health Companies, Inc. is seeking a Senior Product Manager for Carelon Rx to evaluate products, analyze competitor data, and define new offerings. You will lead cross‑functional teams and collaborate on profitability strategies while ensuring compliance with...Suggested
$135.24k - $202.86k
...JR186619 Carelon Account Executive III The Carelon Account Executive III will serve as the primary client lead supporting Nevada's 988 Crisis Call Response system, overseeing a complex, statewide behavioral health program that operates 24/7/365. This role partners closely...SuggestedFull timeContract workTemporary workWork experience placementWork at officeLocal area3 days per week1 day per week- ...Sales Executive - Carelon Research Location: Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This...SuggestedFull timeTemporary workWork at officeLocal area1 day per week
$136k - $234.6k
...Anticipated End Date: [click to reveal phone number]2026-07-13 Position Title: Principal Carelon Research Biostatistician : Principal Carelon Research Biostatistician Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering...SuggestedFull timeContract workTemporary workWork experience placementInterim roleWork at officeLocal area2 days per week1 day per week$165.14k - $247.72k
...Director II Carelon Account Management - CEO Maryland Market 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...SuggestedFull timeContract workTemporary workWork experience placementWork at officeLocal area3 days per week1 day per week- ...~Claims experience ~Task & Process mining ~Experience with healthcare order documents specifically ~Prior automation of Carelon / Availity or comparable payer portals ~Hands-on Quanum experience ~Prior auth, eligibility, claims, or RCM background ~Prior...SuggestedFull timeRemote workFlexible hours
Genzeon Global
Remote2 days ago $19 - $21 per hour
...resource for members, providers, and pharmaciesensuring seamless coordination and exceptional service within plans utilizing CVS or Carelon as the PBM. Primary Responsibilities: Answer inbound calls and return voicemails from members, delivering exemplary customer...SuggestedLocal areaRemote workFlexible hours$86.68k - $109.65k
...Eager to start your career in a growing industry? Get paid to learn the ropes of fraud investigation and real-world surveillance... Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is...SuggestedHourly payWeekly payFull timePart timeWork at office$60k - $78k
...hospital discharge planning, Maryland Medicaid, or human services settings. Knowledge of Maryland's Public Behavioral Health System, Carelon / BH ASO, and community behavioral health referral pathways. Experience working with adults with serious mental illness or in...Full timeTemporary workWork at officeLocal areaAdvocate Support Services Inc
Annapolis, MD21 days ago- Responsibilities Manage full lifecycle of Carelon Health client contracts Oversee contracting workflows Ensure compliance with policies and regulations Evaluate contracts for adherence to standard terms Make suggested contract edits for attorney review Implement technology...Contract work
$20 - $25 per hour
...Explain treatment procedures, medications, diets and physicians' instructions to patients. Utilize insurance portals like Evicore, Carelon and RadMD to submit prior authorization requests for outside testing including MRI, CT, PET, DaT scans, etc. Oversee and ensure...Hourly payFull timeTemporary workWork at officeMonday to FridayAfternoon shift$24.59 - $38.65 per hour
...distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health...Full timeWork at officeLocal areaMonday to Friday- ...reports weekly Generates Avatar and BHL reporting and data analysis Liase with LA Dept of Health and MCO's under direction of PD CARELON data system and reports Performs other administrative duties as assigned by manager. BH First Responder when needed or scheduled...Full timeLocal area
- ...Required Minimum 2 years Basic computer skills Required Minimum 1 year Experience with payor portals preferred (Availity, NaviHealth, Carelon/MyNexus, EviCore) Preferred Less than 1 year One year in a healthcare setting Preferred Required Minimum Skills: Computer/...Shift work
- ...state required. Multi-state licensure is required if this individual is providing services in multiple states. For Paragon and Carelon Health business unit, satisfactory completion of a Tuberculosis test is a requirement for this position and Hepatitis B vaccine or...Full timeReliefLocal areaImmediate startShift work
$61.68k - $106.4k
...dynamic and adaptable workplace. Alternate locations may be considered. A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a...Work at office2 days per week1 day per week$58k - $91.35k
...distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health...Work experience placementWork at officeLocal area2 days per week1 day per week- ...applicable state required. Multi-state licensure is required if this individual is providing services in multiple states. For Paragon and Carelon Health business unit, satisfactory completion of a Tuberculosis test is a requirement for this position and Hepatitis B vaccine or...Full timeReliefLocal areaImmediate start
- ...holidays. Training will be conducted Monday-Friday 10:00am-6:30pm EST. A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a...Full timeTemporary workLocal areaImmediate startAll shiftsMonday to Friday1 day per week
- Responsibilities Responsible for leading enterprise performance management, strategic alignment, and business visibility capabilities across Carelon Partners with executive leadership, business units, product teams, and shared services to translate strategy into measurable...
- ...services are provided in multiple states. Completion of a Tuberculosis test and Hepatitis B vaccination or waiver for Paragon and Carelon Health business units. Preferred Skills, Capabilities, And Experiences BSN preferred. Experience with IVs, PICC, peripheral lines...Full timeReliefLocal areaShift work
$70k - $78k
...admission-denial decisions. Prepare, submit, and track initial insurance/payer authorization requests for new PRP admissions using Carelon, Maryland Medicaid, or other designated payer portals where authorization is required. Respond to payer requests for additional...Full timeWork at office- ...experience; or any combination of education and experience, which would provide an equivalent background For Health Solutions and Carelon organizations, minimum of 5 years of experience providing health care is required Preferred: Ability to obtain a Kansas medical license...
