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Remote DRG & Clinical Validation Lead

Remote / Online - Candidates ideally in
Bloomington, Monroe County, Indiana, 47401, USA
Listing for: Elevance Health
Full Time, Remote/Work from Home position
Listed on 2026-07-13
Job specializations:
  • Healthcare
Salary/Wage Range or Industry Benchmark: 89520 - 161136 USD Yearly USD 89520.00 161136.00 YEAR
Job Description & How to Apply Below

Elevance Health is hiring for a remote, full-time nursing leadership role focused on medical management and policy compliance. The role emphasizes pre-certification, clinician collaboration, and care transitions to ensure high quality, cost-effective care for members.

Candidates must hold an AS in nursing, an active RN license, and at least 7 years of acute care experience with prior managed care exposure. RHIT/RHIA/CDS/CDIP/CPC or CCS/CIC credentials are preferred.

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